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S&S of hypoglycemia during pregnancy:
nervousness, headache, weakness, irritability, hunger, blurred
vision, tingling of mouth and extremities
S&S of hyperglycemia during pregnancy:
3 P's: polydipsia, polyphagia,
polyuria GI upset/ab pain
Flushed dry skin
fruity breath
Oral glucose test (3 hr test) teaching:
fast the night before
avoid caffeine and smoking 12 hours prior to test
,The only (and limited use) of an oral glycemic is:
glyburide
Gestational Hypertension can begin in what week:
20th week
Gestational Hypertension is dx'd when:
> 140/90 on two different occasions at least 4 hrs apart
If pt has BP >140/90 with 1+ proteinuria:
other S&S:
Mild preeclampsia (also headache, irritability and some edema)
If pt has a BP > 160/100, proteinuria of 3+ and creatinine
>1.1: other S&S
Severe Preeclampsia (also cerebral and visual issues,
hyperreflexia w/ ankle clonus, pulmonary or cardiac
involvement, extensive peripheral edema, hepatic dysfunction,
epigastric issues, RUQ pain, thrombocytopenia)
,If a pt has a BP >160/100, with all other underlying S&S AND has
seizure activity:
Eclampsia
When a pt has HTN or any type of eclampsia and complains of
RUQ pain, what's the FIRST thing to think? (Worst case senario)
HELLP- that's where the liver is
This gets tricky, because the gall bladder is there too. If only an
elevated ALT...and URQ pain, consider gallstones also
Women who have a history of early onset preeclampsia should be
given what prophylactic starting in the first trimester?
baby aspirin
What meds should be avoided for pt's with eclampsia (HTN)?
ACE (prils) and ARBS (sartans)
, What meds are antihypertensive and given with eclampsia issues:
Methyldopa
Nifedipine (Ca++ channel blocker- watch
cardiac) Hydralazine
Labetalol
Mag Sulfate (for seizure precautions and reduced contractions)
What fluid restrictions should a nurse place when giving a
pregnant women Mag Sulfate?
100-125 mL/hr
Diaphragms must be refitted:
Q 2 yrs
gained > 15
lbs
after full term
preggers after 2nd
term aborption
When using a diaphragm, spermicide must be used:
after each act of ontercourse