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Eclampsia
Hypertension
Gestational diabetes
Twins and mulitples
Miscellaneous
100
Magnesium sulfate
What is the drug most often used to prevent seizures?
100
○ Nulliparity ○  New partner ○  Systolic blood pressure of 130 mm Hg before 20 weeks gestation ○  Preexisting diabetes mellitus
What are risk factors for pre eclampsia
100
If during an OGT, the fasting blood sugar is abnormal or if two more abnormal values. Fasting > 95 mg/dL 1 hr >180 mg/dL 2 hr > 155 mg/dL 3 hr > 140 mg/dL
How is gestational diabetes diagnosed?
100
Older mothers, fertility treatments
Why the increase in multiple fetal pregnancies?
100
Amniotic fluid substantially over the normal amount
What is polyhydramnios or hydramnios?
200
Relaxes the smooth muscle, blocks neurotransmitters thereby decreasing the release of acytelcholine and decreasing vasoconstriction.
How does magnesium sulfate work?
200
Systolic blood pressure greater than or equal to 140mm Hg or diastolic blood pressure greater than or equal to 90mm Hg that develops after 20 weeks with negative or trace protein on dipstick. Blood pressure returns to normal within 6 wks postpartum.
What is gestational hypertension
200
Macrosomnia and neonatal hypoglycemia
What are the major neonatal complications for gestational diabetes.
200
One ovum separated into two.
What are monozygotic twins?
200
Prevents the production of anti-Rho(D) antibodies in Rh-negative women who have been exposed to Rh-positve blood.
What is Rhogam?
300
○  Induction of labor at 41 weeks ○  Expectant management with antenatal surveillance using nonstress testing and amniotic fluid indices ○  Membrane sweeping
What is management of postterm pregnancy
300
Blood pressure greater than or equal to 140/90 that was known to exist before pregnancy or 20 weeks.
What is chronic hypertension?
300
Shakiness, tremors, Sweating Pallor, cold, clammy skin disorientation, irritability Headache, Hunger, Blurred vision
What are the signs and symptoms of maternal hypoglycemia?
300
Monozygotic twins have a greater risk for cord prolapse.
What type of twins are more at risk for cord entrapment?
300
Type and antibody screening of the mother's blood and cord blood type of the newborn must be performed to determine the need for this medication.
What is Rhogam?
400
Checking DTRs (deep tendon reflexes)
What is a nursing action to determine magnesium toxicity?
400
A hypertensive disorder that develops after 20 weeks in a woman who previously had normal blood pressure.
What is pre eclampsia?
400
To establish normal blood glucose levels before conception due to the risk of congenital anomalies.
What is the goal for women with diabetes before pregnancy?
400
Risks to the fetus in multifetal pregnancies include IUGR Preterm birth SGA Unequal growth between the twins.
What are the risks to the fetus in multifetal pregnancies?
400
Disordered clotting in which the pro coagulation and anticoagulation factors are simultaneously activated.
What is DIC?
500
○ Tonic clonic movements start and last about one minute.
What is an eclamptic seizure?
500
Pressure-induced rupture of thin walled capillaries resulting in small cerebral hemorrhages.
What is the effect of vasoconstriction of the cerebral vessels?
500
Vascular impairment of the placental perfusion restricts the size of the baby
The fetus with IUGR in a woman with diabetes indicates
500
More placentas can increase the diabetogenic effect of pregnancy.
What is the relationship between multifetal pregnancies and gestational diabetes?
500
Spontaneous abortion is the leading cause of pregnancy loss.
What is a leading cause of pregnancy loss?