NSPN 7200 Final Exam Tested Questions With Revised Correct Detailed Answers GRADED A+ PASS
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Course
NSPN 7200
Institution
NSPN 7200
NSPN 7200 Final Exam Tested
Questions With Revised Correct
Detailed Answers
GRADED A+ PASS
1) Preeclampsia - ANSWER
diagnosed when there is gestational
hypertension with new onset proteinuria and/or one or more adverse
conditions, and/or one or more severe complications (such as ...
NSPN 7200 Final Exam Tested
Questions With Revised Correct
Detailed Answers
GRADED A+ PASS
1) Preeclampsia - ANSWER diagnosed when there is gestational
hypertension with new onset proteinuria and/or one or more adverse
conditions, and/or one or more severe complications (such as end
organ damage).
2) Preeclampsia pathophysiology - ANSWER 1.Abnormal
development of placental blood vessels = decreased O2 supply to
placenta
2. placenta releases factors that attack endothelial cells
3. endothelial cells then lose elasticity/tone + become leaky
4. protein leaks out and water follows = edema. low platelets = from
damaged blood vessels
3) 3 CHARACTERISTICS of preeclampsia - ANSWER 1. generalized
vasospasm/vasoconstriction
2. dysfunctional cascade of coagulation
3. leaky vessels
, 4) How is placenta/fetus affected in preeclampsia - ANSWER - Not
receiving enough O2
- Asymmetric IUGR
- Cord compression: less wartons jelly
Oligohydramnios
5) Signs and symptoms of preeclampsia - ANSWER HTN,
proteinuria, edema, headache, seizures, visual symptoms, epigastric
pain (Due to liver edema and subcapsular hematoma), SOB (pulm
edema), chest pain with exertion, decreased UO, N/V, increased live
ezymes, decreased delta growth, Clotting disorders (DIC)
6) Pre-eclampsia risk factors - ANSWER ● family history
● extremes of reproductive age (<19 or > 40 years)
● primigravida
● multiple gestation
● Diabetes
● thrombophilia disorders
● obesity
● renal disease
● collagen vascular disease
● first pregnancy with a new partner
,● limited sperm exposure such as donor insemination or oocyte
donation
● a history of preeclampsia
7) Greatest risk of Eclampsia - ANSWER just before delivery, during
labour, 24hrs after deliver → EVERY women with preeclampsia is
started on MGSO4
9) HELLP S+S - ANSWER general malaise, flu-like symptoms, and
epigastric or right upper quadrant pain, vision disturbances
may be asymptomatic
70% Preterm birth
10) At what gestation do you deliver is pt has preecalmpsia - ANSWER
>37 weeks
MGSO4 used for? - ANSWER prevent and treat eclamptic seizures
in women with severe preeclampsia by depressing the central nervous
system
also neuroprotective agent
, MGSO4 dose? - ANSWER The dose is 4gm loading bolus over 20
minutes, followed by 1 gm per hour infusion.
MGSO3 side effects? - ANSWER feeling of warmth,
flushing,
diaphoresis,
metallic taste in mouth,
burning at the IV site.
attention to fluid balance → risk of reduced renal perfusion and the
increased risk of pulmonary edema.
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