MED SURG III EXAM 2026 TEST PAPER SOLVED
QUESTIONS AND SOLUTIONS
◉ Discuss the care of pregnant women who use, abuse, or are
dependent on alcohol or illicit or prescription drugs Answer: A and
P of illegal drugs how it interacts with pregnancy, be a cheerleader
and support, lots of community resources, social services for help,
Tx detoxification, starting a new life.
◉ Hypertension in Pregnancy Answer: Associated with placental
abruption.
◉ Gestational Hypertension Answer: Epigastric pain, severe
persistant headache, blurred vision or dizziness, reduced urine
output. , BP of 140/90 or greater (no proteinuria or edema). BP
returns to baseline by 6 weeks postpartum. , HTN that begins after
20 weeks. Can develop in the first 24 hours after birth.
◉ Transient Hypertension Answer: Gestational hypertension, with
no other signs of preeclampsia, is present at time of birth; resolves
by 12 weeks after birth.
◉ Eclampsia Answer: a toxic condition characterized by convulsions
and possibly coma during or immediately after pregnancy. The
,occurence of seizures in a woman with preeclampsia that can not be
attributed to other causes.
◉ Chronic Hypertension Answer: present and observable before
pregnancy or develops before 20 weeks of gestation., high blood
pressure which lasts longer that 12 weeks after delivery.
◉ Preeclampsia superimposed on chronic hypertension Answer:
chronic HTN w/ new proteinuria or exacerbation of HTN (
previously well controlled) or protienuria, thrombocytopenia, or
increases in hepatocellular enzymes.
◉ Morbidity Answer: 'Refers to ill health in an individual and the
levels of ill health in a population or group.'
◉ Mortality Answer: Death rate
◉ Protienuria Answer: elevated protien in urine; protien is too big to
be filtered., abnormally high amount of protien in the urine, usually
indicates a pathologic condition, can be caused by stress or
strenuous exercise. Albumin Protien. Should be based upon a 24
hour urine collection q 6 hours.
◉ Severe Preeclampsia Answer: BP of 160/100 --proteinuria 3 to 4+,
oliguria, visual disturbances, cardiac/pulmonary involvement,
, thrombocytopenia. Hydrolazine is given. Tertiary Care Center
treatment. May be a Obstetric critical care unit.
◉ Hydralazine Answer: the agent of choice to treat any of the PIH
related HTNs., *Arteriole dilator., A vasodilator that relaxes blood
vessels so that blood can flow more easily. Lowers blood pressure
with prevents strokes.
◉ HELLP Syndrome Answer: Hemolysis, Elevated Liver enzymes,
Low Platelet
◉ Mild Preeclampsia Answer: Urine protien is less than 300mg in a
24 hour urine collection. Assessment 2-3 times a week. May monitor
while patient is still at home. Fetal movement counted daily. Bed rest
in lateral recumbant position
◉ Tocolytics Answer: Tocolytics (also called anti-contraction
medications or labor repressants) are medications used to suppress
premature labor (from the Greek tokos, childbirth, and lytic, capable
of dissolving). They are given when delivery would result in
premature birth. The therapy also buys time for the administration
of betamethasone, a glucocorticoid drug which greatly accelerates
fetal lung maturity, but takes one to two days to work., Medication
used for cessation of uterine contraction
QUESTIONS AND SOLUTIONS
◉ Discuss the care of pregnant women who use, abuse, or are
dependent on alcohol or illicit or prescription drugs Answer: A and
P of illegal drugs how it interacts with pregnancy, be a cheerleader
and support, lots of community resources, social services for help,
Tx detoxification, starting a new life.
◉ Hypertension in Pregnancy Answer: Associated with placental
abruption.
◉ Gestational Hypertension Answer: Epigastric pain, severe
persistant headache, blurred vision or dizziness, reduced urine
output. , BP of 140/90 or greater (no proteinuria or edema). BP
returns to baseline by 6 weeks postpartum. , HTN that begins after
20 weeks. Can develop in the first 24 hours after birth.
◉ Transient Hypertension Answer: Gestational hypertension, with
no other signs of preeclampsia, is present at time of birth; resolves
by 12 weeks after birth.
◉ Eclampsia Answer: a toxic condition characterized by convulsions
and possibly coma during or immediately after pregnancy. The
,occurence of seizures in a woman with preeclampsia that can not be
attributed to other causes.
◉ Chronic Hypertension Answer: present and observable before
pregnancy or develops before 20 weeks of gestation., high blood
pressure which lasts longer that 12 weeks after delivery.
◉ Preeclampsia superimposed on chronic hypertension Answer:
chronic HTN w/ new proteinuria or exacerbation of HTN (
previously well controlled) or protienuria, thrombocytopenia, or
increases in hepatocellular enzymes.
◉ Morbidity Answer: 'Refers to ill health in an individual and the
levels of ill health in a population or group.'
◉ Mortality Answer: Death rate
◉ Protienuria Answer: elevated protien in urine; protien is too big to
be filtered., abnormally high amount of protien in the urine, usually
indicates a pathologic condition, can be caused by stress or
strenuous exercise. Albumin Protien. Should be based upon a 24
hour urine collection q 6 hours.
◉ Severe Preeclampsia Answer: BP of 160/100 --proteinuria 3 to 4+,
oliguria, visual disturbances, cardiac/pulmonary involvement,
, thrombocytopenia. Hydrolazine is given. Tertiary Care Center
treatment. May be a Obstetric critical care unit.
◉ Hydralazine Answer: the agent of choice to treat any of the PIH
related HTNs., *Arteriole dilator., A vasodilator that relaxes blood
vessels so that blood can flow more easily. Lowers blood pressure
with prevents strokes.
◉ HELLP Syndrome Answer: Hemolysis, Elevated Liver enzymes,
Low Platelet
◉ Mild Preeclampsia Answer: Urine protien is less than 300mg in a
24 hour urine collection. Assessment 2-3 times a week. May monitor
while patient is still at home. Fetal movement counted daily. Bed rest
in lateral recumbant position
◉ Tocolytics Answer: Tocolytics (also called anti-contraction
medications or labor repressants) are medications used to suppress
premature labor (from the Greek tokos, childbirth, and lytic, capable
of dissolving). They are given when delivery would result in
premature birth. The therapy also buys time for the administration
of betamethasone, a glucocorticoid drug which greatly accelerates
fetal lung maturity, but takes one to two days to work., Medication
used for cessation of uterine contraction
