Hypertensive disorders of pregnancy: 4 DONE

Question 1

just know the whole deck

Chronic hypertension

Diagnosed before how many weeks of gestation?
Systolic greater than?
Diastolic greater than?

Answer 1

Prior to pregnancy or diagnosed before 20 weeks gestation

Systolic greater than or equal to 140 OR diastolic greater than or equal to 90

Question 2

Gestational hypertension

Diagnosed after how many weeks of gestation?

Systolic greater than?
Diastolic greater than?

Answer 2

Diagnosed after 20 weeks gestation

Systolic greater than or equal to 140 or diastolic greater than or equal to 90

Question 3

Chronic hypertension with superimposed preeclampsia

BP greater than?
what’s not required for diagnosis?
Diagnosis made with?

Answer 3

BP greater than 140/90, on two occasions 4 hours apart after 20 weeks gestation

Proteinuria with or without other signs/symptoms (>300mg in 24-hour sample)

Proteinuria is not required for diagnosis

preeclampsia diagnosis made with BP and other features such as headache, blurry vision, edema.

Question 4

Severe Preeclampsia

BP greater than?
what else?

What is Eclampsia?

Answer 4

BP greater than 160/110 on 2 occasions, 4 hours apart

Persistent oliguria < 30mL/hour

Eclampsia: Seizure manifestation of preeclampsia: often present with neuro symptoms

Question 5

HELLP syndrome

what is it?
often present with?

Answer 5

Hemolysis,
Elevated Liver enzymes
Low Platelets

Often present with nausea, RUQ pain, malaise

Question 6

Nursing care for hypertension

Thorough assessment?
Fetal surveillance?
Labs?
Medications

Answer 6

Thorough assessment
-Accurate blood pressure (manual cuff preferred)
-Reflexes and clonus
-Edema
-Neurological assessment
-Intake/output

■Fetal surveillance
-Kick counts
-Non stress test,
-BPPs

■Labs
-CBC,
-AST/ALT
-Creatinine,
-Coagulation, uric acid, LDH
-24 hour urine, etc.

■Medications
-Severe HTN: labetalol, hydralazine IV
-Magnesium sulfate for seizure prevention (not effective at lowering BP