Maternal Newborn ATI Study Guide (Graded A)

Maternal Newborn ATI Study Guide HELLP syndrome - H-hemolysis EL-elevated liver enzymes (ALT & AST) LP- low platelets (levels below 100,000) hemolysis can result in ___ - anemia What meds are given for gestational HTN, mild pre eclampia, and severe pre-eclampsia - antihypertensives (methyldopa, nifedipine, hydralazine, labetalol What meds are given for eclampsia - anticonvulsant (magnsium sulfate) antihypertensives (methyldopa, nifedipine, hydralazine, lebetalol) Important point for magnesium sulfate - monitor patient for magnesium toxicity s/s of mag toxicity - no reflexes, low urine output, low respirations, decreased LOC, dysrhythmias Antidote for magnesium sulfate toxicity - calcium gluconate Tests to determine if mother is in preterm labor - swab of vaginal secretions What does swab of vaginal secretions determine? - if there is fetal fibronectin Meds for preterm contractions -nifedipine (calcium channel blocker) -Magnesium (relaxes smooth muscle of uterus) -indomethacin (NSAID) -betamethasone What is betamethasone used for? - promotion of fetal lung maturity Premature rupture of membranes is a major cause of ___ - infection If premature rupture of membranes has occurred, what is done: -nitrazine paper test -positive ferning test Nitrazine paper test should turn which color if there is ruptured membranes - blue What is client given during premature rupture of membranes? -antibiotics -betamethasone