Nsg 210 exam study guide test with
100% correct answers
Pre-eclampsia - ANS most common hypertensive disorder of pregnancy, develops with
proteinuria after 20 weeks' gestation
Eclampsia - ANS Onset of seizure activity in a woman with preeclampsia.
Gestational Hyperternsion - ANS blood pressure elevation (140/90 mm Hg) identified after 20
weeks' gestation without proteinuria.
Blood pressure returns to normal by 12 weeks' postpartum.
Supplementation with this during the 1st trimester significantly reduces gestation HTN and fetal
distress in primigravida women? - ANS Progesterone
S/S of severe preeclampsia - ANS >160/110 BP
W/out seizures
Headache
Oliguria
Blurred vision, scotomata (blind spots)
Pulmonary edema
Thrombocytopenia (platelet count <100,000 platelets/mm3)
Cerebral disturbances
Epigastric or RUQ pain
HELLP
S/S eclampsia - ANS >160/110 BP
with seizures
Severe headache
Generalized edema
RUQ or epigastric pain
Visual disturbances
Cerebral hemorrhage
Renal failure
HELLP
What are the 2 stage of pre-eclampsia? - ANS 1st-wide spread vaso spasm
2nd-woman's response to abnormal placentation, when symptoms appear, that is, hypertension,
proteinuria, and edema due to hypoperfusion.
,Management of pre-eclampsia (Home) - ANS Bed rest
Rest in lateral recumbent position to improve uteroplacental blood flow, decrease BP, promote
diuresis
More frequent doctor visits and labs (CBC, liver enzymes, clotting studies, platelet levels)
Client will monitor BP every 4-6 hrs while awake
Client will measure protein in urine
Weigh Daily
Balanced nutritional diet with no salt
Drink 6-8 8 oz water/day
Mgmt of pre-eclampsia (Hospital) - ANS Monitor for s/s of severe pre-eclampsia
Bp recorded frequently
Daily weights (excessive weight gain from edema)
Fetal movement counts
Nonstress test
Ultrasound (tetal growth and amniotic fluid)
Watchful waiting
Medications for pre-eclampsia - ANS IV Magnesium sulfate to prevent seizures and
antihypertensives
Severe pre-clampsia requires immediate hospitalization when - ANS Sudden onset
BP >160/110
Proteinuria (>5 g in 24 hrs)
Oliguria (<400 mL in 24 hrs)
Cerebral and visual disturbances
Rapid weight gain
Treated aggressively
Serious threat to mom and baby
Nursing Intervention for severe preeclampsia includes - ANS Complete bed rest
Left lateral position
Dark/quiet room
High protein diet
8-10 glasses water day
Monitor I&Os every hour
administer fluid and electrolyte replacements as ordered
Assess for S/S of PE (crackles, wheezes, dyspnea, decreased O2 sat levels, cough, cough
neck vein distention, anxiety, and restlessness)
Same for HELLP
Women with severe pre-clampsia in labor will get - ANS Oxytocin (contractions) and mag
sulfate (seizure prevention)
, Vaginal birth preferred to C-section
PGE 2 gel to ripen cervix
Pediatrician and Neonatologist in delivery room
Mag sulfate doses - ANS Load dose 4-6 g/5 min
Maintenance dose 2 g/hr
Monitor for toxicity
With high doses watch for respiratory depression, hypocalcemia, hypotonia
Assess DTR and clonus
Newborn may have respiratory depression, loss of reflexes, muscle weakness, and neurological
depression
Labs in HELLP - ANS Decreased HCT
Elevated LDH, AST, ALT, BUN, creatinine, bilirubin, and uric acid
Decreased Platelets (<100,000 cells/mm3)
HELLP - ANS hemolysis, elevated liver enzymes, low platelet count
Clonus - ANS rhythmic involuntary contractions, most often at the foot or ankle.
CNS involvement if sustained
HELLP increases risk for - ANS Cerebral hemorrhage
retinal detachment
hematoma/liver rupture
renal failure
DIC
placental abruption
maternal death
S/S of eclamptic seizure - ANS Life threatening emergency requires immediate treatment
Starts with facial twitching
Muscle rigidity
Protrusion of eyes
Foam at mouth
Respiration ceases (fetal oxygentation compromised)
Complications include tongue biting
head trauma
broken bones
aspiration
coma
Mgmt of eclamptic (or any) seizure - ANS Clear airway
Admin O2
Left side lying
100% correct answers
Pre-eclampsia - ANS most common hypertensive disorder of pregnancy, develops with
proteinuria after 20 weeks' gestation
Eclampsia - ANS Onset of seizure activity in a woman with preeclampsia.
