1.Which assessment should be performed during intravenous magnesium
sulfate infusion therapy for management of severe preeclampsia?
A.Count respirations and report a rate of less than 12 breaths per minute.
B.Count respirations and report a rate of more than 20 breaths per
minute.
C.Check blood pressure and report a rate of less than 100/60.
D.Monitor urinary output and report a rate of less than 100 ml per hour.
E.Monitor reflexes and report increased reflexes
2.What is the next step of assessment after obtaining the vital signs in
a client with preeclampsia:
A.Call the nurse
B.Check the client's reflexes
C.Determine the client's blood type
D.Administer intravenous normal saline
E.Catheterize urinary bladder
3.The antidote administered to reverse magnesium toxicity is
A.calcium phosphate
B.calcium succinat
C.calcium gluconate
D.calcium chloridum
E.calcium sulfate
4.A 32-year-old multigravida returns to the clinic for a routine prenatal
visit at 36 weeks' gestation. She has had a prior pregnancy with
pregnancy induced hypertension. The assessments during this visit include
BP 140/90, Ps 80, and + 2 edema of the ankles and feet. Based on the
client's past history and current assessment, what further information
should the physician obtain to determine if this client is becoming
preeclamptic?
A.Headaches.
B.Blood glucose level.
C.Proteinuria.
D.Edema in lower extremities.
E.Gestational age of previous pregnancy when preeclampsia was diagnosed
5.A primigravid client at 40 weeks' gestation with severe preeclampsia
exhibits hyperactive, very brisk patellar reflexes with two beats of
ankle clonus present. The physician documents the patellar reflexes as
which of the following?
A.1+
B.2+
C.3+
D.4+
E.5+
6.A woman with severe preeclampsia has been receiving magnesium sulfate
by intravenous infusion for 8 hours for preeclampsia. The physician
assesses the woman and documents the following findings: temperature of
37.1° C, pulse rate of 96 beats per minute, respiratory rate of 24
breaths per minute, blood pressure of 155/112 mm Hg, 3+ deep tendon
reflexes, and no ankle clonus. Which prescriptions should be done?
A.Hydralazine
B.Magnesium sulfate bolus
C.Diazepam
D.Calcium gluconate
E.Furosemide
7.What is the first sign of fluid retention suggestive of pregnancyinduced hypertension?
A.Abdominal enlargement
B.Facial swelling
C.Sudden weight gain
D.Swelling of the feet and ankles
E.General edema
8.The level of proteinuria in 24 hour collection is 0.3 g. For which
degree of pregnancy induced hypertension does it characterized?
A.pregestosis
B.mild preeclampsia
C.moderate preeclampsia
D.severe preeclampsia
E.eclampsia
9.Hypertension in pregnancy defined as:
A.diastolic blood pressure of 80 mm Hg or greater, as a systolic blood
pressure at or above 140 mm Hg at one estimation with the interval 2
hours
B.diastolic blood pressure of 85 mm Hg or greater, as a systolic blood
pressure at or above 140 mm Hg at three estimations with the interval 1
hour
C.diastolic blood pressure of 90 mm Hg or greater, as a systolic blood
pressure at or above 135 mm Hg at two estimations with the interval 4
hours
D.diastolic blood pressure of 90 mm Hg or greater, as a systolic blood pressure
at or above 140 mm Hg at two estimations with the interval 4 hours.
E.diastolic blood pressure of 90 mm Hg or greater, as a systolic blood
pressure at or above 145 mm Hg at two estimations with the interval 3
hours
10.Which of the following is true of blindness in conjunction of
pregnancy induced hypertension?
A.occur in severe preeclampsia
B.occur in moderate preeclampsia
C.occur in mild preeclampsia
D.is not present in pregnancy induced hypertension
E.there is no correct answer
11.Primapara appeared in female dispensary in 37 weeks of
Complaints are not present. For the last 2 weeks the body
increased on 2 kg. There is edema of feet. BP – 120/70 mm
urine – 0,03gr/l. A diagnosis is preeclamsia mild degree.
medical tactic?
A.Ambulatory medical treatment
pregnancy.
weight
Hg. Protein in
What is the
B.Labor at term
C.Expectant management
D.Prolongation of pregnancy
E.There is no correct answer
12.To which group does hydralasin belong to?
A.central alpha2 adrenoagonists
B.adrenoblockers
C.peripheral vasodilators
D.anticonvulsant
E.calcium channel blocke
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