Deck 1

Question 1

Preeclampsia

Answer 1

a condition that can occur during pregnancy, where a woman develops high blood pressure and problems with organs like the liver and kidneys. It can affect both the mother and the baby and usually happens in the second half of pregnancy.

Question 2

Symptoms of preeclampsia

Answer 2

include high blood pressure, swelling, and protein in the urine.

Question 3

Placenta Previa

Answer 3

When the placenta abnormally implants in the lower segment of the uterus near, or over the cervical os - instead of attaching to the fundus

Question 4

Symptoms of placenta Previa

Answer 4

PAINLESS bright red vaginal bleeding

Question 5

Refrain from what with placenta Previa

Answer 5

Refrain from vaginal exams - can exacerbate bleeding. Put on external fetal monitor to monitor mom and baby simultaneously. (Mom on bed rest)

Question 6

Cervical insufficiency

Answer 6

Premature cervical dilation

Question 7

Cervical insufficiency signs and symptoms

Answer 7

Pink stained discharge, urge to push

Question 8

Magnesium sulfate

Answer 8

Used to treat eclampsia to treat seizures. Used to prevent preterm labor.(used prophylactically)

Question 9

Magnesium sulfate toxicity

Answer 9

absence of reflexes (DTRs)
• Low urine output <30ml/1hr - report to provider and discontinue medication
• Bradypnea RR <12 BPM
• Have calcium gluconate present - the antidote

Question 10

What do you give for magnesium sulfate toxicity

Answer 10

Calcium gluconate

Question 11

Betamethasone is used for

Answer 11

Enhances fetal lung maturity & surfactant production
• Used for potential preterm labor

Question 12

Betamethasone dosage

Answer 12

Two 12mg doses, given 24 hours apart -

Question 13

Betamethasone side effects

Answer 13

Flushing, sweating, high BP

Question 14

Understand what actions to implement on a 37-week gestation client with severe pre-eclampsia.

Answer 14

Dark room
• Have Mag sulfate order
• Have calcium gluconate ready
• Monitor vital signs closely

Question 15

Understand the risk factors for placental abruption.

Answer 15

MOST COMMON RISK FACTOR = Maternal hypertension (chronic or gestational)

Question 16

Understand what the manifestations are seen with urinary tract infection and preterm labor.

Answer 16

Pelvic discomfort
• Backache
• Increased vaginal discharge
• Urinary symptoms

Question 17

Understand what to prepare for if placenta previa is suspected and the client who is 40 weeks gestation has saturated two perineal pads within 30 minutes.

Answer 17

Possible c-section call the provider

Question 18

Understand what to give to the client who is in preterm labor with L/S ratio of 1:1.

Answer 18

Betamethasone

Question 19

Understand deep tendon reflexes

Answer 19

these are hyperactive in preeclampsia

Question 20

A nonstress test depends upon fetal movement. What can make a fetus more active?

Answer 20

Giving mom a snack or juice, blood sugar = increases fetal activity

Question 21

What are Tocolytic medications?

Answer 21

used to relax the uterus in preterm labor.