NURN 218 MATERNAL NEWBORN FINAL EXAM QUESTIONS AND ANSWERS
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Course
Nur 218
Institution
Nur 218
Gestational hypertension - Answer-BP 140/90 develops during pregnancy, no protein in urine
pre-eclampsia/eclampsia - Answer-BP 140/90 develops after 20th week of pregnancy there is protein in urine
chronic hypertension - Answer-BP OF 140/90 develops prior to pregnancy. there is no protein in ...
NURN 218 MATERNAL NEWBORN FINAL
EXAM QUESTIONS AND ANSWERS
Gestational hypertension - Answer-BP 140/90 develops during pregnancy, no protein in
urine
pre-eclampsia/eclampsia - Answer-BP 140/90 develops after 20th week of pregnancy
there is protein in urine
chronic hypertension - Answer-BP OF 140/90 develops prior to pregnancy. there is no
protein in urine
pre eclampsia super imposed on chronic hypertension - Answer-BP of 140/90 HTN prior
to pregnancy and then pre-eclampsia develops in pregnancy. there is protein in urine
risk factors for pre-eclampsia - Answer-• Teenagers or > 35
• Primigravida
• Hx of pre eclampsia
• Rh incompatibility
• Diabetes
. multiple gestation
s/s of preeclampsia - Answer-HA, hyperreflexia, visual changes, irritability, epigastric
pain, edema of face/hands/abdomen, oliguria, swelling in the hands and legs, sudden
weight gain
Pre-eclampsia management - Answer-home/hospital care, bedrest, left lateral position,
urine dipstick, I/O specific gravity, increase protein and high fiber, reflexes, antenatal
testing
severe preeclampsia management - Answer-seizure precaution, maternal-fetal
monitoring, anticonvulsants, antihypertensive, corticosteroids, fluid and electrolyte
replacement
treatment for pre-eclampsia - Answer--primary goal is to deliver a healthy baby and
restore women to healthy state.
-most important management decision: timing of delivery
-prevent maternal seizures- bed rest(left side) in a dark quiet room .
-magenesium sulfate-smooth muscle relaxant and cns depressant
-therapeutic level of mag sulfate 4-8mg
-toxicity 9mg or greater
S/S of magnesium toxicity - Answer-respiratory depression(less than 12)
-decreased urine output(less than 30 ml/hr)
complications of pre-eclampsia-fetus - Answer-SGA/IUGR
fetal hypoxia/death
depressed CNS
Hyper-magnesia
Eclampsia management - Answer-magnesium sulfate, antihypertensives, stabilization of
perfusion and oxygenation, safety, deliver once mom/fetus stable
induction or cesarean birth
HELLP syndrome - Answer-hemolysis, elevated liver enzymes, low platelets. develops
severe edema of the liver, severe complication of pre-eclampsia and eclampsia, high
serum creatine and low serum protein
s/s of HELLP syndrome - Answer-RUQ pain, nausea, vomiting, malaise, epigastric and
tenderness
HELLP syndrome treatment - Answer-Blood transfusion(treats anemia)
bed rest
continuous monitoring of mom and baby
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