Gestational Diabetes
The A1c level that indicates good glucose control
5-6%
The benefit of taking low dose aspirin ASA
Prevent or delay the onset of preeclampsia
The classic clinical sign for someone experiencing concealed hemorrhage from abruptio placentae
hard, board-like abdomen
The medication used to prevent and treat convulsions in preeclamptic and eclamptic patients
magnesium sulfate
The medication used to stimulate fetal surfactant production
betamethasone IM
The reason why glucose metabolism is affected during pregnancy
Placental hormones are antagonistic to insulin, resulting in resistance
The signs consistent with preeclampsia
pitting edema, proteinuria, high BP, headache
The number one cause of early PP hemorrhage
uterine atony
The medication used to augment labor and the nursing care associated with it
Oxytocin, monitoring uterine response
The complication from high arterial blood oxygen levels
Retinopathy of prematurity (ROP)
The risk of fetal death at any time during pregnancy with mother who has GDM
DKA
The syndrome that is a variant of preeclampsia and the s/s associated with it
HELLP- hemolysis, elevated liver enzymes, low plts
The number one cause for late PP hemorrhage
subinvolution of the placental site
The medications used to treat hypertension in pregnancy
hydralazine, labetalol, nifedipine
The less invasive respiratory intervention that is provided to avoid intubation of an infant
CPAP
The need for insulin for the pregnant diabetic patient is dependent on what
varies depending on the stage of gestation
The signs of worsening disease and impending convulsion
pounding headache, visual changes, epigastric pain
The most important nursing intervention when observing profuse bleeding after birth
palpating the uterus and massage if it is boggy
The medications used for PP hemorrhage
oxytocin, misoprostol (cytotec), methlergonovine (methergine, hemabate
The nursing concerns when amniotic fluid is thick (heavy) and green color
The diabetogenic effect is what and when does this occur?
hormone resistance is a glucose-sparing mechanism to ensure an abundant glucose supply for the fetus during 2nd and 3rd trimester
low glucose tolerance, high insulin resistance, low hepatic glycogen stores, high hepatic glucose production
administration of magnesium sulfate, quiet/dark environment, ensuring calcium gluconate is available
The women who is at greatest risk for early PP hemorrhage
someone who has severe preeclampsia, receiving magnesium sulfate, whose labor is being induced
The additional medication used to treat a patient (who is on magnesium sulfate infusion) and who has the following s/s: HR 96, RR 24, BP 155/112, 3+ deep tendon reflexes, no ankle clonus
hydralazine
The reason a premature infant would experience respiratory distress syndrome (RDS) (explanation of pathophysiology and treatment for it)
premature lungs, more cartilage in chest wall, leading to less compliance and stiffening of lungs. Artificial surfactant is given to improve ability of lungs to exchange oxygen and cO2