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NRN 102 (CH 14)
CCAC NRN 102 Pregnancy at Risk; Gestational Conditions (CH14)
| Question | Answer |
|---|---|
| What is the definition of hypertension? | Systolic >140, Diastolic > 90 |
| Blood Pressure elevation detected first time after midpregnancy without proteinuria | Gestational Hypertension |
| Gestational hypertension with no signs of preeclampsia present at the time of birth and hypertension resolves by 12 weeks after birth; this is a retrospective diagnosis | Transient hypertension |
| Pregnancy-specific syndrome that usually occurs after 20 weeks of gestation and is determined by gestational hypertension plus proteinuria | Preecalampsia |
| The occurence of seizures in a woman with preeclampsia that cannot be attributed to other causes | Eclampsia |
| Hypertension that is present and observable before pregnancy or that is diagnosed before 20 weeks gestation | Chronic Hypertension |
| Chronic hypertension with new proteinuria or an exacerbation of hypertension or proteinuria, thrombocytopenia, or increases in hepatocellular enzymes | Preeclampsia superimposed on chronic hypertension |
| Proteinuria is defined as a concentration of | 30mg/dl or more in at least 2 random urine specimens collected at least 6 hours apart with no urinary tract infection |
| What are the characteristics of HELLP syndrome? | hemolysis, elevated liver enzymes, low platelets (less than 100,000) |
| Describe 3+ reflexes | More brisk than expected, slightly hyperactive |
| What is the treatment of preeclampsia? | Magnesium Sulfate |
| What is the antedote for Magnesium Sulfate? | Calcium Gluconate |
| Bleeding during early pregnancy is nothing to worry about. | False, it is alarming to the pregnant woman and of concern to health care professionals |
| A pregnancy that ends without medical or surgical method before 20 weeks of gestation | miscarriage or spontaneous abortion |
| What are the types of miscarriage? | Threatened, inevitable, incomplete, complete, and missed |
| What are the signs of miscarriage? | presence of uterine bleeding, uterine contractions, uterine pain |
| A pegnancy in which the fertilized ovum is implanted outside the uterine cavity is | Ectopic pregnancy |
| Treatment for unruptured ectopic pregnancy is | Methotrexate |
| What are causes of late pregnancy bleeding? | Placenta previa, premature seperation of the placenta, variations in the insertion of the cord and placenta |
| Painless vaginal bleeding in late pegnancy | Placenta previa |
| Painful vaginal bleeding in late pregnancy | Abruptio placenta |