NR327 Exam 2 Real Practice test Complete questions and answers

NR327 Exam 2 Real Practice test Complete questions and answers Preeclampsia - CORRECT ANSWER-abnormal condition associated with pregnancy, marked by high blood pressure, proteinuria, edema, and headache o Increased BP after 20 weeks gestation o Develops in the last half of pregnancy oCauses- unknown but there is generalized vasospasm with decreased the diameter of blood vessels resulting in endothelial cell damage Preeclampsia symptoms - CORRECT ANSWER-§ can develop & worsen rapidly taking it from mild to severe · Early symptoms are not noticed quickly §BP for mild 140/90) around and severe (160/110) around brisk deep tendon reflexes, visual changes, headache, edema in face and legs mild preclampsia management - CORRECT ANSWER-Can be done at home! bed-rest Daily BPS daily blood pressure meds daily weights urine increased surveillance (high risk) severe preclampsia management - CORRECT ANSWER-hospital bedrest daily BP BP meds mag sulfate seizure precautions LRs weights daily urine 24 hour Preeclampsia treatment - CORRECT ANSWER-§ Only cure is delivery & this is based on severity & gestational age § Treat the symptoms through medications BP medications (labetalol etc.) & Magnesium Sulfate §Manage the pregnancy Preeclampsia fetal complications - CORRECT ANSWER-§ Small growth because of blood flow constriction § Late decelerations § Respiratory distress § Stillborns § Preterm infants § Placental abruption § Hypoexemia & acidosis to the fetus §Long term development delays and health issues Magnesium Sulfate - CORRECT ANSWER-BURP- every hour on the hour § B-decreased blood pressure (massive) § U- decreased urine output (less than 30mls/hr § R- decreased respirations (less than 12) §P- decreased patellar reflexes/ deep tendon reflexes Preeclampsia Postpartum Care - CORRECT ANSWER-§ seizures can occur during the 24 hours post birth § Goal: stabilization of the BP § Activity: bedrest § Medications: · IV therapy of Magnesium sulfate for 24 hours post delivery · Therapeutic level - 4 - 8 mg/dL · Watch for Magnesium Toxicity §Assessment: blood loss, monitor for eclampsia for 48 hours frequent deep tendon assessments, CNS assessment, mag serum levels & urine output, frequent Vital Signs, Monitor for HELLP syndrome Eclampsia - CORRECT ANSWER-Marked by one or more generalized seizures Eclampsia management - CORRECT ANSWER-§ Prevent seizure, delivery of infant § Bedrest § Meds- IV therapy of magnesium sulfate for 24 hours after delivery § Assessment- monitor §Same fetal complications as preeclampsia HELLP syndrome - CORRECT ANSWER-§ Hemolysis § Elevated liver enzymes § Low platelet count § Epigastric pain!! · ½ of the women have preeclamsia · can occur in the 3rd trimester or postpartum period up to 7 days post delivery HELLP symptoms - CORRECT ANSWER-malaise, epigstric or right upper quadrant abdominal pain, nausea, and vomiting. (many DO NOT have S/S of severe preeclampsia)` HELLP fetal complications - CORRECT ANSWER-o IUGR o Preterm o Abruption o Infant respiratory distress syndrom