The nurse is caring for a pregnant woman who has developed high blood pressure in her first trimester. What drug should the nurse prepare for immediate administration?
a. Sodium nitroprusside
b. Magnesium sulfate
c. Angiotensin-converting enzyme (ACE) inhibitor
d. Hydralazine (Apresoline)
ANS: D
The drug of choice for lowering blood pressure in a woman with severe pre-eclampsia is hydralazine.
Sodium nitroprusside is not indicated.
Magnesium sulfate is given as prophylaxis against seizures, which the patient does not exhibit.
ACE inhibitors are contraindicated because of their potential for fetal harm.
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