NURS 320 QUIZ 2 QUESTIONS AND
ANSWERS | NEW UPDATE 2025
High Risk Pregnancy overview - ANSWER -morbidity and mortality (if there is a
complication)
-Risk factors:
-->biophysical (genetics)
-->psychosocial (lifestyle, behaviors)
-->sociodemographic (ethnicity , healthcare, financial access)
-maternal age extremes (more likely to experience complications at these ages)
-->really young = <19 yrs
-->really old = >35 yrs
Leading causes of death in pregnancy - ANSWER -hemorrhage
-preeclampsia/eclampsia
-cardiac conditions
-thromboembolism
Chronic HTN - ANSWER *NO PROTEIN IN URINE*
-present before pregnancy
OR
-develops before 20 weeks
OR
-initially diagnosed during pregnancy but lasts longer than 6 weeks post-partum
,*may also have superimposed preeclampsia (new evidence of proteinuria or other
evidence of end organ damage)
Gestational HTN - ANSWER -onset of HTN WITHOUT proteinuria after 20
weeks
-may progress to preeclampsia but there is still not protein in urine
preeclampsia - ANSWER -unique to pregnancy
-HTN + proteinuria develop after 20 weeks
-classified as mild (140/90) or severe (160/110- signs of end organ damage)
-only "cure" of preeclampsia is delivery
-usually effects woman at age extremes
-most often effects women with a new partner- first pregnancy to a man
LABS:
-focus on Hgb, pH, BUN, AST , ALT, proteinuria
Normal AST - ANSWER 10-40
Normal ALT - ANSWER 7-56
preeclampsia pathophysiology - ANSWER -disruption in placental perfusion
and endothelial cell destruction (this is why protein is lost in the urine) leading to
vasospasm
-vasospasm--> poor perfusion in all organ systems *disease of end organs-liver,
kidneys, CNS, placenta, fetus
-poor perfusion and ischemia cause s/s associated with preeclampsia
, preeclampsia screening and diagnosis - ANSWER - no good screening tests so
diagnosis is based off of symptoms and assessment
Interview:
-h/a (b/c high bp), visual changes (retinal damage), epigastric pain (liver damage?)
Assessment:
-BP measurement (be consistent!)
-DTRs- biceps and patellar
-proteinuria- dipstick or 24 hr urine collection
-clonus- push toes back and foot JERKS back to place
Preeclampsia tx - ANSWER Mild preeclampsia (140/90)
-outpt
-activity
-diet (no modifications)
-monitoring (more freq visits)
Severe Preeclampsia (160/110)
-inpatient
-activity
-monitoring
-meds to control bp and prevent seizures
-delivery of baby!
Magnesium Sulfate - ANSWER -drug of choice to prevent and treat eclamptic
seizures
ANSWERS | NEW UPDATE 2025
High Risk Pregnancy overview - ANSWER -morbidity and mortality (if there is a
complication)
-Risk factors:
-->biophysical (genetics)
-->psychosocial (lifestyle, behaviors)
-->sociodemographic (ethnicity , healthcare, financial access)
-maternal age extremes (more likely to experience complications at these ages)
-->really young = <19 yrs
-->really old = >35 yrs
Leading causes of death in pregnancy - ANSWER -hemorrhage
-preeclampsia/eclampsia
-cardiac conditions
-thromboembolism
Chronic HTN - ANSWER *NO PROTEIN IN URINE*
-present before pregnancy
OR
-develops before 20 weeks
OR
-initially diagnosed during pregnancy but lasts longer than 6 weeks post-partum
,*may also have superimposed preeclampsia (new evidence of proteinuria or other
evidence of end organ damage)
Gestational HTN - ANSWER -onset of HTN WITHOUT proteinuria after 20
weeks
-may progress to preeclampsia but there is still not protein in urine
preeclampsia - ANSWER -unique to pregnancy
-HTN + proteinuria develop after 20 weeks
-classified as mild (140/90) or severe (160/110- signs of end organ damage)
-only "cure" of preeclampsia is delivery
-usually effects woman at age extremes
-most often effects women with a new partner- first pregnancy to a man
LABS:
-focus on Hgb, pH, BUN, AST , ALT, proteinuria
Normal AST - ANSWER 10-40
Normal ALT - ANSWER 7-56
preeclampsia pathophysiology - ANSWER -disruption in placental perfusion
and endothelial cell destruction (this is why protein is lost in the urine) leading to
vasospasm
-vasospasm--> poor perfusion in all organ systems *disease of end organs-liver,
kidneys, CNS, placenta, fetus
-poor perfusion and ischemia cause s/s associated with preeclampsia
, preeclampsia screening and diagnosis - ANSWER - no good screening tests so
diagnosis is based off of symptoms and assessment
Interview:
-h/a (b/c high bp), visual changes (retinal damage), epigastric pain (liver damage?)
Assessment:
-BP measurement (be consistent!)
-DTRs- biceps and patellar
-proteinuria- dipstick or 24 hr urine collection
-clonus- push toes back and foot JERKS back to place
Preeclampsia tx - ANSWER Mild preeclampsia (140/90)
-outpt
-activity
-diet (no modifications)
-monitoring (more freq visits)
Severe Preeclampsia (160/110)
-inpatient
-activity
-monitoring
-meds to control bp and prevent seizures
-delivery of baby!
Magnesium Sulfate - ANSWER -drug of choice to prevent and treat eclamptic
seizures
