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N4341 Latest Exam 2 (OB) Questions And Already Passed Answers. $10.29   Add to cart

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

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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...

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  • October 26, 2024
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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!

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