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SICK OF MATERNAL > PIH > Flashcards

PIH Flashcards

1
Q

preterm PROM occurs when

A

before 37 weeks

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2
Q

cause of PROM

A

infetion
obstetrical procedure

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3
Q

in term PROM labor often begins when

A

24hrs after membrane ruptures

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4
Q

in preterm PROM labor is

A

delayed a week

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5
Q

management of PROM depends on

A

AOG
Fetus health
Severity

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6
Q

two options of management for PROM

A

delivery

expectant management

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7
Q

medications for PROM

A

tocolytics
betamethasone
prophylactic antibiotics

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8
Q

slows or stops contractions

A

Tocolytics

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9
Q

speed up lung development in preterm babies

A

betamethasone

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10
Q

90% of PROM treatment will go into

A

spontaneous labor

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11
Q

safest option of treatment of PROM

A

delivering within 24hrs

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12
Q

helps with the fetus’s brain

A

Magnesium sulfate

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13
Q

hypertension developing after 20th weak of gestation

A

PIH

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14
Q

toxin produced by a woman response to foreign protein of the growing fetus

A

Toxemia

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15
Q

cause of PIH

A

autoimmunie reaction to antigens

Protein deficiency theory

endothelin theory

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16
Q

what is endothelin theory

A

endothelin are potent vasocinstrictors

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17
Q

predisposing factors of PIH

A

calcium & vit c deficiency

Poor nutrition

young maternal age

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18
Q

edema only occurs after hypertension in PIH (T/F)

A

TRUE

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19
Q

140/90
no proteinuria/edema

A

Gestational hypertension

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20
Q

Gestational H returns to normal within

A

12 WEEKS postpartum

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21
Q

PIH with edema, prteinuria and weight gain >2lbs per week in 2nd tri

A

Mild preeclampsia

22
Q

160/110

3/4 urine sample

extensive edema

cerebral edema

A

Sever pre eclampsia

23
Q

most sever PIH

coma occurs

fetal prognosis

GRAVER PROGNOSIS

seizures

A

Eclampsia

24
Q

Effects of eclampsia: cardio

A

decreased co

hemoconcentration

Thrombocytopenia

25
Q

Effects of eclampsia: endocrine & metabolic

A

increased RENIN, ANGIOTENSIN, ALDOSTERONE, ADH

increased edema

26
Q

Effects of eclampsia: renal

A

reduced renal perfusion, glomerular filtration

elevatedcreatinine

proteinuria

decreased excretion of calcium

27
Q

PIH managment; initial hospitalization

A

CBC

liver function test

daily weighs

28
Q

PIH: Diet changes

A

less 2g sodium

eat roughage foods

29
Q

fluid therapy for PIH

A

crystalloid infusion

Lactated ringer’s solution 100ML/HOUR

30
Q

PIH bed position

A

lateral recumbent position

31
Q

lab test include

A

proteinuria
creatinine
hematocrit

32
Q

drug for convulsion

A

Magnesium sulfate

33
Q

for magnesium sulfate seziure stops at 1st dose (T/F)

A

TRUE

34
Q

indication of magnesium sulfate

A

depress cns ; blocks acetylcholine

reduce edema

(muscle relaxant)

35
Q

dose of m sulfate

A

4-6g; 20mins infused

maintenance dose: 1-2g/hr piggy back

36
Q

before administering m sulfate what is assessed

A

rr : >12-14
UO: 100ml/4hrs
DTR: present
serum magnesium levels: 7mg

37
Q

loss of DTR is a sign of

A

hYPERMAGNESEMIA

38
Q

side effects of m sulfate

A

mama: confusion, flushing cns depression

baby: tachycard, hypogly,calc,magnesemia

39
Q

given 5mg first followed by 5 - 10 mg q20

A

Hydralazine

40
Q

given 20mg q10 to 300mg

A

Labetalol

41
Q

given 5-10mg q5;q10 observing respiratory depression

A

diazepam

42
Q

signs of convulsions

A

epigastric pain

severe headache

severe nausea, vomiting

43
Q

responsibilities of nurse during convulsion

A

airway maintenance

INJURY PROTECTION

44
Q

signs of placental abruption

A

v bleeding
abd pain
decreased fetal act

45
Q

nursing resp aft convulsion

A

take vs

suction nasopharynx ; adm 02

46
Q

used if mgSO4 cant control convulsions

A

Diazepam

47
Q

u should give something to client when mildy awake

A

False, should be fully awake

48
Q

once patient is stabilized delivery commence within

A

3-6hrs

49
Q

often ysed to ripen cervix

A

Prostaglandin E2

50
Q

given continously after 24hrs of delivery to prepare for convulsions

A

MgS04 therapy

51
Q

BP & PR are checked postpartum when

A

q4hrs for 2days

SICK OF MATERNAL (4 decks)

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