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Hypertensive Disorders in Pregnancy

Total questions: 11

Worksheet time: 8mins

Name
Class
Date
1.

Prenatal visit of G4P2 12w gestation client. Blood pressure is 155/92.

What is her classification?

a)

Gestational Hypertension

b)

Preeclampsia

c)

Chronic Hypertension

d)

Eclampsia

2.

What is the term for high blood pressure that develops during pregnancy?

a)

Essential hypertension

b)

Secondary hypertension

c)

Gestational hypertension

d)

Chronic hypertension

3.

How many readings does a client need to have in order to be diagnosed with gestational hypertension?

a)

Just one reading over 140/90

b)

Two readings about an hour apart

c)

One reading in each arm a few minutes apart

d)

Two readings at least 4 to 6 hours apart

4.

32 week gestation client, who is returning for a prenatal visit, has a blood pressure reading of 146/99 and 2+ protein in her urine. What is the nurse concerned about?

a)

Gestational diabetes

b)

Chronic Hypertension

c)

Preeclampsia

d)

Gestational hypertension

5.

A client has 2+ protein in her urine. What diagnostic test would the nurse expect to be ordered to definitively diagnose Preeclampsia?

a)

24 Hour urine test

b)

type and screen

c)

CMP

d)

CBC with differential

6.

Haley is admitted to the Antepartum wing due to uncontrolled blood pressures and severe features of Preeclampsia. Which features would you anticipate to see?

a)

Blood pressure reading 142/96

b)

Complaints of visual disturbances

c)

Complaints of headaches

d)

3+ reflexes

e)

Pain in the RUQ

7.

Haley has been placed on magnesium sulfate for seizure prophylaxis. What assessment would the nurse NOT expect to perform?

a)

Monitor serum magnesium levels

b)

Monitor urinary output

c)

Monitor DTR and clonus every hour

d)

Assess for signs of toxicity - such as respiratory depression

e)

Monitor calcium levels

8.

Since Haley is diagnosed with Preeclampsia she is considered high risk for seizures. What should the nurse anticipate to do prior to admission?

a)

Ensure oxygen and suction are set up and bed rails are padded

b)

Preform a cervical exam

c)

Ask the client if she would like to shower

d)

Obtain an order for an ACE inhibitor

9.

Which medication is administered to promote surfactant production and lung maturity

(a)  

10.

Haleys ALT is 78. What will the nurse be concerned about?

a)

Gestational Diabetes

b)

HELLP Syndrome

c)

Drug use

d)

Kidney damage

11.

Finish the sentence:

HELLP Syndrome stands for - Hemolysis, Elevated Liver enzymes, and -----

(a)