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RNC-NIC Review Maternal Risk Factors Questions with correct Answers $14.49   Add to cart

Exam (elaborations)

RNC-NIC Review Maternal Risk Factors Questions with correct Answers

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  • RNC-NIC
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  • RNC-NIC

RNC-NIC Review Maternal Risk Factors

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  • September 30, 2024
  • 12
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • RNC-NIC
  • RNC-NIC
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Dreamer252
RNC-NIC Review Maternal Risk Factors

Anemia - answer need for additional iron

What can anemia cause and s/s - answer preterm labor/delivery or LBW

tired, weak, pale, SOB

Sickle Cell Anemia - answer will need O2

need pain management during preg

Gestational HTN
-when is it diagnosed
-requirements for diagnosis - answer after 20wks

140/90. x2 every 4-6hrs within 1 week

NO proteinuria

#1 Cause of maternal morbidity/mortality - answerHTN in pregnancy

Pre-eclampsia - answerpersistent state of vasoconstriction with endothelial cell damage

2-7%. primigravidas

Pre-E diagnosis - answerHTN and proteinuria >20wks

Pre-E Triad - answerHTN, proteinurea, edema

edema is not always present though

Pre E can be diagnosed without protienurea if... - answerlow plts, high LFT's, CRT >1.1
or doubling, pulmonary edema, cerebral or vision changes

Eclampsia - answerHTN with seizure activity
-after 20wks
-more common in 3rd trimester
-can occur post delivery

Chronic HTN - answerbefore 20wks
usually diagnosed before preg

, Chronic HTN with superimposed preeclampsia - answeremergence of s/s of Pre E in
previously HTN pt

HELLP syndrome - answerH: hemolysis (of RBC's)
EL: elevated liver enzymes
LP: low plt count

typically occurs in 3rd trimester

S/S of HELLP - answerheadaches
N/V
fatigue
upper R abd pain

Diagnosis of HELLP - answerBP
urine tests
peripheral blood smear
liver enzymes

HELLP tx - answertreat the symptoms
will not subside until infant is delivered
will deliver at 34wks

Cytomegalovirus (CMV) - answerviral genome double stranded DNA of herpes fam

most common cognitional viral infection

most severe when primary infection is in 1st tri

CMV is found in - answersaliva
urine
blood
breast milk
semen/cervical fluid

Toxoplasmosis - answercaused by intracellular protozoan parasite toxoplasma gondii

acquired by poorly cooked meat or cat feces

highest risk to infant when primary acute infection occurs during preg

Syphilis - answercaused by Treponema pallidum - thin motile spirochete

spread by sexual contact

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