NUR 254 MATERNAL AND PEDIATRICS EXAM 1
VERSION 2 DETAILED PREPARATION PACK 2026
◉ HTN. Answer: High risk maternal & fetal morbidity/ mortality
Chronic HTN- <20 week gestation
GHTN- >20weeks
Increased risk of preeclampsia
◉ Preeclampsia. Answer: >20 weeks
Decreased placental perfusion, and organ perfusion
Associated with high risk factors
Can affect liver & brain function
◉ Eclampsia. Answer: seizure
◉ mild preeclampsia. Answer: BP 140/90 or >
+1 proteinuria
Decreased placental perfusion
◉ Severe preeclampsia. Answer: BP 160/110 or >
+3 proteinuria
, HA, blurred vision, epigastric pain, IUGR
Mag sulfate- prevent seizures
* assess respiration <12, LOC, Hyperactive DTR, I & O, serum mag <9
◉ HELLP. Answer: hemolysis (destruction of RBC & bleeding)
elevated liver enzymes
low platelets (<150)
◉ HIS Shrimp (preeclampsia). Answer: H TN
I ncreased reflexes (3+)
S pasms
S welling
HA
R educed placental perfusion
I ncreased clonus
M g sulfate
P roteinuria
◉ hyperemesis gravidarum. Answer: severe nausea and vomiting in
pregnancy that can cause severe dehydration in the mother and
fetus
VERSION 2 DETAILED PREPARATION PACK 2026
◉ HTN. Answer: High risk maternal & fetal morbidity/ mortality
Chronic HTN- <20 week gestation
GHTN- >20weeks
Increased risk of preeclampsia
◉ Preeclampsia. Answer: >20 weeks
Decreased placental perfusion, and organ perfusion
Associated with high risk factors
Can affect liver & brain function
◉ Eclampsia. Answer: seizure
◉ mild preeclampsia. Answer: BP 140/90 or >
+1 proteinuria
Decreased placental perfusion
◉ Severe preeclampsia. Answer: BP 160/110 or >
+3 proteinuria
, HA, blurred vision, epigastric pain, IUGR
Mag sulfate- prevent seizures
* assess respiration <12, LOC, Hyperactive DTR, I & O, serum mag <9
◉ HELLP. Answer: hemolysis (destruction of RBC & bleeding)
elevated liver enzymes
low platelets (<150)
◉ HIS Shrimp (preeclampsia). Answer: H TN
I ncreased reflexes (3+)
S pasms
S welling
HA
R educed placental perfusion
I ncreased clonus
M g sulfate
P roteinuria
◉ hyperemesis gravidarum. Answer: severe nausea and vomiting in
pregnancy that can cause severe dehydration in the mother and
fetus