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NUR 684 Exam 1 High Risk Labor & Birth RN HESI Maternity
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Gestational hypertension elevation of BP after 20 weeks, without proteinuria or s/s of preeclampsia
Preeclampsia increase in bp after 20 weeks with proteinuria and s/s in previously normotensive
woman
Eclampsia the occurrence of a seizure in a woman with preeclampsia with no other cause for
seizure
Preeclampsia with severe features 160/110, oliguria, pulmonary edema, renal insufficiency, epigastric pain,
thrombocytopenia, visual disturbances
Why does preeclampsia occur? abnormal development in the placenta; less blood gets to the placenta
Lab findings of preeclampsia increased BUN, creatinine, uric acid levels, liver enzymes, and P/C ratio >0.3mg,
proteinuria
clonus reflex involuntary muscle spasms that occur after dorsiflexion of foot (risk for seizures)
, Proteinuria for preeclampsia and eclampsia preeclampsia: >300mg/24hr
Eclampsia: 5g/24hrs
Management of preeclampsia/eclampsia high protein, low salt diet, strict I&O (foley), bed rest and low stim,
antihypertensive, mag sulfate
What does magnesium sulfate do? prevents seizures, does not lower blood pressure
signs of magnesium sulfate toxicity depressed DTR, decreased urine output, decreased respiratory rate, muscle
weakness, decreased LOC
What do we assess when mom is on magnesium sulfate? LOC, headache, epigastric pain, visual disturbances, DTR, FHR and variability
Antidote for magnesium sulfate calcium gluconate; must be at bedside
Contraindications for Magnesium Sulfate myasthenia gravis (respiratory depression), severe renal failure, cardiac ischemia,
heart block, pulmonary edema, high mag or low calcium level
HELLP syndrome life-threatening pregnancy complication often associated with preeclampsia
HELLP syndrome stands for hemolysis, elevated liver enzymes, and low platelets
Signs of HELLP syndrome epigastric pain, n/v, malaise, edema, s/s of preeclampsia
Management of HELLP syndrome Mag sulfate, transfusion of FFP or platelets, delivery of fetus ASAP
Why do we avoid abdominal palpation in HELLP to reduce risk of subcapsular liver hematoma rupture
syndrome?
Gestational diabetes hyperglycemia and glucose intolerance that develops during pregnancy (after 20
weeks)
1hr glucose test we want it to be less than 130
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Students also studied
Flashcard sets Study guides
NUR 684 Exam 1 High Risk Labor & Birth RN HESI Maternity
Teacher 73 terms Teacher 38 terms Teacher 129 terms
view nursingguides1 Preview everettminer3 Preview Joseph_Gatebe Preview
Terms in this set (117) Hide definitions
Gestational hypertension elevation of BP after 20 weeks, without proteinuria or s/s of preeclampsia
Preeclampsia increase in bp after 20 weeks with proteinuria and s/s in previously normotensive
woman
Eclampsia the occurrence of a seizure in a woman with preeclampsia with no other cause for
seizure
Preeclampsia with severe features 160/110, oliguria, pulmonary edema, renal insufficiency, epigastric pain,
thrombocytopenia, visual disturbances
Why does preeclampsia occur? abnormal development in the placenta; less blood gets to the placenta
Lab findings of preeclampsia increased BUN, creatinine, uric acid levels, liver enzymes, and P/C ratio >0.3mg,
proteinuria
clonus reflex involuntary muscle spasms that occur after dorsiflexion of foot (risk for seizures)
, Proteinuria for preeclampsia and eclampsia preeclampsia: >300mg/24hr
Eclampsia: 5g/24hrs
Management of preeclampsia/eclampsia high protein, low salt diet, strict I&O (foley), bed rest and low stim,
antihypertensive, mag sulfate
What does magnesium sulfate do? prevents seizures, does not lower blood pressure
signs of magnesium sulfate toxicity depressed DTR, decreased urine output, decreased respiratory rate, muscle
weakness, decreased LOC
What do we assess when mom is on magnesium sulfate? LOC, headache, epigastric pain, visual disturbances, DTR, FHR and variability
Antidote for magnesium sulfate calcium gluconate; must be at bedside
Contraindications for Magnesium Sulfate myasthenia gravis (respiratory depression), severe renal failure, cardiac ischemia,
heart block, pulmonary edema, high mag or low calcium level
HELLP syndrome life-threatening pregnancy complication often associated with preeclampsia
HELLP syndrome stands for hemolysis, elevated liver enzymes, and low platelets
Signs of HELLP syndrome epigastric pain, n/v, malaise, edema, s/s of preeclampsia
Management of HELLP syndrome Mag sulfate, transfusion of FFP or platelets, delivery of fetus ASAP
Why do we avoid abdominal palpation in HELLP to reduce risk of subcapsular liver hematoma rupture
syndrome?
Gestational diabetes hyperglycemia and glucose intolerance that develops during pregnancy (after 20
weeks)
1hr glucose test we want it to be less than 130
