assessing deep tendon reflexes (0-4)
what can hyper-reflexes be a sign of?
Give this one a try later!
, 0 = no response
1+ = sluggish or diminished
2+ = active or expected response
3+ = more brisk than expected; slightly hyperactive
4+ = brisk, hyperactive, with intermittent or transient clonus
**Hyper-reflexic - CNS is hyper-stimulated and can be risk factor/indicator
hydralazine
Give this one a try later!
used to control HTN in the pregnant person (pre-HTN or GHTN). Given
orally or IV for severe HTN
GDM
-antepartum interventions
-postpartum interventions
Give this one a try later!
diet, exercise, monitor BG, insulin therapy and fetal surveillance
postpartum:
--encourage chest feeds for 4 months
--should have screening done for T2DM during the 6wks-6months
postpartum
--education re: planning for another pregnancy
,Placenta Previa Management:
-NO ________________________
-__________ steroids as needed
-monitor maternal _______
-continuous ______________ monitoring
-limit activity
-large bore 18G IV
-BW as ordered
-blood transfusion as ordered
-C-section
-clear indication of when to go to ________________ (if monitoring @ home)
-neonatal team present at delivery
at 36wks or if serious -- immediate ___________
Give this one a try later!
NO PELVIC EXAMS
antepartum steroids
fetal
hospital
C-section
pathophysiology of preeclampsia
Give this one a try later!
increased BP leading to vasospasm
results in decreased placental perfusion and endothelial cell activation
, then vasoconstriction, activation of coag cascade, intravascular fluid
restriction
all causing DECREASED ORGAN PERFUSION
proteinuria -- when do we suspect it?
Give this one a try later!
significant proteinuria should be suspected when urinary dipstick is 1+ or
greater
defined as concentration of 0.03g/L or more in at least 2 random urine
tests, collected at least 6 hrs apart when there's no evidence of UTI
24hr test: 0.3g/L
pre-existing hypertension:
HTN pre-pregnancy or diagnosis before _____________.
is the pregnancy usually complicated?
increased risk for what?
Give this one a try later!
before 20 weeks gestation
no, pregnancy is usually uncomplicated
increased risk of poor fetal growth, fetal stillbirth
what can hyper-reflexes be a sign of?
Give this one a try later!
, 0 = no response
1+ = sluggish or diminished
2+ = active or expected response
3+ = more brisk than expected; slightly hyperactive
4+ = brisk, hyperactive, with intermittent or transient clonus
**Hyper-reflexic - CNS is hyper-stimulated and can be risk factor/indicator
hydralazine
Give this one a try later!
used to control HTN in the pregnant person (pre-HTN or GHTN). Given
orally or IV for severe HTN
GDM
-antepartum interventions
-postpartum interventions
Give this one a try later!
diet, exercise, monitor BG, insulin therapy and fetal surveillance
postpartum:
--encourage chest feeds for 4 months
--should have screening done for T2DM during the 6wks-6months
postpartum
--education re: planning for another pregnancy
,Placenta Previa Management:
-NO ________________________
-__________ steroids as needed
-monitor maternal _______
-continuous ______________ monitoring
-limit activity
-large bore 18G IV
-BW as ordered
-blood transfusion as ordered
-C-section
-clear indication of when to go to ________________ (if monitoring @ home)
-neonatal team present at delivery
at 36wks or if serious -- immediate ___________
Give this one a try later!
NO PELVIC EXAMS
antepartum steroids
fetal
hospital
C-section
pathophysiology of preeclampsia
Give this one a try later!
increased BP leading to vasospasm
results in decreased placental perfusion and endothelial cell activation
, then vasoconstriction, activation of coag cascade, intravascular fluid
restriction
all causing DECREASED ORGAN PERFUSION
proteinuria -- when do we suspect it?
Give this one a try later!
significant proteinuria should be suspected when urinary dipstick is 1+ or
greater
defined as concentration of 0.03g/L or more in at least 2 random urine
tests, collected at least 6 hrs apart when there's no evidence of UTI
24hr test: 0.3g/L
pre-existing hypertension:
HTN pre-pregnancy or diagnosis before _____________.
is the pregnancy usually complicated?
increased risk for what?
Give this one a try later!
before 20 weeks gestation
no, pregnancy is usually uncomplicated
increased risk of poor fetal growth, fetal stillbirth
