NUR 211 Final 2 - Answer pregnancy induced hypertension 2. what a...

NUR 211 Final 2

• What is preeclampsia?

Answer pregnancy induced hypertension

• what are some S/s of preeclampsia

Answer -high blood pressure -protein in their urine -swelling, headaches -blurred vision

• what are some nursing interventions for preeclampsia

Answer -monitor BP -monitor DTR (clonus response) -monitor fetal activity -frequent rest periods, maybe bedrest -- Monitor neurological status (seizures)--monitor urine

• If you begin to have with preeclampsia, you're considered to have

eclampsia.

Answer seizures

• what food would you tell your patient to consume more of as to not put them at risk for

preeclampsia

Answer protein

• What are some complications your patient might experience with preeclampsia 1 / 4

Answer -Fetal growth restriction -Preterm birth -Placental abruption

• what is gestational diabetes

Answer Occurs in pregnancy in clients not previously diagnosed as a diabetic

• What are some risk factors for your Gestational diabetic patient

Answer

• >35

-BMI> 30 -non-white -history of LGA para -glycosuria

• what are some S/S of gestational diabetes

Answer -excessive thirst -Hunger -weight loss -frequent urination -blurred vision -frequent UTI's -LGA fetus

• Gestational diabetes interventions

Answer -diet -insulin -exercise -monitor weight 2 / 4

• check BGL

-Monitor for signs of infection

• In GDM, a higher amount of blood glucose passes through the placenta into the fetal

circulation. As a result, extra glucose in the fetus is stored as body fat causing

Answer macrosomia

**birth weight greater then 4000g (8.9 lbs)

• woman with type 1 diabetes usually returns to levels of

insulin administration

Answer prepregnant

• Substance abuse places the pregnancy at risk for

Answer abruptio placentae

• Complications of gestational hypertension

Answer

• Abruptio placentae
• Disseminated intravascular coagulation
• Thrombocytopenia

**all blood related

• What is abruptio placentae?

Answer premature separation of the placenta from the uterine wall

• When does abruptio placentae usually occur?

Answer after 20 weeks of gestation, which is usually in 3rd trimester 3 / 4

• what is the leading cause of maternal death

Answer abruptio placenta

• abruptio placenta risk factors

Answer Ï Maternal hypertension (chronic or gestational) Ï Blunt external abdominal trauma (motor- vehicle crash, maternal battering)

Ï Cocaine use resulting in vasoconstriction Ï Previous incidents of abruptio placenta Ï Cigarette smoking

• Abruptio placentae expected findings

Answer -sudden onset of intense-localized uterine pain with dark red vaginal bleeding

-area of uterine tenderness can be localized or diffuse over the uterus and boardlike -contractions with hypertonicity -fetal distress -clinical findings of hypovolemic shock

• Abruptio placentae laboratory tests

Answer

• Hgb and Hct decreased

• Coagulation factors decreased
• Clotting defects (disseminated intravascular coagulation)
• Cross and type match for possible blood transfusions
• Kleihauer-Betke test (used to detect fetal blood in maternal circulation)

• Abruptio placentae nursing care

Answer -palpate uterus for tenderness and tone,

-measure fundal height -assess FHR -Immediate birth is the management

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