RNC-NIC REVIEW MATERNAL RISK
FACTORS
Anemia - ANSWER: need for more iron.
What may anemia cause and s/s - ANSWER preterm labor, delivery, or LBW
weary, feeble, pallid, SOB.
Sickle Cell Anemia: ANSWER will require oxygen.
Need pain management during pregnancy.
Gestational HTN
-When is it diagnosed?
-requirements for diagnosis - ANSWER after 20 weeks
140/90. x2 every 4-6 hours for one week.
No proteinurea.
#1 Cause of Maternal Morbidity/Mortality: HTN during pregnancy
Pre-eclampsia - ANSWER: chronic vasoconstriction with endothelial cell
destruction.
,2-7%. primigravidas
Pre-E diagnosis - ANSWER HTN and proteinuria >20 weeks.
Pre-E Triad: ANSWER HTN, proteinuria, edema
However, edema does not always occur.
Pre-eclampsia can be diagnosed without proteinuria if... - ANSWER low plts,
high LFT's, CRT >1.1 or doubling, pulmonary edema, brain or visual
abnormalities
Eclampsia: ANSWER HTN with seizure activity.
-After 20 weeks
-more common throughout the third trimester.
-can occur after delivery.
Chronic HTN - ANSWER before 20 weeks
Usually detected before pregnancy.
Chronic HTN with superimposed preeclampsia - ANSWER the appearance of
s/s of Pre E in previously HTN pt
, HELLP syndrome, ANSWER H: hemolysis (of RBCs)
EL = increased liver enzymes.
LP: low PLT count.
Typically occurs during the third trimester.
S/S of HELLP: ANSWER headaches
N/V
fatigue
Upper R abdominal ache
Diagnosis of HELLP - Answer: BP
Urine testing.
A peripheral blood smear.
Liver enzymes
HELLP TX - ANSWER: Treat the symptoms
Will not subside till the infant is delivered.
Will deliver at 34 weeks.
FACTORS
Anemia - ANSWER: need for more iron.
What may anemia cause and s/s - ANSWER preterm labor, delivery, or LBW
weary, feeble, pallid, SOB.
Sickle Cell Anemia: ANSWER will require oxygen.
Need pain management during pregnancy.
Gestational HTN
-When is it diagnosed?
-requirements for diagnosis - ANSWER after 20 weeks
140/90. x2 every 4-6 hours for one week.
No proteinurea.
#1 Cause of Maternal Morbidity/Mortality: HTN during pregnancy
Pre-eclampsia - ANSWER: chronic vasoconstriction with endothelial cell
destruction.
,2-7%. primigravidas
Pre-E diagnosis - ANSWER HTN and proteinuria >20 weeks.
Pre-E Triad: ANSWER HTN, proteinuria, edema
However, edema does not always occur.
Pre-eclampsia can be diagnosed without proteinuria if... - ANSWER low plts,
high LFT's, CRT >1.1 or doubling, pulmonary edema, brain or visual
abnormalities
Eclampsia: ANSWER HTN with seizure activity.
-After 20 weeks
-more common throughout the third trimester.
-can occur after delivery.
Chronic HTN - ANSWER before 20 weeks
Usually detected before pregnancy.
Chronic HTN with superimposed preeclampsia - ANSWER the appearance of
s/s of Pre E in previously HTN pt
, HELLP syndrome, ANSWER H: hemolysis (of RBCs)
EL = increased liver enzymes.
LP: low PLT count.
Typically occurs during the third trimester.
S/S of HELLP: ANSWER headaches
N/V
fatigue
Upper R abdominal ache
Diagnosis of HELLP - Answer: BP
Urine testing.
A peripheral blood smear.
Liver enzymes
HELLP TX - ANSWER: Treat the symptoms
Will not subside till the infant is delivered.
Will deliver at 34 weeks.
