Preeclampsia
Eclampsia
Placental attachment
Placental Abruptio
Pharmacology
100

The nurse is assessing a pregnant woman with gestational hypertension. Which of the following would lead the nurse to suspect that the patient has developed severe preeclampsia?

Proteinuria

100

 If the patient with preeclampsia progresses from preeclampsia to eclampsia, the nurse should take which action first?

Clear and maintain an open airway. 


100

The priority nursing intervention when admitting a pregnant patient who has experienced a bleeding episode in late pregnancy is to

 Assess fetal heart rate and maternal vital signs.

100

. A 28 year old female, who is 33 weeks pregnant with her second child, has uncontrolled hypertension. What risk factor below found in the patient's health history places her at risk for abruptio placentae?*

  •  A. childhood polio
  •  B. preeclampisa
  •  C. c-section
  •  D. her age

B. preeclampisa

100

A pregnant woman hospitalized with severe preeclampsia is being treated with hydralazine to control blood pressure. Which of the following would the lead the nurse to suspect that the patient is having an adverse effect associated with this drug?

Tachycardia

200

The nurse is reviewing the laboratory test results of a pregnant patient diagnosed with preeclampsia. Which one of the following findings would alert the nurse to the development of HELLP syndrome?

Elevated liver enzymes (AST and ALT) 

200

The development of seizures in preeclamptic women

Eclampsia

200

Occurs when the placenta abnormally implants in the lower segment of the uterus near o over the cervical os instead of attaching to the fundus.

Placenta previa.

200

A 36 year old woman, who is 38 weeks pregnant, reports having dark red bleeding. The patient experienced abruptio placentae with her last pregnancy at 29 weeks. What other signs and symptoms can present with abruptio placentae? Select all that apply:

A. Decrease in fundal height

B. Hard abdomen

C. Fetal distress

D. Abnormal fetal position

E. Tender uterus

B. Hard abdomen

C. Fetal distress

E. Tender uterus

200

A patient taking magnesium sulfate has a respiratory rate of 10 breaths/min. In addition to discontinuing the medication, which action should the nurse take?

 Administer Calcium gluconate

300

The nurse is developing a plan of care for a woman who is pregnant with twins. The nurse includes interventions focusing on which of the following because of the woman's increased risk?

Preeclampsia

300

The signs and symptoms of preeclampsia are mainly occurring because substances released by the ischemic placenta cause damage to the _________________ in mom's body, which injures organs.

Endothelial cells

300

when the cervical os is completely covered by the placental attachment

Complete or total Placental Previa

300
  • Disseminated intravascular coagulation (DIC) can occur in __________________. This happens because when the placenta becomes damaged and detaches from the uterine wall, large amounts of _____________ are released into mom’s circulation, leading to clot formation and then clotting factor depletion.*
    •  A. Placenta previa, fibrinogen
    •  B. Placenta previa, platelets
    •  C. Abruptio placentae, fibrinogen
    •  D. Abruptio placentae, thromboplastin



    •  Abruptio placentae, thromboplastin
300

Acceleration of fetal lung maturity to reduce the incidence and severity of respiratory distress syndrome. 


Betamethasone

400

Decreased perfusion to organs.
Systemic vasospasms
Vascular damage
Coag abnormalities

Maternal complications of preeclampsia

400

A patient with preeclampsia is complaining of pounding headache, visual changes, and epigastric pain. Nursing care is based on the knowledge that these signs indicate

Worsening disease and impending convulsion

400

Onset of painless, bright red vaginal bleeding after 20th week of pregnancy, usually before 30 weeks' gestation
Vaginal bleeding before labor onset, typically episodic and stopping spontaneously
Possibly no symptoms

Subjective assessment of placenta previa

400
  •  Which statement is TRUE regarding abruptio placenta?


  • A). This condition occurs due to an abnormal attachment of the placenta in the uterus near or over the cervical opening.
  • B). marginal abruptio placenta occurs when the placenta is located near the edge of the cervical opening.
  • C). Nursing interventions for this condition includes measuring the fundal height.
  • D). Fetal distress is not common in this condition as it is in placenta previa.


Nursing interventions for this condition includes measuring the fundal height

400

A patient diagnosed with preeclampsia and is receiving magnesium sulfate. Which finding would the nurse interpret as indicating a therapeutic level of medication?

Deep tendons reflexes 2+

500

The nurse is creating a plan of care for a 38 weeks gestation pregnant woman with a diagnosis of severe preeclampsia. Which nursing actions should be included in the care plan for this patient?

1.)Keep the room semi-dark. 

2.)Initiate seizure precautions. 

3.)Pad the side rails of the bed. 

4.)Avoid environmental stimulation

500

Sustained systolic blood pressure (BP) greater than 160 mm Hg or diastolic greater than 110 mm Hg
Tachycardia
Tachypnea
Rales
Mental status changes
Clonus
Hyperreflexia
Oliguria or anuria
Localizing neurologic deficits
Generalized edema
Small fundal height for estimated gestational age
Visual disturbances


Signs of Eclampsia

500

previous placenta previa
-uterine scarring (previous cesarean birth, curettage, endometritis)
-maternal age greater than 35 to 40 years
-multifetal gestation
-multiple gestations or closely spaced pregnancies
-smoking

Risk Factors for placenta previa

500
  •  You're performing a head-to-toe assessment on a patient admitted with abruptio placentae. Which of the following assessment findings would you immediately report to the physician?


  • Oozing around the IV site
  • Tender uterus
  • Hard abdomen
  • Vaginal bleeding


  • Oozing around the IV site
500

A 20-year-old pregnant patient at 40 weeks gestation is diagnosed of preeclampsia with sever features; she is in labor and being treated with magnesium sulfate for seizure prophylaxis. Mention at least three priority assessments with this medication? 


1.) Check the respiratory rate.

3.) Check deep tendon reflexes.

4.) Monitor the urine output (30-50cc/hr).