Acute Care Nurse Practitioner Certification 2025 – 400 Free Practice Questions to Pass the Exam

Question: 1 / 400

What is the recommended action if a woman is diagnosed with severe preeclampsia before 34 weeks of gestation?

Immediate delivery is advised

Administer magnesium sulfate and prepare for delivery

Weekly steroid injections for fetal lung maturity

In the case of severe preeclampsia diagnosed before 34 weeks of gestation, the recommended approach focuses on both maternal and fetal safety. While the suggestion of weekly steroid injections for fetal lung maturity is important, it may not be the immediate course of action in severe preeclampsia, especially in the presence of significant maternal or fetal risk.

The most appropriate response should involve the administration of magnesium sulfate for seizure prophylaxis and preparing for delivery. Immediate delivery is often considered to mitigate the risks of severe preeclampsia, particularly if the mother's condition is worsening. In early cases of severe preeclampsia, the stabilization of the mother's health takes precedence, and while steroids may help promote fetal lung development, they do not address the immediate challenges presented by severe preeclampsia.

In such circumstances, it's essential to balance the well-being of both the mother and the fetus. Therefore, preparing for delivery while managing the condition with appropriate medication leads to the best outcomes for both.

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Encourage home monitoring without hospitalization

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