CHILDBEARING END OF COURSE EXAM QUESTIONS
AND ANSWERS GUARANTEE A+
✔✔pre-eclampsia cause - ✔✔- unknown cause
✔✔what is the only cure for pre-eclampsia? - ✔✔- delivery of newborn and placenta is
only cure
✔✔pre-eclampsia risk factors - ✔✔- Nulliparity
- <19 y.o. - >35 y.o.
- Obesity
- Multiple gestation
- Previous history of pre-eclampsia or family history (give low dose aspirin)
- Preexisting hypertension or renal disease
- Diabetes
- Renal transplant patients
✔✔pre-eclampsia diagnosis - ✔✔- two BP elevations 4 hours apart
- proteinuria
✔✔pre-eclampsia medical management goal? - ✔✔- to control woman's blood pressure
and to prevent seizures and strokes
✔✔pre-eclampsia medical management - ✔✔- Safety Seizure precautions! (pad side
rails, suction, O2, lateral position)
- Magnesium Sulfate given to depress CNS and prevent seizure activity
- Antihypertensives (if severe 160/110 or greater)
- Pre-eclampsia Assessment (notify provider of worsening symptoms so reflexes,
clonus, headache, respirations, epigastric pain)
✔✔pre-eclampsia nursing assessment/interventions - ✔✔- BP, Respirations, Pulse
- FHR
- Headache
- Deep tendon reflexes and clonus
- visual changes
- SOB
- Chest sounds
- Pulse Ox (should be >95%)
- Anxiety
- Restlessness
- epigastric pain
- daily weight
- I and O
- Edema
- Proteinuria
,- Basic metabolic panel
- Serum uric acid
- BUN, creatinine, and liver enzymes (AST and ALT)
- Blood work,
- NST (non-stress test) or continuous FHT monitoring,
- quiet environment
- lateral position
- Padded side rails, suction and O2
✔✔pre-eclampsia maternal risks - ✔✔- Cerebral edema
- Hemorrhage
- stroke
- Seizures
- DIC (Disseminated Intravascular Coagulation)
- Pulmonary edema and /or CHF
- Hepatic failure
- Renal failure
- Abruption placenta
✔✔pre-eclampsia risk to fetus - ✔✔Decreased uteroplacental infusion** which causes
- Newborn Intrauterine Growth Restriction
- Low Birth Weight
- Small gestation age
- Fetal intolerance to labor
- Hypoxia fetal distress
- Stillbirth
- Placenta abruption
- Fetal polycythemia and hyperbilirubinemia
✔✔pre-eclampsia causes what? Hint = placenta - ✔✔- decreased uteroplacental
perfusion
✔✔eclampsia fetal risks - ✔✔Decreased uteroplacental infusion which causes
- Newborn Intrauterine Growth Restriction
- Low Birth Weight
- Small gestation age
- Fetal intolerance to labor
- Hypoxia feal distress
- Stillbirth
- Placenta abruption
- Fetal polycythemia and hyperbilirubinemia
same as preeclampsia
✔✔eclampsia - ✔✔- as above with grandmal seizure
, ✔✔eclampsia causes/triggers - ✔✔- Cerebral vasospasms
- Hemorrhage
- Ischemia
- Edema
✔✔eclampsia risk factors - ✔✔- Nulliparity
- <19 y.o. - >35 y.o.
- Obesity
- Multiple gestation
- Previous history of pre-eclampsia or family history (treat with low dose ASA)
- Preexisting hypertension or renal disease
- Diabetes
- Renal transplant patients
✔✔eclampsia diagnosis - ✔✔- seeing a seizure
- fluid volume deficient
- cardiac output decreased
- ineffective tissue perfusion (utero-placental insufficiency)
- risk for injury
✔✔eclampsia medical management - ✔✔- Stay with patient and call for help. Notify
provider
- Maintain airway by turning head to side and suction to prevent aspiration
- Protect patient from harm by keeping padded side rails up
- Assess breathing and vital signs and Fetal status
- Administer O2 10 l / mask
- IV Access
- Administer Magnesium Sulfate per order
- Prepare for rapid delivery or emergency c section
✔✔eclampsia nursing assessment/interventions - ✔✔- Assess maternal and fetal status
- Assess airway (suction)
- Administer oxygen 10 L/min
- Ensure IV access, administer Mag Sulfate per orders
- Provide quiet environment
- call for help
✔✔eclampsia maternal risks - ✔✔- Hypoxia
- Trauma
- Aspiration/pneumonia
- Neurologic damage
✔✔gestational hypertension - ✔✔- BP greater than or equal to 140/90 after 20 weeks
without proteinuria
AND ANSWERS GUARANTEE A+
✔✔pre-eclampsia cause - ✔✔- unknown cause
✔✔what is the only cure for pre-eclampsia? - ✔✔- delivery of newborn and placenta is
only cure
✔✔pre-eclampsia risk factors - ✔✔- Nulliparity
- <19 y.o. - >35 y.o.
