For each of the following potential antihypertensive medications, indicate whether it is recommended or not recommended for use in a pregnant client.

Methyldopa.

Lisinopril.

Labetalol.

Losartan.

Hydralazine.

Answer and Explanation

The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"B"},"E":{"answers":"A"}}

Choice A rationale

Methyldopa is a first-line antihypertensive for pregnancy-induced hypertension. It is safe, effective, and preferred due to its minimal placental transfer and limited fetal impact.

Choice B rationale

Lisinopril, an ACE inhibitor, is contraindicated in pregnancy due to teratogenic risks, including fetal renal malformations and oligohydramnios. It poses significant dangers to fetal health.

Choice C rationale

Labetalol, a combined alpha and beta-blocker, is recommended for managing hypertensive crises in pregnancy. It offers effective blood pressure control with a favorable safety profile.

Choice D rationale

Losartan, an angiotensin II receptor blocker, is not recommended in pregnancy. It risks fetal toxicity, including kidney dysfunction and growth restriction, similar to ACE inhibitors.

Choice E rationale

Hydralazine is a vasodilator safe for pregnancy. It is recommended for treating severe hypertensive emergencies, particularly in preeclampsia, due to its efficacy in reducing vascular resistance.

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Correct Answer is D

Explanation

Choice A rationale

Fetal hypoxemia manifests as late decelerations, not early decelerations. Early decelerations are benign and do not indicate hypoxemia or oxygen deprivation.

Choice B rationale

Uteroplacental insufficiency causes late decelerations due to decreased oxygen delivery. Early decelerations are unrelated to this condition.

Choice C rationale

Cord compression results in variable decelerations due to intermittent blood flow obstruction. Early decelerations are not caused by cord issues.

Choice D rationale

Early decelerations result from fetal head compression, stimulating the vagus nerve and leading to transient heart rate decreases. This is common during contractions. .

A. Respiratory rate 11/min. B. Deep tendon reflexes 2+. C. Urine output 30 mL/hr. D. Blood pressure 100/62 mm Hg.

Correct Answer is A

Explanation

Choice A rationale

A respiratory rate of 11/min is below the normal adult range of 12–20/min and indicates respiratory depression, a potential adverse effect of magnesium sulfate requiring immediate intervention.

Choice B rationale

Deep tendon reflexes graded 2+ are within the normal range, indicating that magnesium sulfate has not caused neuromuscular suppression, which would present as absent or diminished reflexes.

Choice C rationale

A urine output of 30 mL/hr meets the minimum renal perfusion threshold, so it does not indicate magnesium toxicity or renal impairment, which would show decreased urine production.

Choice D rationale

Blood pressure of 100/62 mm Hg is low-normal and does not signify hypotension related to magnesium sulfate use. Vital signs within this range are not typically concerning in this context.

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For each of the following potential antihypertensive medications, indicate whether it is recommended or not recommended for use in a pregnant client.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is in active labor.The nurse notes early decelerations of the FHR on the fetal monitor tracing.The nurse should identify that which of the following conditions causes early decelerations in the FHR?

Correct Answer is D

Explanation

A nurse is assessing a client who is at 31 weeks of gestation and is receiving magnesium sulfate via continuous IV infusion for preterm labor.Which of the following findings should the nurse report to the provider?

Correct Answer is A

Explanation

Which of the following findings should the nurse identify as manifestations of the newborn's suspected condition?

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