100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
N4341 Latest Exam 2 (OB) Questions And Already Passed Answers. $10.29   Add to cart

Exam (elaborations)

N4341 Latest Exam 2 (OB) Questions And Already Passed Answers.

 2 views  0 purchase
  • Course
  • N4341
  • Institution
  • N4341

What BP during pregnancy is considered hypertensive? Severe hypertension? - Answer >140/90 severe: >160/110 Qualifications for chronic HTN during pregnancy (2) - Answer HTN before 20 weeks OR lasting >12 weeks after PP What are the types of hypertensive disorders associated...

[Show more]

Preview 3 out of 19  pages

  • October 26, 2024
  • 19
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • N4341
  • N4341
avatar-seller
COCOSOLUTIONS
N4341 Latest Exam 2 (OB) Questions
And Already Passed Answers.
What BP during pregnancy is considered hypertensive?

Severe hypertension? - Answer >140/90

severe: >160/110



Qualifications for chronic HTN during pregnancy (2) - Answer HTN before 20 weeks

OR

lasting >12 weeks after PP



What are the types of hypertensive disorders associated with pregnancy? (5) - Answer gestational HTN
(no protein in urine)

preeclampsia (protein in urine)

eclampsia (pre-e w/ seizures)

HELLP (hemolysis of RBC, elevated liver enzyme, low platelets)

chronic HTN with superimposed preeclampsia



Risk factors for hypertensive disorders during pregnancy (6) - Answer first child w/ new partner

hydatidiform mole

diabetes

multiple gestation (twins)

primigravida

age extremes of <17 or >40



Discuss the scoring of fetal station - Answer -4 = floating

0 = at ischial spines

+4 = crowning

,Define when gestational HTN occurs - Answer after 20 weeks

OR

within first 24h after delivery w/out protein in urine



To be considered hypertensive, blood pressure must be _____ on ____ occasions at least _____ apart. -
Answer BP >140/90 on 2 separate occasions at least 6 hours apart



When is gestational HTN expected to return to normal?

Otherwise what? - Answer BP will return to normal ~12 weeks after delivery

otherwise it's now chronic HTN



What are the defining characteristics of preeclampsia? (2) - Answer proteinuria of +1 on dipstick OR
>300mg in 24hr urine

edema of face, hands, sacrum



Complications of preeclampsia to mother (7) - Answer pulmonary edema

oliguria

thrombocytopenia

headaches

hyperreflexia

blurred vision

seizures



Pregnant mother with preeclampsia is complaining of right upper quadrant pain, what do you suspect? -
Answer liver involvement from pre-e



How does preeclampsia affect fetal heart rate? (2) - Answer *pre-e reduces placental perfusion*

late decels

↓ variability

, Effects of pre-e on fetus (3) - Answer IUGR

fetal hypoxia (AEB late decels and ↓ variability)

oligohydramnios (<500)



Why would glucocorticoids be prescribed for a pre-e mom? - Answer for fetal lung maturity (in case
delivers preterm) given to ↑ surfactant production in fetus

*takes ~48h to kick in, must repeat q 7 days



What is the average fluid restriction to manage pre-e? - Answer 125 mL/hr



What is the MOA of MgSO₄? (2)

What does each MOA result in? - Answer ↓CNS excitability ∴ seizure prevention

smooth muscle relaxer ∴ ↓BP (watch it doesn't go too low!)



Note regarding using pitocin with magnesium (2) - Answer pitocin does NOT ↑BP

will need to use more pitocin to induce ctx ∵ mag being a smooth muscle relaxer



MgSO₄ should be used cautiously if patient has what type of preexisting condition? - Answer renal
impairment



Patient with pre-e now experiences a seizure, this is now classified as ________. What will you prepare
for? - Answer now classified as eclampsia

prepare for delivery!



Pregnant patient with chronic HTN now presents with +2 protein in urine, what is this classified as?

At greater risk for what? (2) - Answer classified as chronic HTN w/ pre-e

↑ risk of intracranial bleed and abruption



Patient on MgSO₄ drip has decreasing deep tendon reflexes, what is happening?

S/S (4) - Answer ↓ DTR = mag toxicity!

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller COCOSOLUTIONS. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $10.29. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

85169 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$10.29
  • (0)
  Add to cart