Hypertensive Disorders in Pregnancy

Question 1

The cardinal signs of preeclampsia are

Answer 1

Hypertension and proteinuria

Question 2

The only complete and definitive cure for preeclampsia is

Answer 2

Termination of pregnancy (i.e. delivery)

Question 3

The primary goal of nursing care of a woman who has preeclampsia is

Answer 3

The prevention of seizures

Question 4

The highest priority of nursing care for a woman who has preeclampsia is

Answer 4

Initiate anticonvulsive therapy

Question 5

Preeclamsia is a disease of

Answer 5

diminished organ perfusion, central nervous irritability, high blood pressure, protein in urine

Question 6

Gestational hypertension is characterized by

Answer 6

hypertension that is gone by 8 - 12 weeks postpartum

Question 7

What is true about preeclampsia?

Answer 7

It is typically a disease of first time pregnant women, it can develop postpartum, it can lead to postpartum hemorrhage, it is often seen in women with multigestation

Question 8

The difference between preeclampsia and eclampsia is

Answer 8

a seizure

Question 9

What is true about chronic hypertension

Answer 9

????????

Question 10

Given a 4 gram loading dose over 30 minutes. The medication comes prepackaged to the floor as 40 grams of magnesium in 1,000 cc of LR. Given the concentration of magnesium, how many cc of medication will the nurse administer in 40 minutes?

Answer 10

200cc/30 min

Question 11

What is the leading cause of maternal mortality worldwide?

Answer 11

Preeclampsia

Question 12

What urine protein diagnosis a hypertensive disorder

Answer 12

more than 300 mg of protein in 24 hours

Question 13

What blood pressure diagnosis is needed for hypertensive disorders?

Answer 13

greater than 140/90 in two readings 4 hours apart after 20 weeks

Question 14

What are the 4 hypertensive disorders in pregnancy?

Answer 14

preeclampsia/eclampsia, chronic hypertension, chronic hypertension with supraimposted preeclampsia, gestational hypertension

Question 15

What is preeclampsia?

Answer 15

a pregnancy specific disease that develops after 20 weeks gestation in an otherwise normatensive woman

Question 16

What are some risks for preelampsia?

Answer 16

chronic renal disease, chronic htn, family hx of preeclampsia, multiple gestations, first baby with new partner, primigravida, maternal age (younger than 19; older than 40)

Question 17

What are the teaching focuses for preeclampsia?

Answer 17

importance of rest and quiet, assessment and documenting symptoms, increasing comfort

Question 18

What are some medical interventions for preeclampsia?

Answer 18

bed rest, BP and pulse monitoring, fetal well being monitoring, (NST), seizure precautions

Question 19

What is the goal of medications in preeclampsia?

Answer 19

to reduce the risk of seizure and decrease organ damage and increase the ability of blood to flow to the fetus

Question 20

What is the magnesium sulfate antidote?

Answer 20

Calcium gluconate

Question 21

What are some nursing actions with magnesium sulfate?

Answer 21

monitor output via foley, NPO, keep patient quiet, prepare for side effects, monitor fetal response

Question 22

What do you have to check every hour on magnesium sulfate?

Answer 22

Output, lungs, respirations, and BP

Question 23

What often happens after delivery to woman on magnesium sulfate?

Answer 23

They often bleed after delivery because of muscle relaxation

Question 24

What is gestational hypertension?

Answer 24

The onset of hypertension WITHOUT proteinuria after 20 weeks gestation

Question 25

What is the final diagnosis of gestational hypertension?

Answer 25

Made postpartum by the evidence of the BP returning to normal.

Question 26

How do you now if it was chronic hypertension, and not just gestational?

Answer 26

If it DOES NOT return to normal at 12 weeks portpartum

Question 27

How is chronic hypertension usually treated?

Answer 27

Oral antihypertensive medications and close monitoring

Question 28

How do you have the gateway to managing all hypertensive disorders in pregnancy?

Answer 28

Learn to manage preeclampsia

Question 29

What is the issue vs side effect in preeclampsia?

Answer 29

Issue is CNS irritability; hypertension is side effect