Hypertension RELIAS Questions (Answered 100% correct) complete test 2023
All of the following biochemical markers/laboratory tests can have value in evaluating patients with suspected preeclampsia, but which of these is NOT included in establishing the actual diagnosis?
According to the rece...
Hypertension RELIAS Questions (Answered 100% correct) complete test 2023 All of the following biochemical markers/laboratory tests can have value in evaluating patients with suspected preeclampsia, but which of these is NOT included in establishing the actual diagnosis? {{Correct Ans - put, creat, liver enzymes.. not uric acid? According to the recent American College of Obstetricians and Gynecologists guidelines, which of the following is a contraindication to expectant management (for up to 48 hours for full corticosteroid benefit) o f preeclampsia with severe features? {{Correct Ans - uncontrollable hypertension Magnesium sulfate is the medication of choice to prevent and treat eclamptic seizures. Which of the following statements about magnesium sulfate is accurate?Can only be admini stered intravenously even if an intravenous line is not in place.In a patient with recurrent seizures who is currently on magnesium sulfate, this medication should be immediately abandoned.The typical maintenance dose for magnesium sulfate is between 4 -6 grams/hour.*Magnesium levels may need to be monitored in patients with renal insufficiency. {{Correct Ans - *Magnesium levels may need to be monitored in patients with renal insufficiency.$$$$ If a null gravid patient would like to know her risk of preeclam psia with pregnancy, which lab tests are most useful in predicting the risk of developing preeclampsia? Anticardiolipin antibody Calcium Magnesium Creatinine *None of the choices Ms. Lee is a 33 -year-old G1P1 who had labor induction for pre eclampsia with severe features, resulting in a vaginal delivery 3 hours ago. She remains on magnesium sulfate IV. Her BPs have remained in the 150s/90s mm Hg on oral labetalol, and her lab exams were all within normal limits except creatinine, which is 1.5 mg/dL. She reports that she is short of breath and feels chest heaviness. She then becomes unresponsive. What are the correct actions at this time? Check creatinine immediately IV labetalol immediately Calcium gluconate immediately Stop ma gnesium sulfate A 30-year-old G2P1 at 36 weeks is diagnosed with mild gestational hypertension (blood pressure range 140 -150/90 -95 mm Hg), and close maternal and fetal outpatient monitoring is initiated. If the patient presents 1 week later with a persist ent headache but no proteinuria, how would your diagnosis change? Change the diagnosis to severe gestational hypertension. Change the diagnosis to preeclampsia with severe features. Change the diagnosis to preeclampsia without severe features. No change in diagnosis Hematologic abnormalities are common clinical manifestations of preeclampsia and other hypertensive disorders of pregnancy. Which of the following statements are accurate ? *Hemolysis can result when red blood cells pass through vasoconstricted microvasculature and become fragmented. *Thrombocytopenia can occur from the accelerated use of platelets to form clots in damaged microvasculature. Which of the f ollowing are considered major risk factors for the development of preeclampsia? Select 3 answers. Chronic hypertension Caucasian race Cigarette smoking Multiple gestation Antiphospholipid syndrome {{Correct Ans - Chronic htx, smoking, anti phospholipid A 40-year-old G1P0 is admitted at 34 weeks' gestation with a diagnosis of preeclampsia with severe features. The patient's blood pressure is 170/110 mm Hg. Her nurse is starting magnesium sulfate when the provider walks into the room. The provider requests th at the nurse give labetalol 10 mg IV push. Which communication tool will the nurse use in this situation?SBAR"Stop the Line" phrase*CUSSValidate and VerifyShout out/call back SBAR "Stop the Line" phrase CUSS Validate and Verify Which of th e following statements are true about mode of delivery in patients with preeclampsia/HIP? Select all that apply. Induction of labor is not recommended in patients with HELLP syndrome. Induction of labor should not be attempted in patients who are on magnes ium sulfate. For women undergoing labor induction, the likelihood of cesarean delivery increases with decreasing gestational age. Cesarean delivery rates are >90% when labor induction is attempted at a gestational age <28 weeks. If cesarean delivery is ind icated, magnesium sulfate should be discontinued during the procedure.
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