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NUR 315 L6? the family before birth Questions With Complete Solutions
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NUR 315 L6? the family before birth Questions With Complete Solutions
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NUR 315 L6? the family before birthQuestions With Complete Solutions
gestational HTN: the onset of HTN AFTER __ weeks gestation
without proteinuria. it can progress to preeclampsia Correct
Answer 20
preeclampsia-eclampsia: onset of HTN after 20 weeks gestation
that may be accompanied by __ or symptoms of preeclampsia
Correct Answer proteinuria
chronic HTN: HTN that has developed __ to pregnancy or prior
to 20 weeks gestation. may also be chronic if HTN persists after
12 weeks PP Correct Answer prior
- if someone has gestational HTN and then it's still going 12
weeks PP, classified as chronic
HTN is one of the most common maternal complications of
pregnancy and a leading cause of maternal morbidity and __
Correct Answer mortality
HTN is mostly associated w __, obesity, and comorbidities such
as diabetes Correct Answer AMA
maternal HTN is associated w higher rate of poor pregnancy
outcomes including intrauterine growth restriction (IUGR),
stillbirth, preeclampsia, and __ Correct Answer stroke
women w chronic HTN should be carefully monitored for
preeclampsia and __ Correct Answer HELLP syndrome
,chronic HTN: defined as BP greater than __ mm HG that
predates the pregnancy OR appears before the 20th week of the
pregnancy and persists > 12 weeks postpartum Correct Answer
140/90
chronic HTN must have at least 2 reading at least __ hours apart
to diagnose Correct Answer four
mild to moderate HTN: systolic BP between ___ and __ mm Hg
and/or a diastolic between __ and __ mm Hg Correct Answer
140-159; 90-109
severe hypertension is a systolic BP greater than __ mm Hg and
diastolic BP greater than __ mm HG Correct Answer 160; 110
__ such as ibuprofen should be used cautiously for these pts
postpartum as they are associated w increased BP readings
Correct Answer NSAIDs
There is no clear benefit of treating women with ___ HTN
during pregnancy Correct Answer mild to moderate.
- women w severe HTN should be treated
The goal for women with severe hypertension is to maintain a
systolic blood pressure of __ to __ mm Hg and a diastolic of __
to __ mm HG (may be lower if she has evidence of organ
damage) Correct Answer 140-150; 90-100
preferred antihypertensive is __ due to safety and effectiveness
in pregnancy Correct Answer methyldopa
, __, such as labetalol, and a __, nifedipine, may also be used if
not effective, however, safety is not as established Correct
Answer beta blockers; calcium channel blocker
__ are not recommended during pregnancy, but may be used
during postpartum period Correct Answer ACE inhibitors
gestational HTN is diagnosed by systolic BP of greater than ___
or higher and/or a diastolic BP of __ mm Hg or higher w/o
protein in the urine or signs of end-organ dysfunction after 20
weeks of pregnancy by at least __ readings at least 4 hours apart
Correct Answer 140, 90, two
complications of gestational HTN include preterm birth, small
for gestational age (SGA) infants, and__ abruption Correct
Answer placental
risk factors for pregnancy induced HTN (same as gestational
HTN) Correct Answer - first pregnancy
- Men who fathered preeclamptic pregnancies are more likely to
father further preeclamptic pregnancies
- > 35 years of age
- Metabolic syndrome
- Antiphospholipid syndrome
- SLE
Multifetal pregnancy
- African-American descent
- History of thrombophilia
- IVF
- Family or personal history of preeclampsia
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