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 A

Explanation

Choice A rationale

Molar pregnancy often manifests as intermittent dark brown vaginal discharge due to trophoblastic tissue expulsion. It warrants assessment as it correlates with hCG elevation and abnormal placental development.

Choice B rationale

Although significant blood loss could occur, dark brown discharge is not indicative of active hemorrhage. Hypovolemic shock typically results from acute red blood loss, not the chronic nature of this presentation.

Choice C rationale

Choriocarcinoma is a concern in cases following molar pregnancies, yet dark brown discharge alone does not confirm malignancy. Laboratory testing may be indicated, but it is not the immediate priority here.

Choice D rationale

Suction and curettage are treatment options for molar pregnancy but are contingent upon confirmed diagnosis. This intervention is premature without comprehensive assessment findings suggesting molar pregnancy.

A. Gravida 3, Para 2. B. Gravida 3, Para 3. C. Gravida 4, Para 2. D. Gravida 4, Para 3. . .

Correct Answer is C

Explanation

Choice A rationale

Gravida refers to total pregnancies, not live births, thus excluding the client's current pregnancy inaccurately lowers her gravida count from 4 to 3 in this documentation.

Choice B rationale

Para reflects live births, not pregnancies, thus inaccurately including her spontaneous abortion as a parity increases her para count from 2 to 3, which contradicts obstetric standards.

Choice C rationale

Gravida 4 reflects the client’s total pregnancies, including the current one and her abortion, while Para 2 accounts for her two full-term live births, accurately documenting her obstetrical history.

Choice D rationale

Para 3 includes the abortion, contradicting obstetric definitions that exclude non-viable pregnancies from parity, making this documentation scientifically incorrect in 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.

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Naxlex Comprehensive Predictor Exams

A client reports an intermittent dark brown vaginal discharge for the past three days.

Correct Answer is A

Explanation

A nurse is caring for a client who is pregnant for the fourth time.The client delivered two full-term newborns and had one spontaneous abortion at 10 weeks of gestation.The nurse should document the client's obstetrical history as which of the following?

Correct Answer is C

Explanation

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Complete the following sentence using the lists of options.

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

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