Nursing Care for Hypertensive Disorder in Pregnancy Quiz
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Questions and Answers

Which of the following medications is used to reverse the effects of magnesium in the treatment of preeclampsia?

  • Nifedipine
  • Labetalol
  • Hydralazine
  • Calcium gluconate (correct)
  • What is the primary goal when using antihypertensive medications in the management of severe preeclampsia?

  • To gradually reduce blood pressure to normal levels (correct)
  • To rapidly reduce blood pressure to normal levels
  • To maintain blood pressure at or above 160/110 mmHg
  • To prevent placental infarcts and abruptio placentae
  • Which of the following nursing interventions promotes prenatal care and encourages the woman to return for follow-up visits?

  • Helping the woman understand the need for frequent protein urine testing
  • Explaining the importance of reduced activity and rest periods
  • Assisting the woman in monitoring fetal activity and movement
  • Treating the woman as an individual and providing personalized care (correct)
  • What is the primary reason for restricting activity and promoting frequent rest periods in the management of preeclampsia?

    <p>To minimize the strain on the cardiovascular system</p> Signup and view all the answers

    Which of the following is a common method for assessing fetal well-being in the management of preeclampsia?

    <p>Assessing fetal activity and movement patterns</p> Signup and view all the answers

    What is the primary reason for monitoring protein levels in maternal urine samples during the management of preeclampsia?

    <p>To detect signs of impending eclampsia</p> Signup and view all the answers

    What is the recommended frequency for blood pressure monitoring in a woman with preeclampsia?

    <p>2-4 times per day</p> Signup and view all the answers

    What is the recommended position for a woman with preeclampsia when taking her blood pressure?

    <p>Sitting or semi-reclining</p> Signup and view all the answers

    How should daily weight measurement be performed for a woman with preeclampsia?

    <p>On the same scale, in the same type of clothing, and at the same time of day</p> Signup and view all the answers

    What is the recommended method for checking urine protein levels in a woman with preeclampsia?

    <p>Dipstick test on a first-void, clean-catch specimen</p> Signup and view all the answers

    What is the recommended action for a woman with preeclampsia regarding fetal movement?

    <p>Report a decrease in fetal movement or if none occur during a 3-hour period</p> Signup and view all the answers

    Which of the following lifestyle modifications is recommended for a woman with preeclampsia?

    <p>Both B and C</p> Signup and view all the answers

    What is the primary treatment approach for excessive nausea and vomiting during pregnancy?

    <p>Ruling out other medical conditions and correcting dehydration/electrolyte imbalances</p> Signup and view all the answers

    Which of the following is NOT recommended for nursing care in managing nausea and vomiting during pregnancy?

    <p>Keeping an emesis basin in sight as a visual reminder</p> Signup and view all the answers

    Which antiemetic drug is recommended for more severe cases of nausea and vomiting during pregnancy?

    <p>Ondansetron oral preparation</p> Signup and view all the answers

    What is the recommended approach for managing fluid intake during pregnancy with excessive nausea and vomiting?

    <p>Taking liquids only between solid meals</p> Signup and view all the answers

    Which of the following is NOT mentioned as a recommended nursing care strategy for managing nausea and vomiting during pregnancy?

    <p>Monitoring protein levels in urine</p> Signup and view all the answers

    In severe cases of nausea and vomiting during pregnancy, what intervention may be required?

    <p>Hospitalization and total parenteral nutrition</p> Signup and view all the answers

    What is the primary reason for positioning a woman with preeclampsia on her side during bed rest?

    <p>To improve blood flow to the placenta and fetal oxygenation</p> Signup and view all the answers

    Which of the following nursing interventions is recommended to promote fetal lung maturity in a woman with preeclampsia?

    <p>Giving steroids to aid in fetal lung maturity</p> Signup and view all the answers

    What is the primary purpose of maintaining a quiet, low-light environment for a woman with preeclampsia?

    <p>To reduce the risk of seizures</p> Signup and view all the answers

    Which of the following nursing interventions is recommended to manage a seizure in a woman with preeclampsia?

    <p>Ensuring suction equipment is readily available</p> Signup and view all the answers

    What is the recommended approach for managing visitors for a woman with preeclampsia?

    <p>Limiting visitors to one or two support persons to reduce stimulation</p> Signup and view all the answers

    What is the primary goal when using antihypertensive medications in the management of severe preeclampsia?

    <p>To gradually reduce blood pressure to normal levels</p> Signup and view all the answers

    Which of the following is the MOST important nursing intervention during a seizure in a pregnant woman with preeclampsia?

    <p>Try to turn the mother on her side before the seizure starts</p> Signup and view all the answers

    Which antihypertensive medication is a vasodilator commonly used to manage preeclampsia?

    <p>Hydralazine</p> Signup and view all the answers

    What is the primary nursing intervention to address respiratory compromise after a seizure in a preeclamptic woman?

