Hypertensive Disorders in Pregnancy Flashcards
The cardinal signs of preeclampsia are
Hypertension and proteinuria
The only complete and definitive cure for preeclampsia is
Termination of pregnancy (i.e. delivery)
The primary goal of nursing care of a woman who has preeclampsia is
The prevention of seizures
The highest priority of nursing care for a woman who has preeclampsia is
Initiate anticonvulsive therapy
Preeclamsia is a disease of
diminished organ perfusion, central nervous irritability, high blood pressure, protein in urine
Gestational hypertension is characterized by
hypertension that is gone by 8 - 12 weeks postpartum
What is true about preeclampsia?
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
The difference between preeclampsia and eclampsia is
a seizure
What is true about chronic hypertension
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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?
200cc/30 min
What is the leading cause of maternal mortality worldwide?
Preeclampsia
What urine protein diagnosis a hypertensive disorder
more than 300 mg of protein in 24 hours
What blood pressure diagnosis is needed for hypertensive disorders?
greater than 140/90 in two readings 4 hours apart after 20 weeks
What are the 4 hypertensive disorders in pregnancy?
preeclampsia/eclampsia, chronic hypertension, chronic hypertension with supraimposted preeclampsia, gestational hypertension
What is preeclampsia?
a pregnancy specific disease that develops after 20 weeks gestation in an otherwise normatensive woman
What are some risks for preelampsia?
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)
What are the teaching focuses for preeclampsia?
importance of rest and quiet, assessment and documenting symptoms, increasing comfort
What are some medical interventions for preeclampsia?
bed rest, BP and pulse monitoring, fetal well being monitoring, (NST), seizure precautions
What is the goal of medications in preeclampsia?
to reduce the risk of seizure and decrease organ damage and increase the ability of blood to flow to the fetus
What is the magnesium sulfate antidote?
Calcium gluconate
What are some nursing actions with magnesium sulfate?
monitor output via foley, NPO, keep patient quiet, prepare for side effects, monitor fetal response
What do you have to check every hour on magnesium sulfate?
Output, lungs, respirations, and BP
What often happens after delivery to woman on magnesium sulfate?
They often bleed after delivery because of muscle relaxation
What is gestational hypertension?
The onset of hypertension WITHOUT proteinuria after 20 weeks gestation
