Skip to Main Content

++

Chronic Hypertension

++
++
++

A 36-year-old primigravida has a 2-year history of chronic hypertension that is well controlled with medication. She monitors her blood pressure at home, and at her 16-week appointment, she is thrilled to report a drop in her blood pressure. What is the best response to this information?

++
++
++

a. She should discontinue her medication at this time.

++
++

b. Chronic hypertension typically improves early in pregnancy.

++
++

c. This finding predicts a favorable prognosis for her pregnancy.

++
++

d. None of the above

++
++ ++
++
++

Which of the following factors may influence blood pressure?

++
++
++

a. Race

++
++

b. Weight

++
++

c. Gender

++
++

d. All of the above

++
++ ++
++
++

Which of the following blood pressure measurements meets the criteria for “prehypertension” as defined by the Joint National Committee 7?

++
++
++

a. Diastolic blood pressure 70–80 mm Hg

++
++

b. Diastolic blood pressure 90–95 mm Hg

++
++

c. Systolic blood pressure 120–130 mm Hg

++
++

d. Systolic blood pressure 140–150 mm Hg

++
++ ++
++
++

An African-American patient presents for her annual gynecologic examination and has a blood pressure reading of 142/92 mm Hg. After checking it at home several more times, she calls to report persistent readings of 140–150/90–100 mm Hg. What medication is appropriate as initial therapy for most nonpregnant patients?

++
++
++

a. Enalapril

++
++

b. Labetalol

++
++

c. Losartan

++
++

d. Hydrochlorothiazide

++
++ ++
++
++

What is the target blood pressure you are attempting to achieve with this therapy?

++
++
++

a. < 120/90 mm Hg

++
++

b. < 130/80 mm Hg

++
++

c. < 140/90 mm Hg

++
++

d. < 150/100 mm Hg

++
++ ++
++
++

Which of the following factors is an indication for evaluation of renal function in a patient with chronic hypertension who is considering pregnancy?

++
++
++

a. Age of 45 ...

Want remote access to your institution's subscription?

Sign in to your MyAccess profile while you are actively authenticated on this site via your institution (you will be able to verify this by looking at the top right corner of the screen - if you see your institution's name, you are authenticated). Once logged in to your MyAccess profile, you will be able to access your institution's subscription for 90 days from any location. You must be logged in while authenticated at least once every 90 days to maintain this remote access.

Ok

Create a Free MyAccess Profile

* Required Fields

Note: If you have registered for a MyAccess profile on any of the Access sites, you can use the same MyAccess login credentials across all sites.

Passwords must be between 6 and 40 characters long (no whitespace), cannot contain characters #, &, and must contain:
  • at least one lowercase letter
  • at least one uppercase letter
  • at least one digit

Benefits of a MyAccess Profile:

  • Remote access to the site off-campus on any device
  • Notification of new content via custom alerts
  • Bookmark your favorite content such as chapters, figures, tables, videos, cases and more
  • Save and download images to PowerPoint
  • Self-Assessment quizzes saved for quick review
  • Custom Curriculum access for both instructors and learners

Pop-up div Successfully Displayed

This div only appears when the trigger link is hovered over. Otherwise it is hidden from view.