NCLEX preeclampsia and magnesium sulfate practice questions
Practice questions focusing on preeclampsia and magnesium sulfate management for NCLEX exam preparation.
Quiz(24 questions)
1. What is the primary characteristic of preeclampsia?
Termes dans ce set(24)
Preeclampsia Fundamentals(12)
What defines preeclampsia?
Preeclampsia is characterized by hypertension (≥ 140/90 mmHg) and proteinuria (≥ 300 mg/24 hours) after 20 weeks of gestation.
True or False: Preeclampsia only occurs in the third trimester.
False. Preeclampsia can occur after 20 weeks of gestation, including the late second trimester.
List three risk factors for preeclampsia.
- First pregnancy - History of preeclampsia - Multiple gestation
Fill in the blank: The normal range for blood pressure during pregnancy is _____ mmHg.
120/80 mmHg
Cause → Effect: High blood pressure leads to _____.
Potential organ damage, including kidneys and liver.
What laboratory test is critical for diagnosing preeclampsia?
24-hour urine protein test to measure proteinuria.
True or False: Preeclampsia can lead to eclampsia.
True. Eclampsia is a severe complication of preeclampsia that includes seizures.
What are common signs of worsening preeclampsia?
Severe headaches, visual changes, epigastric pain, and sudden edema.
Compare mild and severe preeclampsia.
Mild: BP < 160/110 mmHg, proteinuria < 5 g/24 hrs. Severe: BP ≥ 160/110 mmHg, proteinuria ≥ 5 g/24 hrs.
What action should a nurse take when preeclampsia is suspected?
Monitor blood pressure and fetal heart rate closely; assess for signs of worsening.
True or False: Bed rest is the primary treatment for preeclampsia.
False. Only delivery of the placenta is a definitive treatment.
List nursing interventions for a patient with preeclampsia.
- Monitor vital signs - Assess fetal well-being - Educate on symptoms to report - Prepare for possible delivery
Magnesium Sulfate Administration(12)
Indications for magnesium sulfate in labor?
- Prevent seizures in preeclampsia - Neuroprotection for fetus - Reduces uterine contractions in certain cases
Standard loading dose of magnesium sulfate?
4-6 g IV over 15-30 minutes.
True or False: Magnesium sulfate can be given IM.
False. It is administered IV for rapid effect.
Monitor which vital signs during magnesium sulfate administration?
- Respiratory rate - Blood pressure - Heart rate - Oximetry
Fill in the blank: The therapeutic magnesium level is _______ mEq/L.
4-7 mEq/L.
What should you assess for post-administration of magnesium sulfate?
- Deep tendon reflexes - Urine output - Signs of magnesium toxicity (e.g., respiratory depression)
Comparison: Magnesium sulfate vs. Hydralazine.
Magnesium sulfate: Seizure prevention Hydralazine: Blood pressure control
Nursing intervention if respiratory rate < 12/min?
- Stop magnesium sulfate IV - Administer calcium gluconate as ordered - Notify the provider
What lab values should be monitored?
- Serum magnesium levels - Kidney function (BUN, creatinine)
Cause → Effect: High magnesium levels.
Cause: Magnesium sulfate overdose Effect: Respiratory depression, loss of reflexes
What is the maximum continuous infusion rate?
2 g/hour, unless specified differently by the provider.
Action if patient reports heaviness or weakness?
- Assess magnesium levels - Check for signs of toxicity - Notify healthcare provider immediately.
Questions dans ce set(24)
1. What is the primary characteristic of preeclampsia?
2. What is the primary indication for administering magnesium sulfate in a patient with preeclampsia?
3. True or False: Preeclampsia can occur before 20 weeks of gestation.
4. What is the standard loading dose of magnesium sulfate administered intravenously?
5. Which of the following is NOT a common risk factor for preeclampsia?
6. True or False: Magnesium sulfate can be given as an intramuscular injection for rapid action.
7. What is the normal range for blood pressure during pregnancy?
8. Which vital sign should be closely monitored during magnesium sulfate administration?
9. High blood pressure in a pregnant patient can lead to what potential complication?
10. Fill in the blank: The therapeutic magnesium level is _______ mEq/L.
11. Which laboratory test is essential for diagnosing preeclampsia?
12. What should the nurse assess for in a patient after administration of magnesium sulfate?
13. True or False: Eclampsia can result from untreated preeclampsia.
14. Which of the following statements correctly compares magnesium sulfate and hydralazine?
15. What are common signs that preeclampsia is worsening?
16. What is the appropriate nursing intervention if the patient's respiratory rate drops below 12 breaths per minute during magnesium sulfate infusion?
17. Compare mild and severe preeclampsia based on blood pressure.
18. Which lab values should be closely monitored in a patient receiving magnesium sulfate?
19. What should a nurse do first when preeclampsia is suspected?
20. What is the effect of high magnesium levels due to magnesium sulfate overdose?
21. True or False: The primary treatment for preeclampsia is bed rest.
22. What is the maximum continuous infusion rate for magnesium sulfate?
23. Which of the following is a nursing intervention for a patient with preeclampsia?
24. If a patient reports heaviness or weakness after magnesium sulfate administration, what should the nurse do?
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