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NUR 439 Exam 2 Questions And Answers
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NUR 439 Exam 2 Questions And Answers NUR 439 Exam 2 Questions And Answers NUR 439 Exam 2 Questions And Answers
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NUR 439 Exam 2Chronic Hypertension Elevated BP documented prior to 20 weeks' gestation. Women may acquire
preeclampsia or eclampsia.
Gestational Hypertension hypertension after 20 weeks without proteinuria or other system findings. BP
greater than 140/90.
Preeclampsia Hypertension and proteinuria.
Nursing care of preeclampsia Accurate BP
Reflexes: Biceps, triceps, and patellar
Assess edema
Clonus: Hyperactive reflexes
Preeclampsia Medications Hydralazine, Labetalol, and Magnesium Sulfate
Magnesium Sulfate Relaxation of smooth muscle
May affect uterine contractility with loading dose
Loading dose of 4-6g followed by 2-4g/hr
SE: Nausea, flushed hot, sedated, burning at IV site
Warning: RR < 12, Urine output <, loss of DTR, increasing edema, abnormal labs, s/s of severe
preeclampsia.
Severe preeclampsia Treatments Quiet, darkened rooms
Bedrest with side rails up
Emergency drugs, oxygen and suction immediately available
, Magnesium sulfate IV
Limit fluids to no more than 125 ml/hr
HELLP Syndrome Variant of severe preeclampsia that involves hepatic dysfunction.
Result of arteriolar vasospasm, endothelial cell dysfunction with fibrin deposits, and adherence of
platelets in blood vessels.
H = Hemolysis
El= Elevated liver enzymes
Lp= Low platelets
S/Sx: History of malaise, Influenza like symptoms, epigastric or right upper quadrant abdominal pain,
and symptoms worsen at night and improve during the daytime.
Pregestational Diabetes Type 1 or type 2 diabetes that existed prior to pregnancy
Pregestational Diabetes Management Intrapartum
-Monitoring for dehydration
-Blood glucose levels carefully monitored
-Continuous EFM
-Intravenous infusion
-Possible cesarean birth for macrosomia
Postpartum
-First 24 hours insulin requirements drop substantially
-Risk of hemorrhage due to uterine distention
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