Deck 6: Hypertensive Disorders of Pregnancy

Question 1

A pregnant patient has elevated blood pressure at her 16-week appointment. What condition might she be diagnosed with?

A) Gestational hypertension
B) Pre-eclampsia
C) Chronic hypertension
D) Eclampsia

Answer 1

Chronic hypertension

Question 2

When assessing a pregnant patient with edema in the lower extremities, you note pitting of 4 mm depression that lasts 10 to 15 seconds. This edema should be graded as

A) +1
B) +2
C) +3
D) +4

Answer 2

+2

Question 3

Which is a risk factor for developing pre-eclampsia?

A) Maternal age under 30 years old
B) Gestational diabetes
C) Pre-pregnancy BMI of 20
D) Previous cesarean section

Answer 3

Gestational diabetes

Question 4

A blood pressure reading of 134/88 would be considered in which category?

A) Hypotension
B) Elevated blood pressure
C) Stage 2 hypertension
D) Stage 1 hypertension

Question 5

Which is not a symptom of HELLP syndrome?

A) Low platelet count
B) Elevated liver enzymes
C) Right upper quadrant pain
D) Hemolysis of white blood cells

Question 6

To accurately measure blood pressure, it is important that

A) The cuff size is correct
B) The patient is lying down
C) The arm is positioned below heart level
D) The automated blood pressure machine is used

Question 7

In the SPASMS method for assessing a patient with symptoms of pre-eclampsia, the "M" stands for

A) Measure blood pressure accurately
B) Monitor fetal heart rate
C) Multiple system involvement
D) May occur before 20 weeks' gestation

Question 8

The measurement of deep tendon reflexes (DTRs) provides information about the potential for maternal

A) Hypotension
B) Hypertension
C) Stroke
D) Seizures

Question 9

During the assessment of the patellar tendon reflex, a patient exhibits an exaggerated response. The grade for this deep tendon reflex should be

A) 1+
B) 2+
C) 3+
D) 4+

Question 10

When assessing for edema, you should press your index finger against the bony prominence of the

A) Medial malleolus
B) Lateral malleolus
C) Medial malleolus and shin of tibia
D) Lateral malleolus and shin of fibula

Question 11

Which laboratory finding may indicate a maternal diagnosis of pre-eclampsia?

A) Platelet count of 90,000
B) Protein/creatinine ratio of 0.1 mg/dL
C) Serum creatinine of 1.0 mg/dL
D) AST of 20 U/L

Question 12

Which statement should be included when teaching a patient who is beginning an antihypertensive medication?

A) The medication can be taken safely with vitamins or supplements.
B) Always take medication with food.
C) The medication does not need to be taken at the same time daily.
D) Avoid excessive exercise in hot weather.

Question 13

When treating a patient with pre-eclampsia or eclampsia, the therapeutic range for magnesium is

A) 0.5-2.5 mg/dL
B) 2.6-4.0 mg/dL
C) 4.8-9.6 mg/dL
D) 10.2-15.6 mg/dL

Question 14

Which class of antihypertensive may cause neonatal thrombocytopenia if taken by a breastfeeding mother?

A) Loop diuretic
B) ACE inhibitor
C) Calcium channel blocker
D) Beta blocker

Question 15

In Case Study 2: Vaginal Bleeding, the patient (TM) has several risk factors for placental abruption. Which of those is a modifiable risk?

A) Maternal age
B) Smoking
C) Multiple pregnancy
D) Previous placental abruption