Systolic Blood Pressure (sBP) ≥140 or Diastolic BP (dBP) ≥90 mmHg
What is Hypertension
100
Assessing for these signs and symptoms of the Hematologic system
What is
•Bleeding,
•Petechiae
100
The leading cause of direct maternal death
What is Hypertensive disorders
100
What the "H"
What is Hemolysis
100
The agent of choice when seizure prophylaxis is indicated and is superior to either diazepam (Valium) or phenytoin for preventing recurrent seizures; AND...the Antidote
What is Magnesium Sulfate (MgSO4) and Calcium Gluconate
200
Systolic BP ≥140 or Diastolic BP ≥90mmHg in office/clinic, but lower with home or ambulatory BP monitoring.
What is White Coat Hypertension
200
Assessing for these Signs and symptoms of the Central nervous system
What is
•Presence of a severe headache
•Visual disturbance (e.g., blurring, scotomata)
•Tremulousness, irritability, Somnolence
•Hyperreflexia
200
The occurrence of seizures in a preeclamptic patient that cannot be attributed to other causes
What is Eclampsia
200
"E" excuse me, but you need to get this assessed
What is Elevated liver enzymes (AST, ALT and/or LDH)
200
What are the 3 antihypertensive medications recommended for acute therapy of severe hypertension
What is LABETALOL, NIFEDIPINE and HYDRALAZINE
300
Predates pregnancy or appears before 20 weeks gestation
What is Chronic Hypertension
300
S & S of the Hepatic system
What is
•RUQ /epigastric pain
•Severe nausea and vomiting
300
These Maternal complications resulting and associated with eclampsia remains significant.
What are:
◦Stroke (risk is with a systolic BP ≥ 160 mmHg)
◦Pulmonary edema
◦Hepatic failure
◦Jaundice
◦Seizure (eclampsia)
◦Placental abruption
◦Acute renal failure
◦Maternal death
300
Under the "L" and "P" what should be assesed
What is Low platelet count
300
Oral antihypertensive medications commonly used for gestational hypertension
What is LABETALOL, NIFEDIPINE XL and METHYLDOPA
400
New onset hypertension after 20 weeks gestation, with no other maternal organ dysfunction
What is Gestational Hypertension
400
S & S of the Cardiorespiratory system
What is
•Chest pain
•Dyspnea – Check maternal 02 saturation.
•Distended neck veins
400
Occurring prior to 37 weeks, women are at a significant risk of stillbirth, abruption, spontaneous preterm rupture of membranes, and small for gestational age (SGA) babies in subsequent pregnancy.
What is preeclampsia
400
Delivery should occur in this timeframe
What is within 48hrs of diagnosis
400
IT IS THE ONLY CURE FOR PREECLAMPSIA.
What is DELIVERY OF THE PLACENTA
500
Gestational or Chronic Hypertension along with one or more of the following new onset conditions:
1.Proteinuria
2.Other maternal organ dysfunction (renal, liver, neurologic, hematologic)
3.Uteroplacental dysfunction (fetal growth restriction)
What is Preeclampsia
500
S & S of the Renal System
What is
•Reduced urine output (Oliguria ) < 15 ml/hr, is non-specific, has many causes, and is not diagnostic
•Edema (including facial and dependent) and weight gain are NOT diagnostic criteria for preeclampsia
•Proteinuria indicates glomerular dysfunction.
500
It is significantly associated with maternal death, need for assisted ventilation, adult Respiratory distress syndrome (RDS) , acute renal failure, embolism and neonatal death, neonatal Respiratory distress syndrome (RDS) and SGA babies.
What is Eclampsia
500
Patients with HELLP syndrome are at risk to develop eclampsia, so this should be administered
What is MgSO4 should be administered
500
When a patient is undergoing medical induction of labor and is receiving magnesium sulfate (MgSO4) with oxytocin, it is prudent to limit....
What is IV fluid intake by concentrating the solutions of oxytocin and MgSO4.
Hypertensive women may not tolerate large fluid volume shifts.*Hourly total intake and urine output must be monitored closely in this situation to prevent pulmonary edema.