NURS 629 Exam 1 Maternity HTN
NURS 629 Exam 1 Maternity HTN NURS 629 Exam 1 Maternity HTNgestational hypertension with or without proteinuria.ACOG (2013) explained that proteinuria is the excretion in a 24-hour urine collection of ____ mg or more of protein.In the absence of proteinuria, ________is defined as hypertension with any of the following: 1) thrombocytopenia, 2) the development of renal insufficiency, 3) pulmonary edema, 4) visual disturbances, and 5) elevated liver enzymes.Risk factors include the following: 1) preexisting chronic hypertension, 2) nulliparity (NEVER having child before; or a primigravida first child having now) 3) advanced maternal age (40), 4) women younger than 17 5) a multifetal pregnancy, 6) obesity, 7) thrombotic disorders 8) vascular disorders 9) preexisting chronic hypertension 10) family history of this disorder being discussed. Genetic abnormalities, poorly developed placental spiral arterioles, immunologic abnormalities, and placental ischemia or placental ischemia or infarction may also contribute to its ysis (low hematocrit and hemoglobin), elevated liver enzymes, and low platelets (thrombocytopenia). It is thought to be a severe form of Preeclampsia. It usually occurs in the antepartum period but may occur in the postpartum.If concerned the anepartum mother is experiencing HELLP syncrome obtain a to look at the diagnosed when the blood pressure reaches 140/90 or greater (hint JNC 8 numbers) after mid-pregnancy (20 weeks), but in whom proteinuria is not present.Gestational hypertension resolves by ____ weeks postpartum. It is estimated that half of these women will develop preeclampsia syndrome. Women with gestational hypertension should be evaluated for signs and symptoms of Preeclampsia with lab evaluations such as: (2 options)Non-stress tests and ultrasounds should be performed to assess fetal status. Women with gestational hypertension should be seen ______ in the clinic, and fetal surveillance should be conducted.Women with gestational hypertension should be educated about monitoring their blood pressure at home and knowing the signs and symptoms of:placental tissue plays a crucial role in the development of Preeclampsia. The ACOG Task Force (2013) states it is the root cause of Preeclampsia. There is a defect in deep placentation; the depth to which cytotrophoblasts invade the uterus is shallow, and spiral artery invasion is incomplete. In addition, abnormal placentation leads to a maternal inflammatory response. _________ is a severe complication of Preeclampsia. Seizures may be tion hypertenion/pregnancy induced hypertention (PIH) is a multisystem vasospastic disorer occuring after 20 weeks gesation and starts resolving _____ hrs but will definately resolve by week 12 postpartum.Risk factors for this disorder include comorbidies (previous hx): DM HTN Renal disease Currrent multiple gesation (twins) primigravidaWhat is the recommended regular exercise for someone experieincing gestation hypertenion/pregnancy induced hypertention (PIH)
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