NURN 218 MATERNAL NEWBORN FINAL EXAM
QUESTIONS WITH COMPLETE SOLUTIONS
Gestational hypertension - CORRECT ANSWER✔✔-BP 140/90 develops during
| | | | | | | |
pregnancy, no protein in urine | | | |
pre-eclampsia/eclampsia - CORRECT ANSWER✔✔-BP 140/90 develops after 20th | | | | | | | |
week of pregnancy there is protein in urine
| | | | | | |
chronic hypertension - CORRECT ANSWER✔✔-BP OF 140/90 develops prior to
| | | | | | | | | |
pregnancy. there is no protein in urine
| | | | | |
pre eclampsia super imposed on chronic hypertension - CORRECT 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 - CORRECT ANSWER✔✔-• Teenagers or > 35
| | | | | | | | | |
• Primigravida
|
• Hx of pre eclampsia
| | | |
• Rh incompatibility
| |
• Diabetes
|
. multiple gestation
| |
, s/s of preeclampsia - CORRECT 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 - CORRECT 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 - CORRECT ANSWER✔✔-seizure precaution,
| | | | | | |
maternal-fetal monitoring, anticonvulsants, antihypertensive, corticosteroids,
| | | | |
fluid and electrolyte replacement
| | |
treatment for pre-eclampsia - CORRECT 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 - CORRECT ANSWER✔✔-respiratory depression(less
| | | | | | | |
than 12) |
-decreased urine output(less than 30 ml/hr)| | | | |
-reflexes disappear, hypotension | |
-decreased level of consciousness, cardiac dysrhythmia
| | | | |
-IMMEDIATELY DISCONTINUE INFUSION | |
QUESTIONS WITH COMPLETE SOLUTIONS
Gestational hypertension - CORRECT ANSWER✔✔-BP 140/90 develops during
| | | | | | | |
pregnancy, no protein in urine | | | |
pre-eclampsia/eclampsia - CORRECT ANSWER✔✔-BP 140/90 develops after 20th | | | | | | | |
week of pregnancy there is protein in urine
| | | | | | |
chronic hypertension - CORRECT ANSWER✔✔-BP OF 140/90 develops prior to
| | | | | | | | | |
pregnancy. there is no protein in urine
| | | | | |
pre eclampsia super imposed on chronic hypertension - CORRECT 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 - CORRECT ANSWER✔✔-• Teenagers or > 35
| | | | | | | | | |
• Primigravida
|
• Hx of pre eclampsia
| | | |
• Rh incompatibility
| |
• Diabetes
|
. multiple gestation
| |
, s/s of preeclampsia - CORRECT 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 - CORRECT 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 - CORRECT ANSWER✔✔-seizure precaution,
| | | | | | |
maternal-fetal monitoring, anticonvulsants, antihypertensive, corticosteroids,
| | | | |
fluid and electrolyte replacement
| | |
treatment for pre-eclampsia - CORRECT 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 - CORRECT ANSWER✔✔-respiratory depression(less
| | | | | | | |
than 12) |
-decreased urine output(less than 30 ml/hr)| | | | |
-reflexes disappear, hypotension | |
-decreased level of consciousness, cardiac dysrhythmia
| | | | |
-IMMEDIATELY DISCONTINUE INFUSION | |
