Test #1 for ad. antepartum blue print

Question 1

hemoglobin & hematocrit findings in preeclampsia

Answer 1

increase
hemoconcentration
fluid moves from intravascular to extracellular spaces causing edema

Question 2

platelet counts in preeclampsia

Answer 2

decreased
reflects severity of preeclampsia
<100,000 platelets is severe preeclampsia

Question 3

serum uric acid

Answer 3

increased

renal excretion of uric acid decreases that why serum uric acid increase

Question 4

BUN

Answer 4

normal = mild preeclampsia
increase = decrease in renal blood flow and glomerular filtration rate indicates increasing severity of preeclampsia
Doubling of BUN represents a 50% reduction in renal blood flow

Question 5

serum creatinine

Answer 5

normal= mild preeclampsia
increased= decrease in renal blood flow and glomerular filtration rate indicates increasing severity of preeclampsia
Doubling of serum creatinine represents a 50% reduction in renal blood flow
>1.2 in progressive preeclampsia

Question 6

creatinine clearance

Answer 6

decreased
may be normal in mild preeclampsia
decreased in severe preeclampsia
more useful measure than single serum creatinine value

Question 7

AST

Answer 7

elevated
liver cell damage
serious complication of preeclampsia is subcapsular hemorrhage in the liver

Question 8

ALT

Answer 8

elevated
liver cell damage
serious complication of preeclampsia is subcapsular hemorrhage in the liver

Question 9

Fibrinogen

Answer 9

Low

measures blood clotting ability; abnormal clotting function is indicative of severe disease

Question 10

Fibrin split products

Answer 10

presents

measure blood clotting ability; abnormal clotting function is indicative of severe disease

Question 11

Prothrombin time

Answer 11

prolonged

measure blood clotting ability; abnormal clotting function is indicative of severe disease

Question 12

Partial prothrombin time

Answer 12

prolonged

measure blood clotting ability; abnormal clotting function is indicative of severe disease

Question 13

urine protein dipstick

Answer 13

increased
3+ and 4+ in severe disease
+2 indicates need for 24 hour urine collection

Question 14

urine protein (24 hours)

Answer 14

increase protein
the damaged glomerulus allows proteins to escape into urine
300mg in 24 hours or 1g/L in preeclampsia
5g/L in 24 hours in severe disease

Question 15

urine volume

Answer 15

decreased 
hypovolemia 
hypoperfusion 
renal compromise
less than 400-500mL in 24 hours in severe disease

Question 16

home management for mild preeclampsia

Answer 16

bedrest
home blood pressure
daily fetal kick count
biweekly prenatal testing
frequent office or home visits for assessment of blood pressure and other symptomatology.
access medical care 24 hours a day
**if develops severe preeclampsia or fetal prenatal testing is nonreassuring hospitalization is required for duration of pregnancy