Hypertensive Disorders
This condition is defined as BP ≥140/90 after 20 weeks with proteinuria
What is Preeclampsia
This type of diabetes is first diagnosed during pregnancy
Gestational Diabetes
Painless, bright red bleeding in the third trimester suggests this condition.
What is Placenta previa?
This bacterial infection is screened at 36 0/7–37 6/7 weeks gestation.
What is Group B Streptococcus infection?
Daily Double #2!!!!
A patient receiving magnesium sulfate suddenly becomes lethargic. Respirations are 8/min, and deep tendon reflexes are absent.
Question:
What is the immediate nursing action?
Magnesium sulfate is given to prevent this life-threatening complication
Eclampsia (Seizures)
🟡 Daily Double #4 – Gestational Diabetes Newborn
A newborn of a mother with gestational diabetes becomes jittery 1 hour after birth. Temperature is normal.
Question:
What is the priority assessment?
Painful bleeding with a firm, rigid abdomen suggests this condition.
What is Placental abruption?
The standard treatment for a GBS-positive mother in labor is this medication.
What is IV penicillin?
Absent deep tendon reflexes may indicate this complication.
What is magnesium toxicity?
🟣 Daily Double #1 – Hypertensive Emergency
A 29-year-old G2P1 at 34 weeks presents with BP 168/112, severe headache, blurred vision, and right upper quadrant pain. Reflexes are 3+ with clonus. Urine protein is +3.
Question:
What is the priority medication to administer immediately?
Newborns of diabetic mothers are at risk for this low blood sugar condition.
What is hypoglycemia?
This is the priority nursing action with suspected placenta previa.
What is avoid vaginal exams?
or
Put on EFM....I'll take either
DAILY DOUBLE #3
Name the dose and frequency of the two corticosteroids that are given for fetal lung maturity.
A fetal heart rate of 90 bpm for over 10 minutes during active labor indicates this condition.
What is fetal bradycardia?
This variant of preeclampsia includes hemolysis, elevated liver enzymes, and low platelets.
HELLP syndrome
Large-for-gestational-age babies are described using this term.
What is macrosomia?
This catastrophic event may cause sudden tearing pain and fetal distress during labor.
What is uterine rupture?
These medications are given to enhance fetal lung maturity in preterm labor.
What are corticosteroids (e.g., betamethasone or Dexamethasone)?
The priority position for a hypotensive pregnant patient is this.
What is left lateral position?
Right upper quadrant pain in a preeclamptic patient may indicate this serious complication.
Liver Rupture
This is the priority nursing action for a symptomatic hypoglycemic newborn.
What is check blood glucose and initiate feeding (or IV dextrose if needed)?
A 26-year-old patient at 8 weeks gestation presents with sharp lower abdominal pain and light vaginal bleeding. She reports shoulder pain and feels dizzy. Blood pressure is 88/54 and pulse is 122.
Question:
What life-threatening condition should the nurse suspect?
What is a ruptured ectopic pregnancy?
Ruptured membranes lasting more than 18 hours increase risk for this type of infection.
What is neonatal sepsis?
The only definitive treatment for severe preeclampsia is this.
What is delivery?