- Obesity
- Multiple gestation
- Previous history of pre-eclampsia or family history (give low dose aspirin)
- Preexisting hypertension or renal disease
- Diabetes
- Renal transplant patients
✔✔pre-eclampsia diagnosis - ✔✔- two BP elevations 4 hours apart
- proteinuria
✔✔pre-eclampsia medical management goal? - ✔✔- to control woman's blood pressure
and to prevent seizures and strokes
✔✔pre-eclampsia medical management - ✔✔- Safety Seizure precautions! (pad side
rails, suction, O2, lateral position)
- Magnesium Sulfate given to depress CNS and prevent seizure activity
- Antihypertensives (if severe 160/110 or greater)
- Pre-eclampsia Assessment (notify provider of worsening symptoms so reflexes,
clonus, headache, respirations, epigastric pain)
✔✔pre-eclampsia nursing assessment/interventions - ✔✔- BP, Respirations, Pulse
- FHR
- Headache
- Deep tendon reflexes and clonus
- visual changes
- SOB
- Chest sounds
- Pulse Ox (should be >95%)
- Anxiety
- Restlessness
- epigastric pain
- daily weight
- I and O
- Edema
- Proteinuria
,- Basic metabolic panel
- Serum uric acid
- BUN, creatinine, and liver enzymes (AST and ALT)
- Blood work,
- NST (non-stress test) or continuous FHT monitoring,
- quiet environment
- lateral position
- Padded side rails, suction and O2
✔✔pre-eclampsia maternal risks - ✔✔- Cerebral edema
- Hemorrhage
- stroke
- Seizures
- DIC (Disseminated Intravascular Coagulation)
- Pulmonary edema and /or CHF
- Hepatic failure
- Renal failure
- Abruption placenta
✔✔pre-eclampsia risk to fetus - ✔✔Decreased uteroplacental infusion** which causes
- Newborn Intrauterine Growth Restriction
- Low Birth Weight
- Small gestation age
- Fetal intolerance to labor
- Hypoxia fetal distress
- Stillbirth
- Placenta abruption
- Fetal polycythemia and hyperbilirubinemia
✔✔pre-eclampsia causes what? Hint = placenta - ✔✔- decreased uteroplacental
perfusion
✔✔eclampsia fetal risks - ✔✔Decreased uteroplacental infusion which causes
- Newborn Intrauterine Growth Restriction
- Low Birth Weight
- Small gestation age
- Fetal intolerance to labor
- Hypoxia feal distress
- Stillbirth
- Placenta abruption
- Fetal polycythemia and hyperbilirubinemia
same as preeclampsia
✔✔eclampsia - ✔✔- as above with grandmal seizure
, ✔✔eclampsia causes/triggers - ✔✔- Cerebral vasospasms
- Hemorrhage
- Ischemia
- Edema
✔✔eclampsia risk factors - ✔✔- Nulliparity
- <19 y.o. - >35 y.o.
- Obesity
- Multiple gestation
- Previous history of pre-eclampsia or family history (treat with low dose ASA)
- Preexisting hypertension or renal disease
- Diabetes
- Renal transplant patients
✔✔eclampsia diagnosis - ✔✔- seeing a seizure
- fluid volume deficient
- cardiac output decreased
- ineffective tissue perfusion (utero-placental insufficiency)
- risk for injury
✔✔eclampsia medical management - ✔✔- Stay with patient and call for help. Notify
provider
- Maintain airway by turning head to side and suction to prevent aspiration
- Protect patient from harm by keeping padded side rails up
- Assess breathing and vital signs and Fetal status
- Administer O2 10 l / mask
- IV Access
- Administer Magnesium Sulfate per order
- Prepare for rapid delivery or emergency c section
✔✔eclampsia nursing assessment/interventions - ✔✔- Assess maternal and fetal status
- Assess airway (suction)
- Administer oxygen 10 L/min
- Ensure IV access, administer Mag Sulfate per orders
- Provide quiet environment
- call for help
✔✔eclampsia maternal risks - ✔✔- Hypoxia
- Trauma
- Aspiration/pneumonia
- Neurologic damage
✔✔gestational hypertension - ✔✔- BP greater than or equal to 140/90 after 20 weeks
without proteinuria
