NURS 4500 Class#3 Complications of Pregnancy

Question 1

What are adverse conditions of pre-eclampsia that will require delivery (birth) regardless of gestational age

Answer 1

1. Eclampsia
2. Posterior reversible encephalopathy syndrome (PRES)
3. Stroke or TIA
4. GCS <13

Question 2

What is eclampsia?

Answer 2

It is seizures in a woman diagnosed with pre-eclampsia, with no other hx that would explain seizures

Question 3

Eclampsia may suddenly happen or preceded by specific signs and symptoms(whic are???)

Answer 3

Headache, severe epigastric pain, hyperreflexia

Question 4

During pre-eclampsia, monitor ot delivery?

Chest pain/dyspnea
Oxygen sat of less than 97

Answer 4

Monitor

Question 5

Cardioresp of pre-eclampsia that will require delivery

Answer 5

1. Uncontolled severe HTN > 12 hours, despire use of three antihy-ertensive agents
   Oxygen sat < 90 %, need for 50% oxygen for> 1 hr, intubation (other than cesarean section),pulm edema
2. Positive inotrooic support
   MI or infarc

Question 6

What do we do when pre-ecmaptic pt has plt count < 50 and/or need blood transfusion

Answer 6

Delivery!