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RNC-NIC Review Maternal Risk Factors Questions with correct Answers
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RNC-NIC Review Maternal Risk Factors
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RNC-NIC Review Maternal Risk FactorsAnemia - answer need for additional iron
What can anemia cause and s/s - answer preterm labor/delivery or LBW
tired, weak, pale, SOB
Sickle Cell Anemia - answer will need O2
need pain management during preg
Gestational HTN
-when is it diagnosed
-requirements for diagnosis - answer after 20wks
140/90. x2 every 4-6hrs within 1 week
NO proteinuria
#1 Cause of maternal morbidity/mortality - answerHTN in pregnancy
Pre-eclampsia - answerpersistent state of vasoconstriction with endothelial cell damage
2-7%. primigravidas
Pre-E diagnosis - answerHTN and proteinuria >20wks
Pre-E Triad - answerHTN, proteinurea, edema
edema is not always present though
Pre E can be diagnosed without protienurea if... - answerlow plts, high LFT's, CRT >1.1
or doubling, pulmonary edema, cerebral or vision changes
Eclampsia - answerHTN with seizure activity
-after 20wks
-more common in 3rd trimester
-can occur post delivery
Chronic HTN - answerbefore 20wks
usually diagnosed before preg
, Chronic HTN with superimposed preeclampsia - answeremergence of s/s of Pre E in
previously HTN pt
HELLP syndrome - answerH: hemolysis (of RBC's)
EL: elevated liver enzymes
LP: low plt count
typically occurs in 3rd trimester
S/S of HELLP - answerheadaches
N/V
fatigue
upper R abd pain
Diagnosis of HELLP - answerBP
urine tests
peripheral blood smear
liver enzymes
HELLP tx - answertreat the symptoms
will not subside until infant is delivered
will deliver at 34wks
Cytomegalovirus (CMV) - answerviral genome double stranded DNA of herpes fam
most common cognitional viral infection
most severe when primary infection is in 1st tri
CMV is found in - answersaliva
urine
blood
breast milk
semen/cervical fluid
Toxoplasmosis - answercaused by intracellular protozoan parasite toxoplasma gondii
acquired by poorly cooked meat or cat feces
highest risk to infant when primary acute infection occurs during preg
Syphilis - answercaused by Treponema pallidum - thin motile spirochete
spread by sexual contact
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