NUR 397 /OB HESI Review Latest updated
2021/2022
High bp
● Chronic
● Pregnancy-induced (gestational)
● Increased bp + proteinuria (preeclampsia)
● Give this patient magnesium sulfate to keep it from getting
worse
● Goes from mild - severe (treat regardless of mild or severe)
○ Know the toxicity of magnesium sulfate:
■ Respiratory depression
■ Sweating
■ Drowsiness
■ Clonos
■ Deep tendon reflexes absent or diminished
→ Stop the magnesium sulfate (why do you give it? To
avoid eclampsia → increased bp, proteinuria, PLUS
seizures, coma, stroke, death)
● HELLP
○ Severe form of preeclampsia plus
○ How do we know she has HELLP syndrome?
■ Lab values/blood work
Placenta
● The placenta is functioning at about 9 weeks gestation → at
that point, fetus becomes a fetus rather than an embryo
● Placenta Previa: When the placenta is covering the cervical os
○ Low-lying: Lying down close to it, not quite covering it yet
■ As the pregnancy progresses, the uterus starts
to move and so might the placenta (could resolve
on its own)
○ Partial: Partially covering the cervical os
■ Must have a C Section
○ Complete: Completely covering the cervical os
■ Must have a C Section
→ Diagnosed with ultrasound (painless bleeding)
This study source was downloaded by 100000802531269 from CourseHero.com on 03 -26-2022 18:14:35 GMT -05:00
https://www.coursehero.com/file/81872174/OB-HESI-Review/
, ● Placenta Accreta, Placenta Percreta, Placenta Accreta
○ Placenta goes through and attaches inside the
muscle of the uterus (severity determines outcome)
→ Also diagnosed with ultrasound (may end up with
hysterectomy → high chance of hemorrhage)
● Abruptio Placentae
○ Placenta pulls away from the lining of the uterus
○ Can come on very quickly
○ Risk for hemorrhage
○ When you have abruptio placentae:
■ Painful bleeding
■ Rigid abdomen
This study source was downloaded by 100000802531269 from CourseHero.com on 03 -26-2022 18:14:35 GMT -05:00
https://www.coursehero.com/file/81872174/OB-HESI-Review/
2021/2022
High bp
● Chronic
● Pregnancy-induced (gestational)
● Increased bp + proteinuria (preeclampsia)
● Give this patient magnesium sulfate to keep it from getting
worse
● Goes from mild - severe (treat regardless of mild or severe)
○ Know the toxicity of magnesium sulfate:
■ Respiratory depression
■ Sweating
■ Drowsiness
■ Clonos
■ Deep tendon reflexes absent or diminished
→ Stop the magnesium sulfate (why do you give it? To
avoid eclampsia → increased bp, proteinuria, PLUS
seizures, coma, stroke, death)
● HELLP
○ Severe form of preeclampsia plus
○ How do we know she has HELLP syndrome?
■ Lab values/blood work
Placenta
● The placenta is functioning at about 9 weeks gestation → at
that point, fetus becomes a fetus rather than an embryo
● Placenta Previa: When the placenta is covering the cervical os
○ Low-lying: Lying down close to it, not quite covering it yet
■ As the pregnancy progresses, the uterus starts
to move and so might the placenta (could resolve
on its own)
○ Partial: Partially covering the cervical os
■ Must have a C Section
○ Complete: Completely covering the cervical os
■ Must have a C Section
→ Diagnosed with ultrasound (painless bleeding)
This study source was downloaded by 100000802531269 from CourseHero.com on 03 -26-2022 18:14:35 GMT -05:00
https://www.coursehero.com/file/81872174/OB-HESI-Review/
, ● Placenta Accreta, Placenta Percreta, Placenta Accreta
○ Placenta goes through and attaches inside the
muscle of the uterus (severity determines outcome)
→ Also diagnosed with ultrasound (may end up with
hysterectomy → high chance of hemorrhage)
● Abruptio Placentae
○ Placenta pulls away from the lining of the uterus
○ Can come on very quickly
○ Risk for hemorrhage
○ When you have abruptio placentae:
■ Painful bleeding
■ Rigid abdomen
This study source was downloaded by 100000802531269 from CourseHero.com on 03 -26-2022 18:14:35 GMT -05:00
https://www.coursehero.com/file/81872174/OB-HESI-Review/
