Stopper Secrets
Pre-Clues
Pitfalls
Communication Counts
MIS-cellaneous Matters
100

The first-line medication administered to treat an eclamptic seizure

What is Magnesium sulfate, 4-6 grams loading dose

100

The protein/creatinine ratio threshold that confirms preeclampsia

What is ≥ 0.3

100

The timeframe the first postpartum follow-up visit occurs for patients with preeclampsia

What is within 1-3 days after discharge 

100

Critical information to share during a hypertensive emergency, using SBAR 

What is BP, symptoms, medications given, and next steps 

100

The antidote for magnesium sulfate toxicity and administration protocol 

What is Calcium gluconate 1g over 2-5 minutes IV push)

200

Administered if a seizure recurs after the initial dose of magnesium sulfate

What is an additional 2-4 grams of magnesium sulfate over 5 minutes 

200

These are considered severe symptoms of preeclampsia

What is severe headache, visual disturbances, or RUQ pain

200

These mental health conditions are assessed postpartum for women with HDP

What is Anxiety or PTSD 

200

Training that ensures timely and respectful care for all patients 

What is implicit bias training

200

The preferred antihypertensive for patients with asthma and a heart rate <60 bpm

What is hydralazine or Nifedipine 

300

Signs of magnesium toxicity that must be closely monitored during treatment

What is loss of deep tendon reflexes, respiratory depression, or cardiac arrhythmias 

300

The protocol once threshold blood pressure has been reached

What is 10 minutes for 1 hour, every 15 minutes for 1 hour, 30 minutes for 1 hour, every hour for 4 hours

300

A vital tool for postpartum women to monitor BP at home after discharge 

What is a home blood pressure cuff 

300

The protocol used after obtaining a severe-range reading (assuming no anti-hypertensive medications have been administered).

What is measure BP every 15 minutes for at least one hour 

300

The timeframe for administering IV hydralazine or labetalol to avoid abrupt hemodynamic changes

What is administer over 2 minutes 

400

The position recommended during a seizure to prevent aspiration.

What is left lateral decubitus

400

The maximum time allowed to administer antihypertensives after confirmed severe-range BP

What is 60 minutes, ideally within 30 minutes 

400

The long-term health risk for women who had preeclampsia

What is cardiovascular disease

400

The reason why treating severe hypertension with anti-hypertensives takes priority over magnesium sulfate 

What is to prevent stroke 

400

The daily maximum (in mg) of IV labetalol, hydralazine, and oral nifedipine in managing acute-onset severe hypertension.

Double Jeopardy!!!

The correct steps of measuring blood pressure to ensure accuracy

Maximum Doses:

Labetalol: 300 mg total (administered as incremental doses of 20 mg, 40 mg, 80 mg, etc.).

Hydralazine: 20 mg total (administered as 5-10 mg increments).

Nifedipine: 50 mg total (administered as immediate-release 10-20 mg tablets every 20-30 minutes)

Double jeopardy answer:

Use a manual or validated automated cuff in the correct size.

Position the patient seated or semi-reclined with the arm supported at heart level.

Ensure the patient rests for 5 minutes prior to measurement and avoids talking or movement during the reading.

500

Two next-line medications and their dosing for recurrent seizures after additional magnesium sulfate bolus.

Midazolam: 1-2 mg IV, may repeat every 5-10 minutes.

Diazepam: 5-10 mg IV, slowly administered, may repeat every 15 minutes to a maximum of 30 mg

500

The medical term for "seeing spots" and visual disturbances (diminished vision) commonly associated with preeclampsia. 

Medical Term: Scintillation or Scotomata (singular: scotoma).
Mechanism: Scintillations are caused by cerebral vasospasm (blood vessel constriction in the brain) and hypertensive changes in the retina

Scotomata occur due to cortical or retinal ischemia caused by vasospasms or endothelial dysfunction, leading to reduced blood flow to the optic nerve or occipital cortex. 

500

This education should be emphasized prior to discharge 

What are signs and symptoms of pre-eclampsia like severe headache, vision changes, or BP ≥ 160/110

500

A post-crisis practice that helps improve communication and outcomes after a hypertensive emergency

What is a team briefing 

500

Platelet count thresholds critical for HELLP syndrome and its relevance before surgery or epidural. 


What is platelet count < 100,000/mm³ for diagnosis, and platelet levels > 50,000/mm³ for surgery/epidural to reduce bleeding risks

***Critical Monitoring: Low platelet levels increase the risk of hemorrhage during surgery or delivery. This is due to disseminated intravascular coagulation (DIC), a potential complication of HELLP syndrome***