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NUR 113 Unit 3 Exam Questions and Answers 100% Pass Chronic Hypertension - History > BP 140/90 prior to pregnancy, during, & after pregnancy Meds: labetalol - BETA blocker (slows HR and force) nifedipine - antianginal calcium channel blocker slows down calcium ions that slow the heart dow...

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  • January 24, 2025
  • 113
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NUR 113
  • NUR 113
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KatelynWhitman
NUR 113 Unit 3 Exam Questions and
Answers 100% Pass


Chronic Hypertension - ✔✔History > BP 140/90 prior to pregnancy, during, & after

pregnancy




Meds:


labetalol - BETA blocker (slows HR and force)


nifedipine - antianginal calcium channel blocker slows down calcium ions that slow the

heart down


methyldopa - alpha-2 agonist releases/relaxes blood vessels to make blood pass easier




a client will not be on meds unless it reaches that dangerous threshold


Gestational Hypertension - ✔✔> BP in pregnancy (140/90 mm Hg) or systolic elevation

of > 30 +diastolic elevation of > 15


No proteinuria




Katelyn Whitman, All Rights Reserved © 2025 1

,BP resolves after birth within 12 weeks


Preeclampsia/


Eclampsia - ✔✔Most common


Hypertension occurs at or >20 wks


Previous normotensive Proteinuria


Progressive


Chronic Hypertension with superimposed preeclampsia or eclampsia - ✔✔Worsening

>20wk


> Serum uric acid




*normally uric acid is 6.8 (anything higher than that is the only thing that stands out for

superimposed preeclampsia)*


*urine protein > 300*


preeclampsia - ✔✔is increased blood pressure in pregnancy after 20 weeks gestation

accompanied by proteinuria in a previously normotensive woman.




*urine protein > 300*




Katelyn Whitman, All Rights Reserved © 2025 2

,eclampsia definition - ✔✔the occurrence of a seizure in a woman with preeclampsia

who has no other cause for a seizure.


risk factors (PIH) - ✔✔First pregnancy




Age younger than 18 years or older than 40 years




Prior history of preeclampsia




African American race




Medical risk factors:




Twins or multiples




Family history


Current theories (PIH) - ✔✔1. Abnormal trophoblast invasion




Katelyn Whitman, All Rights Reserved © 2025 3

, 2. Dietary deficiencies




3. Genetic abnormalities




4. Immunologic response to partially foreign genetic placental & fetal tissue.




5. Stimulation of the inflammatory system by the cardiovascular changes of pregnancy


Pathophysiology OF PIH - ✔✔The normal response during pregnancy is to lower the

peripheral vascular resistance and to increase maternal resistance to the pressor effects

of Angiotensin II results in lowering the blood pressure.




Gradual loss of resistance to angiotensin II occurs for preeclampsia women.




Loss of normal pregnancy vasodilation of uterine arterioles and concurrent maternal

vasospasm results in decreased placenta perfusion.


Angiotensin II and blood vessels Effect - ✔✔drop in BP/drop in fluid volume




Katelyn Whitman, All Rights Reserved © 2025 4

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