Name: Score:
20 Multiple choice questions
Term 1 of 20
Pre-test
To assess for clonus, the nurse briskly dorsiflexes the patient's foot and then releases it. What
would a positive response look like?
Jerky, rapid contraction of the ankle and foot.
Rationale: A positive finding is the rapid, jerky contraction of the ankle and foot in response
to the dorsiflexion performed by the nurse.
Preventing eclamptic seizures.
Rationale: Magnesium works on the central nervous system and prevents eclamptic
seizures in the patient with severe preeclampsia. Sometimes magnesium is used as a
tocolytic agent in patients with pre-term labor, but that is not the indication in this situation.
Control the rate of administration of intravenous (IV) fluids.
Rationale: It is important to carefully monitor IV infusion to achieve the delicate balance
between keeping the patient well hydrated and preventing acute pulmonary edema. The
other options will not impact the development of pulmonary edema.
4 to 7 mEq/L.
Rationale: A therapeutic level is between 4 and 7 mEq/L. Levels of 8 mEq/L or greater are
toxic and the patient will begin to demonstrate symptoms of central nervous system
depression.
, Term 2 of 20
Post-test
A patient with preeclampsia is admitted with viral signs as follows: Temp 98.6F, HR 110 bpm, RR 28,
BP 182/116, O2 92%. The FHR is 150. Which of the following interventions would the nurse
implement based on the findings?
Monitor The Client's Ecg
Take The Client's Vital Signs.
Administer Oxygen
Transport Immediately
20 Multiple choice questions
Term 1 of 20
Pre-test
To assess for clonus, the nurse briskly dorsiflexes the patient's foot and then releases it. What
would a positive response look like?
Jerky, rapid contraction of the ankle and foot.
Rationale: A positive finding is the rapid, jerky contraction of the ankle and foot in response
to the dorsiflexion performed by the nurse.
Preventing eclamptic seizures.
Rationale: Magnesium works on the central nervous system and prevents eclamptic
seizures in the patient with severe preeclampsia. Sometimes magnesium is used as a
tocolytic agent in patients with pre-term labor, but that is not the indication in this situation.
Control the rate of administration of intravenous (IV) fluids.
Rationale: It is important to carefully monitor IV infusion to achieve the delicate balance
between keeping the patient well hydrated and preventing acute pulmonary edema. The
other options will not impact the development of pulmonary edema.
4 to 7 mEq/L.
Rationale: A therapeutic level is between 4 and 7 mEq/L. Levels of 8 mEq/L or greater are
toxic and the patient will begin to demonstrate symptoms of central nervous system
depression.
, Term 2 of 20
Post-test
A patient with preeclampsia is admitted with viral signs as follows: Temp 98.6F, HR 110 bpm, RR 28,
BP 182/116, O2 92%. The FHR is 150. Which of the following interventions would the nurse
implement based on the findings?
Monitor The Client's Ecg
Take The Client's Vital Signs.
Administer Oxygen
Transport Immediately
