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Rnc-Ob Questions And Answers With Verified Solutions 100% Correct!!!
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Rnc-Ob Questions And Answers With Verified Solutions 100% Correct!!!
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Rnc-Ob Questions And Answers WithVerified Solutions 100% Correct!!!
What are the risk factors for preeclampsia? - ANSWER✔✔-Primip <19y.o or
>40y.o
-first pregnancy w/ new father
- Hx severe preeclampsia
-Family Hx
- Connective tissue disease (lupus/rheumatoid arthritis)
Define GHTN - ANSWER✔✔HTN developing after 20wks or during first 24hrs
PP w/o proteinuria/other systemic findings
Define CHTN - ANSWER✔✔HTN that does not resolve by 12ks PP or HTN
diagnosed prior to pregnancy, prior to 20wks
PreE or Eclamsia - ANSWER✔✔HTN developing after 20wks w/o other systemic
findings; eclampsia is the occurrence of seizure activity w/o identifiable cause
PreE Superimposed - ANSWER✔✔preE or eclampsia in a women w/ preexisting
or CHTN
Characteristics of PreE - ANSWER✔✔-maternal vasospasm
- decreased perfusion to virtually all organs
- decrease in plasma volume
- activation of the coagulation cascade
-alterations in glomerular capillary endothelium
, - edema
- HA
- hyperreflexia
- subscapular hematoma of the liver
- increased viscosity of the blood
Diagnostic criteria PreE - ANSWER✔✔-SBP >160 or higher, DBP >110 or higher
- renal insufficiency (creatinine >1.1 or doubling) or new development of renal
insufficiency in absence of other renal disease
-PLT <100,000
- Elevated LFTs
-New onset cerebral/visual disturbances
-persistent RUQ pain or epigastric pain unresponsive to meds and no accounted for
by alternative diagnosis, or both
-pulmonary edema
Significance of Eclamsia - ANSWER✔✔-at risk for abruption
-at risk for cerebral hemorrhage and aspiration
What is foley's rule of 13? - ANSWER✔✔-13% mortality
-13% abruption
-13% seize after MgO4 therapy
-13% seize >48-72hrs PP
What are the visual changes associated w/ PreE? - ANSWER✔✔-diplopia (double
vision)
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