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OU ABSN N3143 FAMILY FOCUS KONRAD EXAM 2 (QUESTIONS & ANSWERS) 100% CORRECT, SCORED A+
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OU ABSN N3143 FAMILY FOCUS KONRAD EXAM 2 (QUESTIONS & ANSWERS) 100% CORRECT, SCORED A+
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OU ABSN N3143FAMILY FOCUS
KONRAD EXAM 2
(QUESTIONS &
ANSWERS) 100%
CORRECT, SCORED A+
Evatee 9/7/24 ABSN N3143
,OU ABSN N3143 FAMILY FOCUS KONRAD
EXAM 2 (QUESTIONS & ANSWERS) 100%
CORRECT, SCORED A+
What is a "High Risk Pregnancy"? Answer - NIH definition: pregnancy that
threatens the life of health or life of the mother or fetus
•Existing health conditions- HTN, DM, HIV+
•Obesity- increased risk for HTN, preeclampsia, GDM, stillbirth, neural tube
defects, c-section
•Multiple gestation- increased risk for complications especially preterm birth
•Young maternal age- less than 18 years
•Advanced maternal age- over 35 years
Psychological considerations to high-risk pregnancy Answer - -increase
vulnerability, anxiety, low self-esteem, guilt, frustration, & inability to fx.
-stress & anxiety increase inflammation levels which can lead to preterm birth
-Pregnancy stress can affect parental attachment b/c of fear of loss
Nursing Role in Antepartal
Assessment for Risk Answer - •Provide education (especially for risk signs &
normal progression)
•Anticipatory planning
•Counseling for family adaptation (postpartum depression risk)
,•Support person
•Guide through testing (affirmation support & encouragement)
Significance and Incidence of Hypertensive Disorders Answer - •Common
medical complication of pregnancy
-Hypertensive disorders are a major cause of perinatal morbidity and mortality
worldwide due to the following:
*Uteroplacental insufficiency
*Premature birth
•Of maternal deaths worldwide, 10% to 15% can be attributed to preeclampsia
and eclampsia.
•Preeclampsia accounts for more than 50,000 maternal deaths each year.
Risks of HTN in pregnancy Answer - Uteroplacental insufficiency
Premature labor
Morbidity and Mortality- Hypertensive Disorders of Pregnancy Answer -
Morbidity
Vascular Issues
•Renal failure
•Coagulopathy
•Cardiac or liver failure
•Placental abruption
•Seizures
, •Stroke
•Mortality
•Pregnancy-related hypertension accounts for 10% to 15% of maternal deaths
worldwide.
Chronic hypertension related to pregnancy & associated increased incidence of
pregnancy problems Answer - *Ideally the management of chronic
hypertension in pregnancy begins before conception
Associated with increased incidence of the following:
•Abruptio placentae
•Superimposed preeclampsia
•Increased perinatal mortality
*IUGR (intrauterine growth restriction)= microcosmic infant
*Preterm birth
Chronic Hypertension Answer - Hypertension present before pregnancy or
diagnosed before week 20 of gestation
Chronic Hypertension with Superimposed Preeclampsia Answer - •Women
with chronic hypertension may acquire preeclampsia or eclampsia
•Diagnosis focuses on labs
-Proteinuria
-Changes in liver enzymes
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