Exam (elaborations)
Midwifery I Final Exam Questions and Answers
- Module
- Institution
Midwifery I Final Exam Questions and Answers
[Show more]
Seller
Follow
millyphilip
Reviews received
Content preview
Midwifery I Final Exam Questions andAnswers
How is chronic hypertension diagnosed? - Answers -HTN prior to conception or prior to
20 weeks
Mild chronic HTN
Severe chronic HTN - Answers ->140/90
>160/110
Persists for at least 12 weeks postpartum
Baseline labs for chronic HTN
Medications? - Answers -CBC, LFTS, creatinine, protein/creatinine ratio
Antihypertensives not recommended unless they were on something before, labetolol is
commonly used
Management of chronic HTN--when to see pt and tests to perform?
Patient education? What should they watch out for? - Answers -Visits every 3 weeks
NST, BPP, growth US
Manage diet, salt intake, exercise
Visual changes, decreased fetal movement, manage BP at home and report >140/90,
new-onset headache that won't go away with tylenol, heart burn that won't go away with
tums, edema above elbows/knees or face
Complications of chronic HTN---what are they are at high risk for? - Answers -High risk
for: preterm labor, placental abruption, cesarean, IUGR, oligohydramnios
When is a pt considered to have gestational htn?
Can she have proteinuria?
Does it resolve postpartum? - Answers -Has two separate readings >140 systolic OR 90
diastolic (for the first time) at least 6 hours apart AFTER 20 weeks gestation
No proteinuria
Resolves within 12 weeks postpartum
What labs to monitor for gestational HTN?
Management? what tests to run? - Answers -urine protein, platelets, LFTs
Serial growth U/S, BP readings at home 2x
No medications are necessary
, Watch for s/s of preeclampsia
1. Pathophysiology of preeclamspia
2. Mild preeclamspia defined as?
3. Severe preeclampsia defined as?
4. When does preeclampsia usually occur? - Answers -1. Abnormal trophoblastic
invasion of the uterus at the placental site
Causes narrowing of spiral arteries
2. 2 separate readings at least 6 hrs apart >140 OR >90 after 20 weeks OR
Protein--> +300mg in 24 hr urine OR PCR 0.3 OR +1 urine dip on two samples at least
6 hrs apart
3. 2 separate readings at least 6 hrs apart >160 OR >110 after 20 weeks
Protein-->+500mg in 24 hr urine OR +3 urine dip on two samples 6hrs apart
4. Usually occurs late onset, >36 weeks
Diagnostic evaluation for preeclampsia
Severe features defined as? - Answers -HTN after 20 weeks greater than 140/90 AND
ONE of the following:
Proteinuria Greater than 300 in 24 hour urine
PCR >0.3
Greater than 1+ dipstick
Visual or cerebral symptoms
Platelets <100,000
Serum creatinine >1.1
Elevated liver enzymes
Pulmonary edema
Systolic BP >160 OR diastolic >110 (BP bumps up to the next level)
Everything else the same as above ^
S/S of preeclampsia
What labs would you draw?
Surveillance? What things should you monitor? - Answers -Visual changes
epigastric pain/RUQ pain
Headache
Dependent and facial edema
SOB
elevated reflexes, clonus
24 hour urine (for protein), CrCl, BUN, uric acid, CBC (H&H and platelets), LFTs,
PT/aPTT, peripheral smear
The benefits of buying summaries with Stuvia:
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
You can quickly pay through credit card for the summaries. There is no membership needed.
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 millyphilip. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for £10.13. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
64438 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy revision notes and other study material for 14 years now