memorize for Module 3

Question 1

Symptoms to help distinguish from Gestational hypertension and preeclampsia

Answer 1

Headache
visual disturbances
epigastric or right upper quadrant pain
family dx of preeclampsia

Question 2

Protein is absent finding in how many women with preeclampsia

Answer 2

15-25%

Question 3

What other testing has found to correlate to 24 hours urine for accurate proteinuria

Answer 3

timed urine collection of 2, 4, and 12 hours
Protein/creatinine ratio

Question 4

How many BP needed to diagnose a pregnant woman with HTN

Answer 4

2 > 140/90 4 hours apart

Question 5

What percentage of women may not have elevated BP with preeclampsia

Answer 5

10-15%

Question 6

What labs are drawn to diagnose a woman with preeclampsia

Answer 6

H/H
AST/ALT
Platelets
LDH
Serum Creatinine
Urine protein/creatinine ratio

Question 7

Normal range for AST

Answer 7

2nd trimester 3-33 U/L
3rd trimester 4-32 U/L

Question 8

Normal range for ALT

Answer 8

2nd trimester 2-33 U/L
3rd trimester 2-25 U/L

Question 9

Platelets

Answer 9

2nd trimester 155-409,000
3rd trimester 146-429, 000

Question 10

LDH

Answer 10

2nd trimester 80-447 U/L
3rd trimester 82-524 U/L

Question 11

Serum Creatinine

Answer 11

0.4-0.8 mg/dL

Question 12

Urine Protein/creatinine ratio

Answer 12

<0.3 mg/dL

Question 13

what does WHNP do with Patient with preeclampsia without severe features

Answer 13

collaborate with physician

Question 14

Signs of preeclampsia

Answer 14

right upper quadrant pain that does not resolve
feeling nauseous; throwing up
swelling in hands and face
headache
seeing spots
gaining more than 5 lbs in 1 week

Question 15

Management plan for patient’s with preeclampsia without severe features

Answer 15

Biweekly office visits
Evaluate BP and signs and sx of preeclampsia
fundal height
weight gain
fetal surveillance testing
weekly labs

Question 16

What does fetal testing in a pregnant woman include

Answer 16

NST with AFI or BPP biweekly

Question 17

what percentage of women has research shown that headache precedes preeclampsia

Answer 17

50-75%

Question 18

what percentage of women has research shown that visual changes precedes preeclampsia

Answer 18

20-30%

Question 19

A hereditary connection for preeclampsia has been found with an increased risk for preeclamptic mothers, sisters, twins

Answer 19

Mother: 20-40%
Sisters 11-37%
twins 22-47%

Question 20

Correct way to take blood pressured

Answer 20

obtaining a correct size cuff: width of bladder 40% of circumference and encircles 80% of arm

Question 21

proteinuria for preeclampsia

Answer 21

protein urine equal to or > 300 mg in a 24 hour urine

Question 22

Patients high risk for preeclampsia

Answer 22

History of preeclampsia, especially when accompanied by an adverse outcome
Multifetal gestation
chronic hypertension
type 1 or 2 diabetes
renal disease
autoimmune disease

Question 23

patient moderate risk for preeclampsia

Answer 23

nulliparity
obesity BMI> 30
family his of preeclampsia (Mother/sister)
sociodemographic characteristics
African American race
low socioeconomic status
Age 35 or older
Personal history factors
low birth weight or small for gestational age
Previous adverse pregnancy outcome
more than 10 year pregnancy interval

Question 24

When are antihypertensive recommended for the management of gestational hypertension or preeclampsia

Answer 24

160/110 and greater

Question 25

Prenatal clients with asthma are at risk for which of the following conditions

Answer 25

Fetal growth restriction preeclampsia Preterm birth

Question 26

Classification of intermittent asthma (well controlled) Symptoms frequency nighttime awakening interference with normal activity FEV, or Peak Flow

Answer 26

Symptoms Frequency= 2 days per week or less Nighttime awakening = twice per month or less interference with normal activity= none FEV, or Peak Flow = more than 80%

Question 27

Classification of mild persistent ( not well controlled) Symptoms frequency nighttime awakening interference with normal activity FEV, or Peak Flow

Answer 27

Symptoms Frequency= more than 2 days per week Nighttime awakening = more than once per month interference with normal activity= minor limitation FEV, or Peak Flow = more than 80%

Question 28

Classification of moderate persistent asthma (well controlled) Symptoms frequency nighttime awakening interference with normal activity FEV, or Peak Flow

Answer 28

Symptoms Frequency= Daily symptoms Nighttime awakening = more than once per week interference with normal activity= some limitation FEV, or Peak Flow =60-80%

Question 29

Classification of severe persistent asthma (well controlled) Symptoms frequency nighttime awakening interference with normal activity FEV, or Peak Flow

Answer 29

Symptoms Frequency= throughout the day Nighttime awakening = four times per week or more interference with normal activity=extremely limited FEV, or Peak Flow = less then 60%

Question 30

Classification of symptoms frequency in Asthma

Answer 30

intermittent = 2 days per week or less Mild = more than 2 days per week Moderate = daily symptoms Severe = throughout the day

Question 31

Classification of nighttime awakening in Asthma

Answer 31

intermittent = twice per month or less mild = more than twice per month moderate = more than once per week severe = four times per week or more

Question 32

Classification of interference with normal activity for Asthma

Answer 32

intermittent = none mild = minor limitation moderate = some limitation severe = extremely limitation

Question 33

Classification of FEV or Peak Flow of Asthma

Answer 33

intermittent = more than 80% mild = more than 80% moderate = 60-80% Severe = le4ss then 60%

Question 34

Treatment for Asthma

Answer 34

Mild Intermittent = Short acting B-agonist for symptoms (albuterol) Mild persistent = short acting B-agonist + Low dose inhaled corticosteroid Moderate persistent = short acting B agonist + low dose ICS + LABA (long acting beta agonist Severe persistent = short acting b agonist + High-dose ICS + LABA Very severe persistent = short acting b agonist + high dose ICS + LABA + oral corticosteroids

Question 35

Treatment for Asthma

Answer 35

short acting B agonist = albuterol low dose inhaled corticosteroid = Pulmicort long acting b agonist = Symbicort

Question 36

What is VIRCHow's triad

Answer 36

VI = Vascular injury R = Reduced Blood flow (Venous stasis) HC = Hypercoagulability