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hypertension RELIAS Questions and Answers Graded A+ 2024/2025
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hypertension RELIAS Questions and Answers Graded A+ 2024/2025
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hypertension RELIASAll of the following biochemical markers/laboratory tests could have value in evaluating patients
with suspected preeclampsia, but which of these is NOT included in organising the actual
diagnosis? - ANSput, creat, liver enzymes.. No longer uric acid?
According to the current American College of Obstetricians and Gynecologists
recommendations, which of the subsequent is a contraindication to expectant management (for
up to 48 hours for complete corticosteroid benefit) of preeclampsia with intense features? -
ANSuncontrollable hypertension
Magnesium sulfate is the drugs of choice to save you and deal with eclamptic seizures. Which
of the following statements approximately magnesium sulfate is correct?Can simplest be
administered intravenously although an intravenous line isn't always in place.In a patient with
recurrent seizures who is presently on magnesium sulfate, this medication must be right away
deserted.The typical upkeep dose for magnesium sulfate is between 4-6
grams/hour.*Magnesium levels may need to be monitored in sufferers with renal insufficiency. -
ANS*Magnesium levels might also want to be monitored in patients with renal insufficiency.$$$$
If a nulligravid patient would like to understand her danger of preeclampsia with being pregnant,
which lab checks are maximum useful in predicting the hazard of developing preeclampsia? -
ANSAnticardiolipin antibody
Calcium
Magnesium
Creatinine
*None of the alternatives
Ms. Lee is a 33-year-vintage G1P1 who had hard work induction for preeclampsia with
excessive functions, ensuing in a vaginal delivery three hours in the past. She remains on
magnesium sulfate IV. Her BPs have remained in the 150s/90s mm Hg on oral labetalol, and her
lab tests have been all inside normal limits except creatinine, that's 1.5mg/dL. She reviews that
she is brief of breath and feels chest heaviness. She then becomes unresponsive. What are the
correct actions presently? - ANSCheck creatinine right away
IV labetalol straight away
*Calcium gluconate without delay
*Stop magnesium sulfate
A 30-year-antique G2P1 at 36 weeks is identified with mild gestational hypertension (blood
strain range a hundred and forty-150/90-ninety five mm Hg), and near maternal and fetal
outpatient monitoring is initiated. If the affected person provides 1 week later with a persistent
headache however no proteinuria, how would your prognosis change? - ANS*Change the
diagnosis to excessive gestational hypertension.
,Change the prognosis to preeclampsia with extreme capabilities.
Change the prognosis to preeclampsia without extreme features.
No trade in diagnosis
Hematologic abnormalities are commonplace scientific manifestations of preeclampsia and
other hypertensive disorders of being pregnant. Which of the subsequent statements are
accurate? - ANS$.
*Hemolysis can result whilst red blood cells skip thru vasoconstricted microvasculature and
become fragmented.
*Thrombocytopenia can occur from the improved use of platelets to shape clots in broken
microvasculature.
Which of the subsequent are considered essential threat elements for the improvement of
preeclampsia?
Select 3 answers.
Chronic hypertension
Caucasian race
Cigarette smoking
Multiple gestation
Antiphospholipid syndrome - ANSChronic htx, smoking, anti phospholipid
A 40-year-vintage G1P0 is admitted at 34 weeks' gestation with a analysis of preeclampsia with
excessive functions. The affected person's blood stress is one hundred seventy/a hundred and
ten mm Hg. Her nurse is starting magnesium sulfate while the provider walks into the room. The
issuer requests that the nurse provide labetalol 10 mg IV push. Which communique device will
the nurse use in this example?SBAR"Stop the Line" word*CUSSValidate and VerifyShout
out/call returned - ANSSBAR
"Stop the Line" phrase
*CUSS
Validate and Verify
Which of the following statements are genuine approximately mode of transport in sufferers with
preeclampsia/HIP?
Select all that practice.
Induction of hard work isn't recommended in sufferers with HELLP syndrome.
Induction of hard work need to no longer be tried in sufferers who are on magnesium sulfate.
For women undergoing labor induction, the likelihood of cesarean delivery will increase with
lowering gestational age.
Cesarean transport quotes are >ninety% when hard work induction is attempted at a gestational
age <28 weeks.
If cesarean delivery is indicated, magnesium sulfate should be discontinued during the
procedure. - ANSInduction of labor is not recommended in patients with HELLP syndrome.???
For women undergoing labor induction, the likelihood of cesarean delivery increases with
decreasing gestational age.???
, Cesarean delivery rates are >ninety% whilst labor induction is attempted at a gestational age
<28 weeks.???
A 34-12 months-antique G1 at 33 weeks with continual hypertension is admitted for similarly
evaluation after a BP of 164/ninety eight mm Hg become located inside the health center. Her
repeat BPs are in the 160s-110s mm Hg and do no longer decrease with IV antihypertensives.
What are the next steps in her care? - ANS*Administer beta steroids and start hard work
induction.
*Start magnesium sulfate for seizure prophylaxis.
Cesarean transport.
Stop IV antihypertensives, and convert to long-performing oral antihypertensives.
Which of the subsequent statements concerning the use of low-dose aspirin for preeclampsia
prevention is accurate?
Select an answer.
Use of low-dose aspirin is related to an extended danger for placental abruption.
The minimum effective dose of baby aspirin is 81mg/D.
Is advised for low-danger patients.
Should be initiated earlier than 12-16 weeks' gestation. - ANSShould be initiated before
12-sixteen weeks' gestation.$
While a crew is doing a simulation, a company has a question approximately what medicinal
drug could be exceptional in this situation. What should the sim leader do? - ANSAnswer the
provider's question and then hold with the simulation.
Point to the book that has the solution in order that the issuer can appearance up the solution.
*Join the simulation for a couple of minutes, and provide the answer.
Continue the simulation, and permit the group paintings via the medical situation.
Ms. Sato is a 19-12 months-antique G1P0 who gives for prenatal care at 14 weeks' gestation.
Her initial blood strain is 142/90 mm Hg. She denies any clinical or surgical history, mentioning
that she does now not see a medical doctor often because she "is healthful." Her BMI is 35. Her
second prenatal visit takes place at 16 weeks' gestation, and her blood stress is a hundred and
forty four/ninety mm Hg. What hypertensive sickness of pregnancy do you observed that Ms.
Sato is suffering from? - ANSGestational hypertension
Preeclampsia
*Chronic high blood pressure
Superimposed preeclampsia
The key to affected person safety when treating a hypertensive sickness of pregnancy, or any
obstetric emergency, is:
Select all that apply.
Effective communication, in particular for the duration of emergency conditions, and exchange in
shift/company care.
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