QUESTIONS ANSWERS PREMIUM STUDY GUIDE
◉ Preeclampsia.
Answer: increase in bp after 20 weeks with proteinuria and s/s in
previously normotensive woman
◉ Eclampsia.
Answer: the occurrence of a seizure in a woman with preeclampsia
with no other cause for seizure
◉ Preeclampsia with severe features.
Answer: 160/110, oliguria, pulmonary edema, renal insufficiency,
epigastric pain, thrombocytopenia, visual disturbances
◉ Why does preeclampsia occur?.
Answer: abnormal development in the placenta; less blood gets to
the placenta
◉ Lab findings of preeclampsia.
Answer: increased BUN, creatinine, uric acid levels, liver enzymes,
and P/C ratio >0.3mg, proteinuria
,◉ clonus reflex.
Answer: involuntary muscle spasms that occur after dorsiflexion of
foot (risk for seizures)
◉ Proteinuria for preeclampsia and eclampsia.
Answer: preeclampsia: >300mg/24hr
Eclampsia: 5g/24hrs
◉ Management of preeclampsia/eclampsia.
Answer: high protein, low salt diet, strict I&O (foley), bed rest and
low stim, antihypertensive, mag sulfate
◉ What does magnesium sulfate do?.
Answer: prevents seizures, does not lower blood pressure
◉ signs of magnesium sulfate toxicity.
Answer: depressed DTR, decreased urine output, decreased
respiratory rate, muscle weakness, decreased LOC
◉ What do we assess when mom is on magnesium sulfate?.
Answer: LOC, headache, epigastric pain, visual disturbances, DTR,
FHR and variability
, ◉ Antidote for magnesium sulfate.
Answer: calcium gluconate; must be at bedside
◉ Contraindications for Magnesium Sulfate.
Answer: myasthenia gravis (respiratory depression), severe renal
failure, cardiac ischemia, heart block, pulmonary edema, high mag or
low calcium level
◉ HELLP syndrome.
Answer: life-threatening pregnancy complication often associated
with preeclampsia
◉ HELLP syndrome stands for.
Answer: hemolysis, elevated liver enzymes, and low platelets
◉ Signs of HELLP syndrome.
Answer: epigastric pain, n/v, malaise, edema, s/s of preeclampsia
◉ Management of HELLP syndrome.
Answer: Mag sulfate, transfusion of FFP or platelets, delivery of fetus
ASAP