The nurse should be concerned a er the assessment finding on what during a magnesium
sulfate infusion for preeclampsia?
A. a sleepy, sedated effect
B. a respiratory rate of 10 bpm
C. DTR of 2+
D. absence of ankle clonus -correct answers B should alert the nurse for respiratory depression.
The other findings are considered normal.
the most common medical complica on of pregnancy -correct answers hypertension
preeclampsia results in what -correct answers decreased func on of organs (placenta, liver,
kidneys, brain) due to vasospasms diminishing the diameter of blood vessels .
a woman being treated with magnesium sulfate should be considered to be treated successfully
if... -correct answers no seizures occur
Mag is a CNS depressant, NOT an an hypertensive medica on
an dote for magnesium sulfate -correct answers calcium gluconate
HELLP syndrome -correct answers Hemolysis
,Elevated Liver enzymes
Low Platelets
A pregnant woman who is at 21 weeks of gesta on has an elevated blood pressure of 140/98.
Past medical history reveals that the woman has been treated for hypertension. On the basis of
this informa on, the nurse would classify this pa ent as having: -correct answers superimposed
preeclampsia
posi ve ankle clonus indicates... -correct answers hyperac vity and is a cause for concern
which an hypertensive medica on would cause a pregnant woman to have a false posi ve
Coombs test? -correct answers methyldopa (aldomet)
lab values for preeclampsia -correct answers elevated hemoglobin
elevated LDH
decreased platelets (below 100,000)
increased BUN
the most important cause of perinatal loss in diabe c pregnancy is... -correct answers
congenital malforma ons
hypothyroidism in mother could cause -correct answers miscarriage
preeclampsia and hypertension
placental abrup on
s llbirth
low birth weight, premature
,A pa ent who is pregnant already has Type 2 diabetes with a hemoglobin A1c value of 7. The
nurse would categorize this pa ent as having: -correct answers pregesta onal DM
priority assessment for pregnant woman experiencing nausea and vomi ng -correct answers
ketonuria
A pregnant woman has maternal phenylketonuria (PKU) and is interested in whether or not she
will be able to breas eed her baby. Which reac on by the nurse indicates accurate informa on?
-correct answers the pa ent should be advised to not breas eed the infant because her breast
milk will contain large amounts of phenylalanine
what interven ons would the nurse an cipate to be ordered by the physician for a pa ent in a
thyroid storm during delivery? -correct answers administer oxygen
an pyre cs
PTU
preeclampsia protein levels -correct answers mild: 1+ on dips ck (0.3-2 g/24 hours)
severe: 3+ dips ck (more than 5 g/24 hr)
mag toxicity -correct answers flushing
swea ng
hypotension
depressed DTR
respiratory depression
crea nine levels of severe preeclampsia -correct answers elevated (above 1.2)
, platelet levels of severe preeclampsia -correct answers decreased (below 100,000)
incompetent cervix -correct answers premature dila on
tx: surgical placement of cervical cerclage 10-14 weeks gesta on to constrict the internal os
provide bed rest, hydra on, tocolysis (to inhibit ctx), no sex or standing for a long me
removed at 37 weeks gesta on or prior to c/s
leading cause of life-threatening perinatal infec ons -correct answers GBS
can lead to sepsis, pneumonia, or meningi s causing permanent neuro disability
dx with vag and rectal cultures at 35-37 weeks
tx with an bio cs
opthalmia neonatorum is caused by what organism -correct answers gonorrhea (neisseria
gonorrhoeae)
mechanisms of labor -correct answers 1. engagement (lightening, dropping)
2. descent
3. flexion
5. internal rota on
6.. extension (begins a er the head crowns)
sulfate infusion for preeclampsia?
A. a sleepy, sedated effect
B. a respiratory rate of 10 bpm
C. DTR of 2+
D. absence of ankle clonus -correct answers B should alert the nurse for respiratory depression.
The other findings are considered normal.
the most common medical complica on of pregnancy -correct answers hypertension
preeclampsia results in what -correct answers decreased func on of organs (placenta, liver,
kidneys, brain) due to vasospasms diminishing the diameter of blood vessels .
a woman being treated with magnesium sulfate should be considered to be treated successfully
if... -correct answers no seizures occur
Mag is a CNS depressant, NOT an an hypertensive medica on
an dote for magnesium sulfate -correct answers calcium gluconate
HELLP syndrome -correct answers Hemolysis
,Elevated Liver enzymes
Low Platelets
A pregnant woman who is at 21 weeks of gesta on has an elevated blood pressure of 140/98.
Past medical history reveals that the woman has been treated for hypertension. On the basis of
this informa on, the nurse would classify this pa ent as having: -correct answers superimposed
preeclampsia
posi ve ankle clonus indicates... -correct answers hyperac vity and is a cause for concern
which an hypertensive medica on would cause a pregnant woman to have a false posi ve
Coombs test? -correct answers methyldopa (aldomet)
lab values for preeclampsia -correct answers elevated hemoglobin
elevated LDH
decreased platelets (below 100,000)
increased BUN
the most important cause of perinatal loss in diabe c pregnancy is... -correct answers
congenital malforma ons
hypothyroidism in mother could cause -correct answers miscarriage
preeclampsia and hypertension
placental abrup on
s llbirth
low birth weight, premature
,A pa ent who is pregnant already has Type 2 diabetes with a hemoglobin A1c value of 7. The
nurse would categorize this pa ent as having: -correct answers pregesta onal DM
priority assessment for pregnant woman experiencing nausea and vomi ng -correct answers
ketonuria
A pregnant woman has maternal phenylketonuria (PKU) and is interested in whether or not she
will be able to breas eed her baby. Which reac on by the nurse indicates accurate informa on?
-correct answers the pa ent should be advised to not breas eed the infant because her breast
milk will contain large amounts of phenylalanine
what interven ons would the nurse an cipate to be ordered by the physician for a pa ent in a
thyroid storm during delivery? -correct answers administer oxygen
an pyre cs
PTU
preeclampsia protein levels -correct answers mild: 1+ on dips ck (0.3-2 g/24 hours)
severe: 3+ dips ck (more than 5 g/24 hr)
mag toxicity -correct answers flushing
swea ng
hypotension
depressed DTR
respiratory depression
crea nine levels of severe preeclampsia -correct answers elevated (above 1.2)
, platelet levels of severe preeclampsia -correct answers decreased (below 100,000)
incompetent cervix -correct answers premature dila on
tx: surgical placement of cervical cerclage 10-14 weeks gesta on to constrict the internal os
provide bed rest, hydra on, tocolysis (to inhibit ctx), no sex or standing for a long me
removed at 37 weeks gesta on or prior to c/s
leading cause of life-threatening perinatal infec ons -correct answers GBS
can lead to sepsis, pneumonia, or meningi s causing permanent neuro disability
dx with vag and rectal cultures at 35-37 weeks
tx with an bio cs
opthalmia neonatorum is caused by what organism -correct answers gonorrhea (neisseria
gonorrhoeae)
mechanisms of labor -correct answers 1. engagement (lightening, dropping)
2. descent
3. flexion
5. internal rota on
6.. extension (begins a er the head crowns)
