Hypertension
Preeclampsia and HELLP
Bleeding Disorders
Gestational Diabletes
Nursing Priorities
100

What blood pressure reading meets the threshold for hypertension in pregnancy?

What is 140/90 or higher?

100

What medication is used to prevent or treat seizures in preeclampsia with severe features?

What is magnesium sulfate?

100

What is placenta previa?

What is when a placenta covers all or part of the internal cervical opening?

100

What is gestational diabetes?

What is when diabetes is first diagnosed during the second or third trimester of pregnancy that was not clearly present before pregnancy?

100

What is the priority nursing assessment for a patient receiving magnesium sulfate?

What is assess respirations, deep tendon reflexes, urine output and level of consciousness?

200

What is the difference between gestational hypertension and chronic hypertension?

What is gestational hypertension develops at or after 20 weeks; chronic hypertension predates pregnancy or is present before 20 weeks?
200

What does HELLP stand for?

What is Hemolysis, Elevated Liver enzymes, Low Platelets?

200

What is placental abruption?

What is premature separation of the placenta from the uterine wall?

200

When is routine screening for gestational diabetes typically performed?

What is at 24-28 weeks?

200

A patient at 32 weeks reports painless, bright-red vaginal bleeding. What is the priority?

What is assess maternal vital signs and fetal status, notify the provider and avoid digital vaginal exam?

300

What blood pressure is considered severe range hypertension in pregnancy?

What is a systolic of 160 mmHg or higher and OR a diastolic of 110 mmHg or higher?

300

Name two findings that suggest magnesium toxicity.

What is absent deep tendon reflexes, respiratory depression or decreased urine output?

300

What examination should be avoided when placenta previa is suspected until placental location is determined?

What is a digital vaginal exam?

300

What are common fasting and 1-hour postmeal glucose targets in gestational diabetes?

What is a fasting below 95mg/dL and 1-hour postmeal below 140mg/dL?

300

A patient with gestational diabetes becomes shaky, sweaty, and confused. What should the nurse suspect?

What is hypoglycemia?

400

Name two maternal complications associated with preeclampsia.

What is stroke, eclampsia, pulmonary edema, kidney injury, HELLP syndrome, or placental abruption?

400

What medication is used to reverse serious magnesium toxicity?

What is Calcium Gluconate?

400

A pregnant patient has dark vaginal bleeding, abdominal pain, and a rigid, tender uterus. What complication is suspected?

What is a placental abruption?

400

Name two fetal or newborn complications associated with poorly controlled maternal diabetes?

What is macrosomia, birth injury, neonatal hyperglycemia, respiratory distress, or stillbirth?

400

A patient has persistent severe-range blood pressure. Name two commonly used medications for urgent treatment.

What is IV labetalol and IV hydralazine?

500

What is the definitive treatment for preeclampsia?

What is delivery of the fetus and placenta?

500

What is the difference between preeclampsia and eclampsia?

What is the presence of seizures?

500

What is vasa previa, and why is it dangerous?

What is when unprotected fetal blood vessels pass over or near the internal cervical opening?

500

Why are newborns of diabetic mothers at an increased risk for hypoglycemia?

What is the newborn may continue producing high levels of insulin after the maternal glucose supply stops at delivery?

500

A patient with severe preeclampsia develops a seizure. What is the immediate nursing priority?

What is call for help, protect from injury, position laterally, support airway, administer magnesium sulfate as ordered?