RNC OB Exam 98 Questions with Verified Answers,100% CORRECT
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RNC OB
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RNC OB
RNC OB Exam 98 Questions with Verified Answers
What are the risk factors for preeclampsia? - CORRECT ANSWER -Primip <19y.o or >40y.o
-first pregnancy w/ new father
- Hx severe preeclampsia
-Family Hx
- Connective tissue disease (lupus/rheumatoid arthritis)
Define GHTN - CORRECT ANSW...
RNC OB Exam 98 Questions with Verified Answers
What are the risk factors for preeclampsia? - CORRECT ANSWER -Primip <19y.o or
>40y.o
-first pregnancy w/ new father
- Hx severe preeclampsia
-Family Hx
- Connective tissue disease (lupus/rheumatoid arthritis)
Define GHTN - CORRECT ANSWER HTN developing after 20wks or during first 24hrs PP w/o proteinuria/other systemic findings
Define CHTN - CORRECT ANSWER HTN that does not resolve by 12ks PP or HTN diagnosed prior to pregnancy, prior to 20wks
PreE or Eclamsia - CORRECT ANSWER HTN developing after 20wks w/o other systemic findings; eclampsia is the occurrence of seizure activity w/o identifiable cause
PreE Superimposed - CORRECT ANSWER preE or eclampsia in a women w/ preexisting or CHTN
Characteristics of PreE - CORRECT ANSWER -maternal vasospasm
- decreased perfusion to virtually all organs
- decrease in plasma volume
- activation of the coagulation cascade
-alterations in glomerular capillary endothelium
- edema
- HA
- hyperreflexia
- subscapular hematoma of the liver - increased viscosity of the blood
Diagnostic criteria PreE - CORRECT ANSWER -SBP >160 or higher, DBP >110 or higher - renal insufficiency (creatinine >1.1 or doubling) or new development of renal insufficiency in absence of other renal disease
-PLT <100,000
- Elevated LFTs
-New onset cerebral/visual disturbances
-persistent RUQ pain or epigastric pain unresponsive to meds and no accounted for by alternative diagnosis, or both
-pulmonary edema
Significance of Eclamsia - CORRECT ANSWER -at risk for abruption
-at risk for cerebral hemorrhage and aspiration
What is foley's rule of 13? - CORRECT ANSWER -13% mortality
-13% abruption
-13% seize after MgO4 therapy
-13% seize >48-72hrs PP
What are the visual changes associated w/ PreE? - CORRECT ANSWER -diplopia (double vision)
-photophobia (eye discomfort in bright light) -scotomata (blind spot or partial loss of vision in what is otherwise a perfectly normal visual field)
-amaurosis fugax (transient vision loss r/t decreased blood flow to eye)
Define GDM - CORRECT ANSWER Glucose intolerance develops or is first discovered during pregnancy. GDM increases the risk for type 2
How is glucose altered early in pregnancy? - CORRECT ANSWER Glucose homeostasis is altered by the increases in estrogen and progesterone that cause pancreatic beta-cell hyperplasia, w/ subsequent increased insulin secretion's
True or False: at the end of the 1st trimester, preexisting diabetic patients will experience hypoglycemia - CORRECT ANSWER true
Describe glucose metabolism during pregnancy - CORRECT ANSWER In 2nd and 3rd trimester, levels of estrogen, progesterone, human placental lactogen and
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