NUR 1025C EXAM 2 QUESTIONS AND CORRECT A
How cdoes chypertension caffect cthe cbaby c- cCORRECT cANS✔✔Vasoconstriction cand cdecrease c
Chronic cHypertension c- cCORRECT cANS✔✔If cshe chas cHTN cbefore cthe cbaby ccomes calong. c
Monitor cblood cpressure, camniocentesis, cNST(non cstress ctxt: cmonitor con cmom cand cit cpicks cup
Gestational cHypertension c- cCORRECT cANS✔✔Pregnancy cinduced chypertension.
Sets cup cwarning cflags. cMore cfrequent cmonitoring. c
-Use cmeds cdepending con chow chigh cit cis--> cthere cis cvasoconstriction cto cthe cbaby, cleading cto c
cgestational cage[smoking cand cHTN ccan clead cto cthis])
-Test cfor cproteinuria--> cpreeclampsia..24 chr curine.
Preeclampsia cand csymptoms c- cCORRECT cANS✔✔generalized cedema, cvision cchanges-->start
cclonus c(more cthan cone cpullback cfor ca cdeep ctendon creflex ctest)
--Mag cSulfate
--Cure cis cto cdeliver cthe cbaby
RF's: csmoking, cobesity, c1st cpregnancy, cmulti cfetal, colder cor cyounger, cAfrican cAmerican
What chappens cif cyou cdon't ctreat cpreeclampsia? c- cCORRECT cANS✔✔Can cgo cto ceclampsia(se
c(Hemolysis, cElevated cLiver cenzymes, cLow cPlatelets) cwhich ccan cprogress cto cDIC c(Disseminate
> cmulti-organ cfailure cbecause cthe cblood cis cthrown cso cout cof cwhack.
Mag cSulfate c- cCORRECT cANS✔✔RR, cLOC, clevels, creflexes.
Interventions--calcium cgluconate
Diet--NPO cbecause cworried cabout caspiration. c
Bedrest c(fall crisk), chave ca ccathedar.
Contraction cstrip c- cCORRECT cANS✔✔If cthe cHR cof cthe cbaby cis cfast, cthat cis cnot cgood. cYou cw
cinclude cbig cjumps. cGoes cup c15 cbpm cand clasts cfor c15 cseconds cbefore cgoing cback cto cbaselin
cneed c2 caccelerations cin ca c20-minute cperiod.
Hyperemisis c- cCORRECT cANS✔✔Admitted, cTPN, cIV cfluids, cantiemetics c(Zoran cand cPhenerga
Placenta cAbruption c- cCORRECT cANS✔✔Placenta cpulls cfrom cuterus.
Bleeding cdiffers
Board-Like cabdomen c
Painful
Partial cabruption--> conly ca cpiece cof cit ctears caway, cif cnot csever cshe ccan ccarry con cwith cthe cpre
cdelivery
Emergency cC-Section cfor ccomplete cabruption c
How cdoes chypertension caffect cthe cbaby c- cCORRECT cANS✔✔Vasoconstriction cand cdecrease c
Chronic cHypertension c- cCORRECT cANS✔✔If cshe chas cHTN cbefore cthe cbaby ccomes calong. c
Monitor cblood cpressure, camniocentesis, cNST(non cstress ctxt: cmonitor con cmom cand cit cpicks cup
Gestational cHypertension c- cCORRECT cANS✔✔Pregnancy cinduced chypertension.
Sets cup cwarning cflags. cMore cfrequent cmonitoring. c
-Use cmeds cdepending con chow chigh cit cis--> cthere cis cvasoconstriction cto cthe cbaby, cleading cto c
cgestational cage[smoking cand cHTN ccan clead cto cthis])
-Test cfor cproteinuria--> cpreeclampsia..24 chr curine.
Preeclampsia cand csymptoms c- cCORRECT cANS✔✔generalized cedema, cvision cchanges-->start
cclonus c(more cthan cone cpullback cfor ca cdeep ctendon creflex ctest)
--Mag cSulfate
--Cure cis cto cdeliver cthe cbaby
RF's: csmoking, cobesity, c1st cpregnancy, cmulti cfetal, colder cor cyounger, cAfrican cAmerican
What chappens cif cyou cdon't ctreat cpreeclampsia? c- cCORRECT cANS✔✔Can cgo cto ceclampsia(se
c(Hemolysis, cElevated cLiver cenzymes, cLow cPlatelets) cwhich ccan cprogress cto cDIC c(Disseminate
> cmulti-organ cfailure cbecause cthe cblood cis cthrown cso cout cof cwhack.
Mag cSulfate c- cCORRECT cANS✔✔RR, cLOC, clevels, creflexes.
Interventions--calcium cgluconate
Diet--NPO cbecause cworried cabout caspiration. c
Bedrest c(fall crisk), chave ca ccathedar.
Contraction cstrip c- cCORRECT cANS✔✔If cthe cHR cof cthe cbaby cis cfast, cthat cis cnot cgood. cYou cw
cinclude cbig cjumps. cGoes cup c15 cbpm cand clasts cfor c15 cseconds cbefore cgoing cback cto cbaselin
cneed c2 caccelerations cin ca c20-minute cperiod.
Hyperemisis c- cCORRECT cANS✔✔Admitted, cTPN, cIV cfluids, cantiemetics c(Zoran cand cPhenerga
Placenta cAbruption c- cCORRECT cANS✔✔Placenta cpulls cfrom cuterus.
Bleeding cdiffers
Board-Like cabdomen c
Painful
Partial cabruption--> conly ca cpiece cof cit ctears caway, cif cnot csever cshe ccan ccarry con cwith cthe cpre
cdelivery
Emergency cC-Section cfor ccomplete cabruption c
