Case Study Preeclampsia Eclampsia Quizzes With Correct Solutions Graded A+ Pass 100%
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Course
Nursing
Institution
Nursing
Assessment findings expected with mild preeclampsia - CORRECT ANSWER -1. BP
140/90 or higher on 2 separate occasions taken 6 hrs apart
2. Proteinuria: 1-2 + dipstick. 24 hr urine with greater than 2g-3g/L
3. ⬆️ creatinine
4. Normal platelet count
5. Normal liver enzymes
6. Edema
7. May...
Case Study Preeclampsia Eclampsia Quizzes With
Correct Solutions Graded A+ Pass 100%
Assessment findings expected with mild preeclampsia - CORRECT ANSWER ✔✔ -1. BP
140/90 or higher on 2 separate occasions taken 6 hrs apart
2. Proteinuria: 1-2 + dipstick. 24 hr urine with greater than 2g-3g/L
3. ⬆️ creatinine
4. Normal platelet count
5. Normal liver enzymes
6. Edema
7. Maybe decreased o2 sat
Assessment findings we might see with severe preeclampsia (fetal) - CORRECT ANSWER ✔✔
-IUGR and SGA, oligohydramnios, bradycardia, recurrent lates, decreased variability
Assessment findings we might see with severe preeclampsia (maternal) - CORRECT ANSWER
✔✔ -1. BP 160/110 or higher on 2 separate occasions 6 hrs apart and on bedrest
2. Proteinuria: 3-4 + dipstick in 2 samples taken 4 hrs apart, or 5 g/L or higher in 24 hr sample
3. Creatinine > 2mg/dL
4. Rapid decrease in platelet count (thrombocytopenia <100,000)
5. Hyperreflexia and clonus
6. Headaches, blurred vision, scotomata
,7. Persistent epigastric pain or RUQ pain
8. Elevated liver enzymes
9. 1-4+ pitting edema
10. Dyspnea, SOB, and moist sounds (pulm. Edema)
11. HELLP syndrome
12. DIC
Chronic hypertension - CORRECT ANSWER ✔✔ -Exists prior to pregnancy or before 20th
week w/o proteinuria and doesn't resolve postpartum
Chronic hypertension with superimposed preeclampsia - CORRECT ANSWER ✔✔ -
Hypertension before 20th week with onset of proteinuria
Complications of preeclampsia-eclampsia ☹️ - CORRECT ANSWER ✔✔ -Seizures
DIC
Pulmonary edema-cough, SOB, dyspnea
Acute renal tubular necrosis
HELLP
Chronic HTN
Aspiration
Circulatory and kidney failure
, Cerebral bleeds (most serious from uncontrolled HTN)
Placenta abruptio
Ruptured liver
Coma
Death
Reoccurrence in future pregnancies
Fetal-premature labor and birth, interruptions in oxygen pathway resulting in hypoxia and
metabolic acidosis, stillborn
Describe the abnormal transition that occurs with pregnancy and leads to hypertensive problems
(preeclampsia) - CORRECT ANSWER ✔✔ -There is an imbalance between prostaglandin and
thromboxane (constrictor) and there is a decreased production in nitrous oxide so vessels remain
constricted. Vessels fail to transform and remain thick walled (cells are cytotrophic).
Describe the normal transition that should happen to the vessels in pregnancy - CORRECT
ANSWER ✔✔ -Uterine spiral arteries transform from thick to flaccid which accomodates the
increased circulating blood volume. This supported by angiogenesis, prostaglandin balancing
with thromboxane, and nitrous oxide
Do not give magnesium sulfate if: - CORRECT ANSWER ✔✔ -1. Respirations are less than 12,
slow or shallow because mag can cause respiratory depression and cardiac arrest
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