ZONE MEDICAL INTERVENTION HOSPITAL

Diversion Road Binatagan, Ligao City

I. ENUMERATION.
What are the five (5) classification of Hypertension in pregnancy?
1. _______________________
2. _______________________
3.________________________
4.________________________
5.________________________

II. MULTIPLE CHOICE.

1. Pre-eclampsia tends to present in what Trimester?

A. 1st Trimester C. 3rd Trimester
nd
B. 2 Trimester D. All of the above

2. All of the following are some of the main symptoms of Pre-eclampsia, except?
A. Polyuria C. Abdominal pain
B. Severe headache D. Nausea & Vomiting

3. Which class of drugs typically given to a woman during pre-term labor in order to increase the pulmonary surfactant
production by her child?
A. Labetalol C. Steroids
B. Magnesium Sulfate D. Hydralazine

4. A woman hospitalized with severe pre-eclampsia is being treated with Hydralazine to control blood pressure. Which
of the following would lead the nurse to suspect that the client is having an adverse effect associated with this drug?
A. Gastrointestinal bleeding C. Tachycardia
B. Blurred vision D. Sweating

5. What is the only cure for pre-eclampsia?

A. Magnesium Sulfate C. Methyldopa
B. Delivery of the fetus D. PRBC

6. In severe pre-eclampsia, proteinuria is defined as greater than ______ grams in a 24 hour period?
A. 0.3 C. 5
B. 1 D. 7.5

7. What medication is used as seizure prophylaxis during labor and postpartum?

A. Valproic Acid C. Magnesium Sulfate
B. Phenobarbital D. Carbamazepine

8. Chronic hypertension is defined as hypertension that is diagnosed before ___ weeks of gestation or beyond 12 weeks
postpartum?
A. 28; 8 C. 32; 4
B. 15; 5 D. 20; 12

9. A client is diagnosed with gestational hypertension and is receiving Magnesium Sulfate. Which finding would the
nurse interpret as indicating a therapeutic level of medication?
A. Urinary output of 20ml per hour C. Deep tendon reflexes 2+
B. Respiratory rate of 10 breaths per minute D. Difficulty in arousing
10. After reviewing a client’s history, which factor would the nurse identify as placing her at risk for Gestational
Hypertension?
A. Mother had Gestational Hypertension during pregnancy.
B. Client has a twin sister.
C. Sister-in-law had Gestational Hypertension
D. This is the client’s second pregnancy

11. Which of the following would the nurse have readily available for a client who is receiving Magnesium Sulfate to
treat severe Pre-eclampsia?
A. Calcium Gluconate C. Ferrous Sulfate
B. Potassium Chloride D. Calcium Carbonate

12. A nurse assessing a pregnant woman with Gestational Hypertension. Which of the following would lead the nurse to
suspect that the client has developed severe Pre-eclampsia?
A. Urine protein 300 mg/24 hours C. Mild Facial Edema
B. Blood pressure 150/96 mm Hg D. Hyperreflexia

13. A woman with Gestational Hypertension experiences a seizure. Which of the following would be the priority?
A. Fluid replacement C. Control of Hypertension
B. Oxygenation D. Delivery of the fetus

14. A woman is receiving Magnesium Sulfate as part of her treatment for severe Pre-eclampsia. The nurse is monitoring
the woman’s serum magnesium levels. Which level would the nurse identify as therapeutic?
A. 3.3 mEq/L C. 8.4 mEq/L
B. 6.1 mEq/L D. 10.8 mEq/L

15. A woman with severe Pre-eclampsia has been receiving Magnesium Sulfate by IV infusion for 8 hours. The nurse
assesses the woman and documents the following findings: temperature 37.1˚ C, pulse rate 96 beats/min, respiratory
rate 24 breaths/min, blood pressure 155/112 mm Hg, 3+ deep tendon reflexes, and no ankle clonus. The nurse calls the
physician, anticipating an order for:
A. Hydralazine C. Diazepam
B. Magnesium Sulfate bolus. D. Calcium Gluconate