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Exam (elaborations)

Final NUR 208 Review Comprehensive Questions (Frequently Tested) and Complete Solutions Graded A+ - Fortis College

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Final NUR 208 Review Comprehensive Questions (Frequently Tested) and Complete Solutions Graded A+ - Fortis College

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Final NUR 208 Review
Comprehensive Questions
(Frequently Tested) and Complete
Solutions Graded A+ - Fortis College
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PREECLAMPSIA

Decreased brain perfusion leads to small cerebral hemorrhages and
symptoms of such as - Answer: headaches,

visual disturbances,

,blurred vision,

and hyperactive deep tendon reflexes (DTRs).



PREECLAMPSIA

Decreased liver perfusion leads to impaired liver function and
subcapsular hemorrhage. Exhibited by - Answer: epigastric pain

elevated liver enzymes in the maternal serum



PREECLAMPSIA

Decreased Kidney perfusion leads to a - Answer: decrease in the
glomerular filtration rate-decreased urine output and proteinuria.



Symptoms of preeclapmsia

Increased risk of pulmonary edema related to - Answer: increased
capillary permeability in the lungs due to endothelial damage from
vasospasms



Narrowing of the placental spiral arteries - Answer: decreases
uteroplacental circulation leading to an increase risk to the fetus



Proteinuria-300 mg/24 hour urine or greater than 1+ protein on a
random urine dipstick sample

,-No hyperreflexia

-Mild edema of face and/or hands

-Weight gain

-Risk remains until 6 weeks postpartum



These are signs of - Answer: Mild preeclampsia



At home care of preeclampsia - Answer: Modified bedrest at home
(may get up to the bathroom, shower, to eat meals, and for healthcare
provider visits)



Monitor blood pressure every 4 to 6 hours at home - report increases



Daily weight-report rapid gain



Fetal kick counts



Preeclampsia Management type of labs drawn? - Answer: CBC, clotting
studies, liver enzymes, platelets

, Pt with preeclampsia while in labor may receive? - Answer: magnesium
sulfate



-Systolic BP >160 and/or Diastolic BP > 110 mm Hg

-Proteinuria > 500 mg/24 hour urine or greater than 3+ protein on a
random urine dipstick sample

-Hyperreflexia present

-Increasing edema of face and/or hands, generalized

-Weight gain

-Risk remains until 6 weeks postpartum - Answer: Severe preeclampsia



S/S of severe preeclampsia - Answer: Headache

Visual Changes

Oliguria

Epigastric RUQ Pain

Pulmonary Edema

Thrombocytopenia



Management of severe preeclampsia - Answer: •Hospitalization

•Bedrest with decreased stimuli (low lighting, limited visitors, no TV-
decreased stimulation)

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