NURS 218 Maternal Newborn Final– Questions With Applicable Solutions

NURS 218 Maternal Newborn Final

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Terms in this set (63)


BP 140/90 develops during pregnancy, no protein in
Gestational hypertension
urine

BP 140/90 develops after 20th week of pregnancy
pre-eclampsia/eclampsia
there is protein in urine

BP OF 140/90 develops prior to pregnancy. there is no
chronic hypertension
protein in urine

pre eclampsia super BP of 140/90 HTN prior to pregnancy and then pre-
imposed on chronic eclampsia develops in pregnancy. there is protein in
hypertension urine

• Teenagers or > 35
• Primigravida
risk factors for pre- • Hx of pre eclampsia
eclampsia • Rh incompatibility
• Diabetes
. multiple gestation

HA, hyperreflexia, visual changes, irritability,
epigastric pain, edema of face/hands/abdomen,
s/s of preeclampsia
oliguria, swelling in the hands and legs, sudden
weight gain

home/hospital care, bedrest, left lateral position,
Pre-eclampsia
urine dipstick, I/O specific gravity, increase protein
management
and high fiber, reflexes, antenatal testing

, seizure precaution, maternal-fetal monitoring,
severe preeclampsia
anticonvulsants, antihypertensive, corticosteroids,
management
fluid and electrolyte replacement

-primary goal is to deliver a healthy baby and restore
women to healthy state.
-most important management decision: timing of
delivery
treatment for pre- -prevent maternal seizures- bed rest(left side) in a
eclampsia dark quiet room .
-magenesium sulfate-smooth muscle relaxant and cns
depressant
-therapeutic level of mag sulfate 4-8mg
-toxicity 9mg or greater

respiratory depression(less than 12)
-decreased urine output(less than 30 ml/hr)
-reflexes disappear, hypotension
S/S of magnesium toxicity
-decreased level of consciousness, cardiac
dysrhythmia
-IMMEDIATELY DISCONTINUE INFUSION

-magnesium sulfate(antieizure/lowers BP)
-Hydrazalazine hydrochloride(lowers BP)
pharmacology used to -Labetalol hydrochloride(lowers bp)
treat pre-eclampsia -nifedipine(lowers bp)
-sodium nitroprusside(rapidly lowers bp)
-Furosemide-diuretics

VS/FHR
REFLEXES
LOC
magnesium sulfate nursing
I/O
considerations
THERAPEUTIC LEVELS
SIDE EFFECTS/TOXIC EFFECTS
ANTIDOTE-CALCIUM GLUCONATE