Gestational Hyperternsion - ANS blood pressure elevation (140/90 mm Hg) identified after 20
weeks' gestation without proteinuria.
Blood pressure returns to normal by 12 weeks' postpartum.
Supplementation with this during the 1st trimester significantly reduces gestation HTN and fetal
distress in primigravida women? - ANS Progesterone
S/S of severe preeclampsia - ANS >160/110 BP
W/out seizures
Headache
Oliguria
Blurred vision, scotomata (blind spots)
Pulmonary edema
Thrombocytopenia (platelet count <100,000 platelets/mm3)
Cerebral disturbances
Epigastric or RUQ pain
HELLP
S/S eclampsia - ANS >160/110 BP
with seizures
Severe headache
Generalized edema
RUQ or epigastric pain
Visual disturbances
Cerebral hemorrhage
Renal failure
HELLP
What are the 2 stage of pre-eclampsia? - ANS 1st-wide spread vaso spasm
2nd-woman's response to abnormal placentation, when symptoms appear, that is, hypertension,
proteinuria, and edema due to hypoperfusion.
,Management of pre-eclampsia (Home) - ANS Bed rest
Rest in lateral recumbent position to improve uteroplacental blood flow, decrease BP, promote
diuresis
More frequent doctor visits and labs (CBC, liver enzymes, clotting studies, platelet levels)
Client will monitor BP every 4-6 hrs while awake
Client will measure protein in urine
Weigh Daily
Balanced nutritional diet with no salt
Drink 6-8 8 oz water/day
Mgmt of pre-eclampsia (Hospital) - ANS Monitor for s/s of severe pre-eclampsia
Bp recorded frequently
Daily weights (excessive weight gain from edema)
Fetal movement counts
Nonstress test
Ultrasound (tetal growth and amniotic fluid)
Watchful waiting
Medications for pre-eclampsia - ANS IV Magnesium sulfate to prevent seizures and
antihypertensives
Severe pre-clampsia requires immediate hospitalization when - ANS Sudden onset
BP >160/110
Proteinuria (>5 g in 24 hrs)
Oliguria (<400 mL in 24 hrs)
Cerebral and visual disturbances
Rapid weight gain
Treated aggressively
Serious threat to mom and baby
Nursing Intervention for severe preeclampsia includes - ANS Complete bed rest
Left lateral position
Dark/quiet room
High protein diet
8-10 glasses water day
Monitor I&Os every hour
administer fluid and electrolyte replacements as ordered
Assess for S/S of PE (crackles, wheezes, dyspnea, decreased O2 sat levels, cough, cough
neck vein distention, anxiety, and restlessness)
Same for HELLP
Women with severe pre-clampsia in labor will get - ANS Oxytocin (contractions) and mag
sulfate (seizure prevention)
, Vaginal birth preferred to C-section
PGE 2 gel to ripen cervix
Pediatrician and Neonatologist in delivery room
Mag sulfate doses - ANS Load dose 4-6 g/5 min
Maintenance dose 2 g/hr
Monitor for toxicity
With high doses watch for respiratory depression, hypocalcemia, hypotonia
Assess DTR and clonus
Newborn may have respiratory depression, loss of reflexes, muscle weakness, and neurological
depression
Labs in HELLP - ANS Decreased HCT
Elevated LDH, AST, ALT, BUN, creatinine, bilirubin, and uric acid
Decreased Platelets (<100,000 cells/mm3)
HELLP - ANS hemolysis, elevated liver enzymes, low platelet count
Clonus - ANS rhythmic involuntary contractions, most often at the foot or ankle.
CNS involvement if sustained
HELLP increases risk for - ANS Cerebral hemorrhage
retinal detachment
hematoma/liver rupture
renal failure
DIC
placental abruption
maternal death
S/S of eclamptic seizure - ANS Life threatening emergency requires immediate treatment
Starts with facial twitching
Muscle rigidity
Protrusion of eyes
Foam at mouth
Respiration ceases (fetal oxygentation compromised)
Complications include tongue biting
head trauma
broken bones
aspiration
coma
Mgmt of eclamptic (or any) seizure - ANS Clear airway
Admin O2
Left side lying
