NR 327(NR 327) Pregnancy complications part 1 (1) Final Exam 2022/2023: NSG 211(NSG 211) Maternity Nursing: NSG 4052 (NSG-4052) Community Health Nursing: With Complete Solutions (Chamberlain College of Nursing)

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NR 327(NR 327) Pregnancy complications part 1 (1) Final Exam 2022/2023: NSG 211(NSG 211) Maternity Nursing: NSG 4052 (NSG-4052) Community Health Nursing: With Complete Solutions (Chamberlain College o... f Nursing) when must HTN be present to be considered chronic HTN in pregnancy {{Ans- before pregnancy or before 20 weeks of gestation or persists longer than the postpartum period (12 weeks after gestation) when does gestational HTN develop? {{Ans- for the first time after 20 weeks gestation in absence of proteinuria how does preeclampsia differ from gestational HTN {{Ans- in preeclampsia, there is HTN present AND proteinuria after 20 weeks gestation gestational HTN is HTN without proteinuria after 20 weeks gestation what is eclampsia {{Ans- additional presence of convulsions in women with preeclampsia that is not explained by neurologic disorder HELLP syndrome {{Ans- hemolysis, elevated liver enzymes, low platelets maternal vasospasm {{Ans- sudden constriction of a blood vessel what is maternal vasospasm (sudden constriction of blood vessels), a predominant finding in? {{Ans- in women with gestational HTN and preeclampsia what affect does maternal vasospam have on CV? {{Ans- increased BP effect of MV on hematologic {{Ans- increase hematocrit from plasma vol contraction, thrombocytopenia, DIC< hepatoelllar dysfunction and third spacing effects of MV on renal {{Ans- decreased GFR and proteinuria -decreased filtration of uric acid neuro effects from maternal vasospasm {{Ans- HA, blurred vision, scotomatia, hyperreflexia what affect does MV have on fetus {Ans- decreased placental perfusion and increased incidence of placental abruption what is the diagram showing? {{Ans- how a vasospasm can cause oliguria and low proteinuria as well as blurred vision, flashing lights and scotoma what BP for chronic HTN? when does it need to be diagnosed {{Ans- 140/90 or greater and is diagnosed before pregnancy, before 20 works of gestion or continues 12 weeks after birth mild, mod, severe chronic HTN in pregnancy {{Ans- mild: 140/90mm Hg moderate: 150/100mm Hg Severe: 160/110mmHg how often to monitor for chronic HTN in pregnancy? {{Ans- every 2-4 weeks and weekly between 34-36weeks when might you recommend delivery due to chronic HTN {{Ans- at 37 weeks how to mange chronic HTN in pregnancy? {{Ans- Labetolol or Nifedipine can you use ACEi or ARBs for chronic HTN in pregnancy {{Ans- NO they are contraindicated what is gestational HTN {{Ans- new onset HTN 140/90 or > After 20 weeks gestation with no proetinuira, edema or EOD how to manage gestational HTN {{Ans- 1. check weekly BP, protein in urine, platelets and liver enzymes 2. US monthly to monitor for IUGR and weekly non stress testing in 3rd trimester IUGR {{Ans- intrauterine growth restriction how to manage severe gestational HTN {{Ans- medication to reduce stroke risk: 1. labetolol 2. nifedipine 3. methyldopa what fraction of patients with gestational HTN progress to pre-eclampsia {{Ans- 1/3rd define pre-eclampsia {{Ans- new onset HTN >/=140/90 after 20 weeks gestation + proteinuria or end organ damage in a previously normotensive female what is considered proteinuria In pre-eclampisa? {{Ans- urinary excretion of 0.3g (300mg) protein or higher in 24 hour urine specimen does proteinuria have to be present in pre-eclampsia? {{Ans- no if proteinuria is not present in pre-e then what is the criteria? {{Ans- new onset HTN with the new onset of any of the following: 1. thrombocytopenia (platelets <100,000) 2. renal insufficiency (SCr>1.1) 3. impaired liver function (liver transaminase 2x normal) 4. pulm edema 5. persistent cerebral or visual sxs preeclampsia pathophysiology {{Ans- HELLP hemolysis elevated liver enzymes low platelets what labs for preeclampsia? {{Ans- 1. liver function 2. SCr 3. platerles 4. CC [Show More]

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