ODP 3 FINAL PAPER QUESTIONS AND
CORRECT ANSWERS GRADED A+ STUDY
MATERIAL
●● Preeclampsia
Answer: increase in bp after 20 weeks with proteinuria and s/s in
previously normotensive woman
●● Eclampsia
Answer: the occurrence of a seizure in a woman with preeclampsia with
no other cause for seizure
●● Preeclampsia with severe features
Answer: 160/110, oliguria, pulmonary edema, renal insufficiency,
epigastric pain, thrombocytopenia, visual disturbances
●● Why does preeclampsia occur?
Answer: abnormal development in the placenta; less blood gets to the
placenta
●● Lab findings of preeclampsia
Answer: increased BUN, creatinine, uric acid levels, liver enzymes, and
P/C ratio >0.3mg, proteinuria
,●● clonus reflex
Answer: involuntary muscle spasms that occur after dorsiflexion of foot
(risk for seizures)
●● Proteinuria for preeclampsia and eclampsia
Answer: preeclampsia: >300mg/24hr
Eclampsia: 5g/24hrs
●● Management of preeclampsia/eclampsia
Answer: high protein, low salt diet, strict I&O (foley), bed rest and low
stim, antihypertensive, mag sulfate
●● What does magnesium sulfate do?
Answer: prevents seizures, does not lower blood pressure
●● signs of magnesium sulfate toxicity
Answer: depressed DTR, decreased urine output, decreased respiratory
rate, muscle weakness, decreased LOC
●● What do we assess when mom is on magnesium sulfate?
Answer: LOC, headache, epigastric pain, visual disturbances, DTR,
FHR and variability
, ●● Antidote for magnesium sulfate
Answer: calcium gluconate; must be at bedside
●● Contraindications for Magnesium Sulfate
Answer: myasthenia gravis (respiratory depression), severe renal failure,
cardiac ischemia, heart block, pulmonary edema, high mag or low
calcium level
●● HELLP syndrome
Answer: life-threatening pregnancy complication often associated with
preeclampsia
●● HELLP syndrome stands for
Answer: hemolysis, elevated liver enzymes, and low platelets
●● Signs of HELLP syndrome
Answer: epigastric pain, n/v, malaise, edema, s/s of preeclampsia
●● Management of HELLP syndrome
Answer: Mag sulfate, transfusion of FFP or platelets, delivery of fetus
ASAP
CORRECT ANSWERS GRADED A+ STUDY
MATERIAL
●● Preeclampsia
Answer: increase in bp after 20 weeks with proteinuria and s/s in
previously normotensive woman
●● Eclampsia
Answer: the occurrence of a seizure in a woman with preeclampsia with
no other cause for seizure
●● Preeclampsia with severe features
Answer: 160/110, oliguria, pulmonary edema, renal insufficiency,
epigastric pain, thrombocytopenia, visual disturbances
●● Why does preeclampsia occur?
Answer: abnormal development in the placenta; less blood gets to the
placenta
●● Lab findings of preeclampsia
Answer: increased BUN, creatinine, uric acid levels, liver enzymes, and
P/C ratio >0.3mg, proteinuria
,●● clonus reflex
Answer: involuntary muscle spasms that occur after dorsiflexion of foot
(risk for seizures)
●● Proteinuria for preeclampsia and eclampsia
Answer: preeclampsia: >300mg/24hr
Eclampsia: 5g/24hrs
●● Management of preeclampsia/eclampsia
Answer: high protein, low salt diet, strict I&O (foley), bed rest and low
stim, antihypertensive, mag sulfate
●● What does magnesium sulfate do?
Answer: prevents seizures, does not lower blood pressure
●● signs of magnesium sulfate toxicity
Answer: depressed DTR, decreased urine output, decreased respiratory
rate, muscle weakness, decreased LOC
●● What do we assess when mom is on magnesium sulfate?
Answer: LOC, headache, epigastric pain, visual disturbances, DTR,
FHR and variability
, ●● Antidote for magnesium sulfate
Answer: calcium gluconate; must be at bedside
●● Contraindications for Magnesium Sulfate
Answer: myasthenia gravis (respiratory depression), severe renal failure,
cardiac ischemia, heart block, pulmonary edema, high mag or low
calcium level
●● HELLP syndrome
Answer: life-threatening pregnancy complication often associated with
preeclampsia
●● HELLP syndrome stands for
Answer: hemolysis, elevated liver enzymes, and low platelets
●● Signs of HELLP syndrome
Answer: epigastric pain, n/v, malaise, edema, s/s of preeclampsia
●● Management of HELLP syndrome
Answer: Mag sulfate, transfusion of FFP or platelets, delivery of fetus
ASAP