    <p>Place an oral airway and suction the airway as needed</p> Signup and view all the answers

    What is the primary nursing intervention to promote prenatal care and encourage regular follow-up visits for a woman with preeclampsia?

    <p>All of the above</p> Signup and view all the answers

    What is the recommended nursing intervention to help a woman with preeclampsia cope with the therapy of reduced activity and frequent rest periods?

    <p>All of the above</p> Signup and view all the answers

    Which of the following nursing interventions is recommended to reduce the risk of seizures in a preeclamptic woman?

    <p>Maintain a dark, quiet environment to reduce stimuli</p> Signup and view all the answers

    What is the primary nursing goal in the postpartum care of a woman with preeclampsia?

    <p>Closely monitoring for complications like pulmonary edema</p> Signup and view all the answers

    What medication should be available for immediate use when a woman receives magnesium for preeclampsia?

    <p>Calcium gluconate</p> Signup and view all the answers

    What is the recommended nursing intervention to promote fetal oxygenation during a seizure in a preeclamptic woman?

    <p>Provide supplemental oxygen to the mother via face mask or nasal cannula</p> Signup and view all the answers

    What is the primary focus of nursing care immediately following a seizure?

    <p>Assist with post-seizure care</p> Signup and view all the answers

    Which environmental care strategy is recommended to reduce the risk of seizures in pregnancy?

    <p>Ensuring adequate hydration</p> Signup and view all the answers

    What is a common aid to promote fetal lung maturity in the management of seizures during pregnancy?

    <p>Betamethasone injections to the mother</p> Signup and view all the answers

    Which nursing intervention is crucial for reducing the risk of seizures during pregnancy?

    <p>Encouraging frequent rest periods</p> Signup and view all the answers

    What is a key aspect of bed rest positioning that can aid in managing seizures during pregnancy?

    <p>Elevating the legs above the heart level</p> Signup and view all the answers

    What is the recommended position for a woman with preeclampsia during bed rest?

    <p>Side-lying position</p> Signup and view all the answers

    Which nursing intervention may be used to promote fetal lung maturity in a woman with preeclampsia?

    <p>Administering corticosteroids</p> Signup and view all the answers

    What is the recommended nursing action immediately after a woman with preeclampsia experiences a seizure?

    <p>All of the above</p> Signup and view all the answers

    Which environmental factor should be considered to reduce the risk of seizures in a woman with preeclampsia?

    <p>A quiet, low-light environment</p> Signup and view all the answers

    During a seizure in a woman with preeclampsia, what is the most important nursing intervention?

    <p>Protect the woman from injury</p> Signup and view all the answers

    What is the recommended position for a woman with preeclampsia when taking her blood pressure?

    <p>Sitting or semi-reclining</p> Signup and view all the answers

    What is the primary reason for monitoring protein levels in maternal urine samples during the management of preeclampsia?

    <p>To detect the presence of proteinuria</p> Signup and view all the answers

    What is the recommended action for a woman with preeclampsia regarding fetal movement?

    <p>Report a decrease in fetal movement or none within a 3-hour period</p> Signup and view all the answers

    Which of the following is a common method for assessing fetal well-being in the management of preeclampsia?

    <p>Fetal heart rate monitoring</p> Signup and view all the answers

    What is the primary reason for positioning a woman with preeclampsia on her side during bed rest?

    <p>To improve blood flow to the placenta</p> Signup and view all the answers

    Which nursing intervention promotes fetal lung maturity in a woman with preeclampsia?

    <p>Administering corticosteroids</p> Signup and view all the answers

    What is the primary nursing intervention during a seizure in a pregnant woman with preeclampsia?

    <p>Ensure a patent airway and adequate ventilation</p> Signup and view all the answers

    Which nursing intervention is recommended to reduce the risk of seizures in a preeclamptic woman?

    <p>Administering magnesium sulfate</p> Signup and view all the answers

    What is the recommended nursing intervention to promote fetal oxygenation during a seizure in a preeclamptic woman?

    <p>Position the woman on her left side</p> Signup and view all the answers

    Which nursing intervention is recommended to create a low-stimulation environment for a woman with preeclampsia?

    <p>Providing a quiet, low-light environment</p> Signup and view all the answers

    What is the primary nursing goal in the postpartum care of a woman with preeclampsia?

    <p>Monitor for resolution of hypertension and proteinuria</p> Signup and view all the answers

    Which nursing intervention is NOT recommended for managing nausea and vomiting during pregnancy?

    <p>Encouraging consumption of fried or greasy foods</p> Signup and view all the answers

    What is the recommended approach for managing fluid intake during pregnancy with excessive nausea and vomiting?

    <p>Encourage small, frequent sips of fluids</p> Signup and view all the answers

    What is the recommended nursing intervention to help a woman with preeclampsia cope with the therapy of reduced activity and frequent rest periods?

    <p>Provide emotional support and encouragement</p> Signup and view all the answers

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