PRE-ECLAMPSIA

Question 1

Gestational Hypertension is a condition in which ______ occurs in both small and large arteries.

Answer 1

vasospasm

Question 2

Preeclampsia in pregnancy-related disease process is evidenced by

Answer 2

blood pressure and proteinuria

Question 3

older term for preeclampsia is

Answer 3

Toxemia of pregnancy

Question 4

patients with this syndrome are much more likely to develop preeclampsia

Answer 4

Antiphospholipid Syndrome (APS)

Question 5

ischemia in the pancreas can result in

Answer 5

*epigastric pain
*elevated amylase-creatinine ratio

Question 6

a hematocrit level above __ suggests significant fluid loss into interstitial spaces.

Answer 6

40%

Question 7

A person is said to have gestational hypertension when they:

Answer 7

*have an elevated blood pressure (140/90 mmHg) after 20 weeks of gestation.
*no proteinuria and edema

Question 8

Pre-eclampsia w/o severe features:

Answer 8

*1+ on a urine dip or 300 mg
*bp rise to 140/90 mmHg taken on two occasions at least 4 hours apart.
*0.3 or higher on protein-creatine ratio

Question 9

Pre-eclampsia with severe features:

Answer 9

*bp rises to 160/110 mmHg at least two occasions 4 hours apart
*epigastric pain
*platelet count less than 100,000
*pulmonary edema
*hyperreflexia
*ankle clonus

Question 10

Gestational hypertension with seizure

Answer 10

Eclampsia

Question 11

low dose aspirin

Answer 11

81 mg, sold as baby aspirin

Question 12

excessive salicylic levels can cause

Answer 12

hemorrhage at the time of birth

Question 13

In 24 hours, a patient with preeclampsia spills protein of

Answer 13

between 0.5 to 1g of protein (1+ on a random sample)

Question 14

A patient with severe features spills protein approximately

Answer 14

5g per 24 hours (3+ to 4+ on an individual specimen)

Question 15

A urine protein-creatine ratio is above __ with preeclampsia

Answer 15

0.3

Question 16

what is the diet management for preeclampsia

Answer 16

A diet moderate to high in protein and moderate in sodium

Question 17

are prescribed to reduce hypertension

Answer 17

hypotensive drugs such as hydralazine, labetalol, or nifedipine

Question 18

when administering hypotensive drugs, diastolic pressure should not be lowered below

Answer 18

80 to 90 mmHg

Question 19

Remains the drug of choice to prevent eclampsia

Answer 19

Magnesium Sulfate

Question 20

Before administering magnesium sulfate, ensure urine output is

Answer 20

at least 30 mL per hour

Question 21

The easiest deep tendon reflex to assess is the

Answer 21

patellar reflex

Question 22

For magnesium toxicity, this should be kept ready

Answer 22

10% calcium gluconate solution (1g)

Question 23

Magnesium sulfate is continued for _ to _ hours after birth to prevent eclampsia

Answer 23

12 to 24 hours

Question 24

Tonic phase seizure lasts approximately

Answer 24

20 seconds

Question 25

The clonic stage of a seizure lasts up to

Answer 25

1 minute

Question 26

The priority care for a patient with a tonic-clonic seizure is to maintain a

Answer 26

patent airway

Question 27

For eclampsia, what medications by IV may be administered as emergency measures

Answer 27

Magnesium Sulfate and Diazepam