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RNC-NIC REVIEW MATERNAL RISK FACTORS

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  • RNC-NIC
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  • RNC-NIC

RNC-NIC REVIEW MATERNAL RISK FACTORS...

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  • October 11, 2024
  • 27
  • 2024/2025
  • Exam (elaborations)
  • Unknown
  • RNC-NIC
  • RNC-NIC
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luzlinkuz
RNC-NIC REVIEW MATERNAL RISK
FACTORS

Anemia - ANSWER: need for more iron.

What may anemia cause and s/s - ANSWER preterm labor, delivery, or LBW


weary, feeble, pallid, SOB.


Sickle Cell Anemia: ANSWER will require oxygen.


Need pain management during pregnancy.


Gestational HTN

-When is it diagnosed?

-requirements for diagnosis - ANSWER after 20 weeks


140/90. x2 every 4-6 hours for one week.


No proteinurea.


#1 Cause of Maternal Morbidity/Mortality: HTN during pregnancy




Pre-eclampsia - ANSWER: chronic vasoconstriction with endothelial cell
destruction.

,2-7%. primigravidas


Pre-E diagnosis - ANSWER HTN and proteinuria >20 weeks.




Pre-E Triad: ANSWER HTN, proteinuria, edema




However, edema does not always occur.




Pre-eclampsia can be diagnosed without proteinuria if... - ANSWER low plts,
high LFT's, CRT >1.1 or doubling, pulmonary edema, brain or visual
abnormalities


Eclampsia: ANSWER HTN with seizure activity.

-After 20 weeks

-more common throughout the third trimester.

-can occur after delivery.


Chronic HTN - ANSWER before 20 weeks

Usually detected before pregnancy.


Chronic HTN with superimposed preeclampsia - ANSWER the appearance of
s/s of Pre E in previously HTN pt

, HELLP syndrome, ANSWER H: hemolysis (of RBCs)

EL = increased liver enzymes.

LP: low PLT count.


Typically occurs during the third trimester.


S/S of HELLP: ANSWER headaches

N/V

fatigue

Upper R abdominal ache


Diagnosis of HELLP - Answer: BP

Urine testing.

A peripheral blood smear.

Liver enzymes


HELLP TX - ANSWER: Treat the symptoms

Will not subside till the infant is delivered.

Will deliver at 34 weeks.

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