Term
| Pregnancy Induced Hypertension |
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Definition
| by elevated blood pressure, persistent edema, and proteinuria (more than 0.3 g of protein in a 24-hour urine collection). |
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Term
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Definition
a. Weight – not too much or too little
b. Fundal height – should be consistent with dates
c. Fetal heart tones – are assessed for rate and rhythm, normal is 120-160bpm
d. Urine – is tested for the presence of glucose or protein (albumin)
e. Edema – is evaluated at each visit
f. Other – opportunity for the client to ask questions and share concerns
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Term
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Definition
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Term
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Definition
• First pregnancy
• Under 20 years old and over 35years old
• African American and Hispanic women
• Chronic, or “essential” hypertension
• Hypertension in a previous pregnancy
• Have multiple gestation (twins, etc.)
• Diabetes: Molar pregnancy
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Term
| Nursing Management of patient with PIH |
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Definition
• Vital signs, BP
• DTR (watch for increase), hyperflexes before seizures
• I&O’s
• Weights and edema
• Labs – magnesium levels
• Diet (increase protein due to loss)
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Term
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Definition
| Acts as a CNS depressant, which helps to prevent and control seizure in pregnant woman with severe PIH. In addition it is a cathartic which reduces cerebral edema which helps to prevent seizures in PIH. |
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Term
| Gestational Diabetes tests |
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Definition
| Gtt test, if 1st test is positive(elevated) then need to take a 2nd test 3 hour glucose test |
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Term
| Diabetes Type II Pregnant women |
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Definition
| regular insulin injections instead of OHA’s (PO meds) |
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Term
| A newly admitted patient with PIH, what is the first thing you would do? |
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Definition
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Term
| How would you treat a patient positive for GBS (Group B strep)? |
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Definition
| Treated with 3 doses of ampacillin |
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Term
| What is the treatment for Vaginal Trichinosis? |
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Definition
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Term
| What is the recommendation for a HIV positive pregnant women who is 37 weeks? |
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Definition
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Term
| What do you do for uteral-placental insufficiency? |
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Definition
| BED REST to increase placental profusions |
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Term
| What is the antidote for Mag. Sulfate? |
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Definition
| Calcium Gluconate, usually as standing order for |
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Term
| What is the antidote for Demerol (narc for pain)? |
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Definition
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Term
| What do you do for a women complaining of epigastric pain? |
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Definition
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Term
| What is variable deceleration? |
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Definition
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Term
| What is late deceleration? |
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Definition
| Uteral-placental insufficency |
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Term
| What are early decelerations? |
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Definition
| Head compressions (expected and normal) |
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Term
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Definition
| toxoplasmosis, other infections including hepatitis, rubella, cytomegalovirus, and herpes; ALL LINKED TO FETAL HARM |
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Term
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Definition
| (Hemolysis, Elevated liver enzymes, low platelets) The liver is deprived of oxygen because of the clots and the liver will begin to die, there will be rise in liver enzymes, and often the patient will experience epigastric pain. |
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Term
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Definition
Mild: delayed wound closure, eclampsia, and hematoma occurs there is potential for liver to rupture.
Severe: DIC, acute renal failure, severe ascites, pulmonary edema, pulmonary effusions, cerebral edema, retinal detachment, and laryngeal edema |
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Term
| What is the major complication with Mag. Sulfate? |
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Definition
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Term
| What is done for placenta prolapse? |
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Definition
| Lower head of bed, elevate feet, push cord back inside, call Dr., prep for c-section |
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Term
| What is Sodium Citrate (Bicitra)? |
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Definition
| makes the blood and urine more alkaline and less acidic, this helps prevent some kidney stones |
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