Preeclampsia
What 3 signs/symptoms indicate a patient has preeclampsia?
High BP
Headache
Vision Changes
Define preterm labor
Regular uterine contractions resulting in cervical change occur before 37 weeks of gestation.
This screening test is performed between 24 and 28 weeks of gestation.
1-hour Oral Glucose Tolerance Test (OGTT)
This is the most common cause of early postpartum hemorrhage.
Uterine atony (or a boggy uterus)
This synthetic hormone is the first-line IV medication used to induce labor and treat PPH.
Oxytocin (Pitocin)
This antidote must be readily available for a patient receiving IV Magnesium Sulfate:
Calcium Gluconate
This is the general term for the class of medications used to relax the uterus and halt contractions.
Tocolytics
What is the first-line treatment for managing GDM before pharmacological interventions?
Diet and exercise
This is the immediate, first-line nursing intervention when a boggy uterus is palpated.
Fundal massage
A patient on IV Magnesium Sulfate has a RR of 10 breaths/min. What is the nurse's priority action?
Stop the infusion
What indicates that a patient with preeclampsia is now eclamptic?
Seizures
This medication is administered IM to the mother in two doses, 24 hours apart, to accelerate fetal lung maturity.
Betamethasone
Macrosomia refers to a newborn with a birth weight greater than:
4,000 grams (or 8 lbs 13 oz)
A postpartum hemorrhage is clinically defined as a cumulative blood loss greater than:
1,000 mL
When is RhoGAM given to a patient? (time and situation)
28 weeks gestation and 72 hours after delivery for a Rh-negative mother and Rh-positive baby
The acronym HELLP stands for:
Hemolysis, Elevated Liver enzymes, Low Platelets
This common, often asymptomatic maternal tract infection is a leading preventable trigger for preterm labor.
Urinary Tract Infection (UTI)
Newborns of GDM mothers are at higher risk for this condition due to the breakdown of excess red blood cells:
Jaundice (or hyperbilirubinemia)
If a PP patient's fundus is boggy, high, and deviated to the right, the nurse should:
Assist the patient to empty her bladder (or void)
Terbutaline (Brethine) is given to halt preterm labor contractions quickly, but a major side effect is:
Maternal tachycardia
What assessment indicates high central nervous system irritability?
Hyperactive deep tendon reflexes
Magnesium sulfate can be given during preterm labor for what specific fetal benefit?
Fetal neuroprotection
High fetal insulin levels delay the production of what vital lung substance?
Surfactant
A PP patient is bleeding heavily, but the nurse palpates a firm and midline fundus. The nurse should suspect:
cervical/vaginal laceration (or hematoma)
This is the first-line rapid intervention for acute hypertensive emergencies in preeclampsia.
Labetalol