Exam (elaborations)
RNC-NIC REVIEW MATERNAL RISK FACTORS
- Course
- Institution
RNC-NIC REVIEW MATERNAL RISK FACTORS...
[Show more]
Content preview
RNC-NIC REVIEW MATERNAL RISKFACTORS
Anemia - ANSWER: need for more iron.
What may anemia cause and s/s - ANSWER preterm labor, delivery, or LBW
weary, feeble, pallid, SOB.
Sickle Cell Anemia: ANSWER will require oxygen.
Need pain management during pregnancy.
Gestational HTN
-When is it diagnosed?
-requirements for diagnosis - ANSWER after 20 weeks
140/90. x2 every 4-6 hours for one week.
No proteinurea.
#1 Cause of Maternal Morbidity/Mortality: HTN during pregnancy
Pre-eclampsia - ANSWER: chronic vasoconstriction with endothelial cell
destruction.
,2-7%. primigravidas
Pre-E diagnosis - ANSWER HTN and proteinuria >20 weeks.
Pre-E Triad: ANSWER HTN, proteinuria, edema
However, edema does not always occur.
Pre-eclampsia can be diagnosed without proteinuria if... - ANSWER low plts,
high LFT's, CRT >1.1 or doubling, pulmonary edema, brain or visual
abnormalities
Eclampsia: ANSWER HTN with seizure activity.
-After 20 weeks
-more common throughout the third trimester.
-can occur after delivery.
Chronic HTN - ANSWER before 20 weeks
Usually detected before pregnancy.
Chronic HTN with superimposed preeclampsia - ANSWER the appearance of
s/s of Pre E in previously HTN pt
, HELLP syndrome, ANSWER H: hemolysis (of RBCs)
EL = increased liver enzymes.
LP: low PLT count.
Typically occurs during the third trimester.
S/S of HELLP: ANSWER headaches
N/V
fatigue
Upper R abdominal ache
Diagnosis of HELLP - Answer: BP
Urine testing.
A peripheral blood smear.
Liver enzymes
HELLP TX - ANSWER: Treat the symptoms
Will not subside till the infant is delivered.
Will deliver at 34 weeks.
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 or Stuvia-credit 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 luzlinkuz. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $11.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
67866 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now