©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
NUR 113 Unit 3 Study Guide with
Complete Solutions
Chronic Hypertension - Ans:✔✔-History > BP 140/90 prior to pregnancy, during, & after pregnancy
Meds:
labetalol - BETA blocker (slows HR and force)
nifedipine - antianginal calcium channel blocker slows down calcium ions that slow the heart down
methyldopa - alpha-2 agonist releases/relaxes blood vessels to make blood pass easier
a client will not be on meds unless it reaches that dangerous threshold
Gestational Hypertension - Ans:✔✔-> BP in pregnancy (140/90 mm Hg) or systolic elevation of > 30
+diastolic elevation of > 15
No proteinuria
Page 1/125
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
BP resolves after birth within 12 weeks
Preeclampsia/
Eclampsia - Ans:✔✔-Most common
Hypertension occurs at or >20 wks
Previous normotensive Proteinuria
Progressive
Chronic Hypertension with superimposed preeclampsia or eclampsia - Ans:✔✔-Worsening >20wk
> Serum uric acid
*normally uric acid is 6.8 (anything higher than that is the only thing that stands out for superimposed
preeclampsia)*
*urine protein > 300*
preeclampsia - Ans:✔✔-is increased blood pressure in pregnancy after 20 weeks gestation accompanied
by proteinuria in a previously normotensive woman.
Page 2/125
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
*urine protein > 300*
eclampsia definition - Ans:✔✔-the occurrence of a seizure in a woman with preeclampsia who has no
other cause for a seizure.
risk factors (PIH) - Ans:✔✔-First pregnancy
Age younger than 18 years or older than 40 years
Prior history of preeclampsia
African American race
Medical risk factors:
Twins or multiples
Page 3/125
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
Family history
Current theories (PIH) - Ans:✔✔-1. Abnormal trophoblast invasion
2. Dietary deficiencies
3. Genetic abnormalities
4. Immunologic response to partially foreign genetic placental & fetal tissue.
5. Stimulation of the inflammatory system by the cardiovascular changes of pregnancy
Pathophysiology OF PIH - Ans:✔✔-The normal response during pregnancy is to lower the peripheral
vascular resistance and to increase maternal resistance to the pressor effects of Angiotensin II results in
lowering the blood pressure.
Gradual loss of resistance to angiotensin II occurs for preeclampsia women.
Page 4/125
FIRST PUBLISH OCTOBER 2024
NUR 113 Unit 3 Study Guide with
Complete Solutions
Chronic Hypertension - Ans:✔✔-History > BP 140/90 prior to pregnancy, during, & after pregnancy
Meds:
labetalol - BETA blocker (slows HR and force)
nifedipine - antianginal calcium channel blocker slows down calcium ions that slow the heart down
methyldopa - alpha-2 agonist releases/relaxes blood vessels to make blood pass easier
a client will not be on meds unless it reaches that dangerous threshold
Gestational Hypertension - Ans:✔✔-> BP in pregnancy (140/90 mm Hg) or systolic elevation of > 30
+diastolic elevation of > 15
No proteinuria
Page 1/125
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
BP resolves after birth within 12 weeks
Preeclampsia/
Eclampsia - Ans:✔✔-Most common
Hypertension occurs at or >20 wks
Previous normotensive Proteinuria
Progressive
Chronic Hypertension with superimposed preeclampsia or eclampsia - Ans:✔✔-Worsening >20wk
> Serum uric acid
*normally uric acid is 6.8 (anything higher than that is the only thing that stands out for superimposed
preeclampsia)*
*urine protein > 300*
preeclampsia - Ans:✔✔-is increased blood pressure in pregnancy after 20 weeks gestation accompanied
by proteinuria in a previously normotensive woman.
Page 2/125
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
*urine protein > 300*
eclampsia definition - Ans:✔✔-the occurrence of a seizure in a woman with preeclampsia who has no
other cause for a seizure.
risk factors (PIH) - Ans:✔✔-First pregnancy
Age younger than 18 years or older than 40 years
Prior history of preeclampsia
African American race
Medical risk factors:
Twins or multiples
Page 3/125
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
Family history
Current theories (PIH) - Ans:✔✔-1. Abnormal trophoblast invasion
2. Dietary deficiencies
3. Genetic abnormalities
4. Immunologic response to partially foreign genetic placental & fetal tissue.
5. Stimulation of the inflammatory system by the cardiovascular changes of pregnancy
Pathophysiology OF PIH - Ans:✔✔-The normal response during pregnancy is to lower the peripheral
vascular resistance and to increase maternal resistance to the pressor effects of Angiotensin II results in
lowering the blood pressure.
Gradual loss of resistance to angiotensin II occurs for preeclampsia women.
Page 4/125
