PIH Flashcards

(52 cards)

1
Q

preterm PROM occurs when

A

before 37 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

cause of PROM

A

infetion
obstetrical procedure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

in term PROM labor often begins when

A

24hrs after membrane ruptures

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

in preterm PROM labor is

A

delayed a week

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

management of PROM depends on

A

AOG
Fetus health
Severity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

two options of management for PROM

A

delivery

expectant management

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

medications for PROM

A

tocolytics
betamethasone
prophylactic antibiotics

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

slows or stops contractions

A

Tocolytics

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

speed up lung development in preterm babies

A

betamethasone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

90% of PROM treatment will go into

A

spontaneous labor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

safest option of treatment of PROM

A

delivering within 24hrs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

helps with the fetus’s brain

A

Magnesium sulfate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

hypertension developing after 20th weak of gestation

A

PIH

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

toxin produced by a woman response to foreign protein of the growing fetus

A

Toxemia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

cause of PIH

A

autoimmunie reaction to antigens

Protein deficiency theory

endothelin theory

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what is endothelin theory

A

endothelin are potent vasocinstrictors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

predisposing factors of PIH

A

calcium & vit c deficiency

Poor nutrition

young maternal age

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

edema only occurs after hypertension in PIH (T/F)

A

TRUE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

140/90
no proteinuria/edema

A

Gestational hypertension

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Gestational H returns to normal within

A

12 WEEKS postpartum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

PIH with edema, prteinuria and weight gain >2lbs per week in 2nd tri

A

Mild preeclampsia

22
Q

160/110

3/4 urine sample

extensive edema

cerebral edema

A

Sever pre eclampsia

23
Q

most sever PIH

coma occurs

fetal prognosis

GRAVER PROGNOSIS

seizures

24
Q

Effects of eclampsia: cardio

A

decreased co

hemoconcentration

Thrombocytopenia

25
Effects of eclampsia: endocrine & metabolic
increased RENIN, ANGIOTENSIN, ALDOSTERONE, ADH increased edema
26
Effects of eclampsia: renal
reduced renal perfusion, glomerular filtration elevatedcreatinine proteinuria decreased excretion of calcium
27
PIH managment; initial hospitalization
CBC liver function test daily weighs
28
PIH: Diet changes
less 2g sodium eat roughage foods
29
fluid therapy for PIH
crystalloid infusion Lactated ringer's solution 100ML/HOUR
30
PIH bed position
lateral recumbent position
31
lab test include
proteinuria creatinine hematocrit
32
drug for convulsion
Magnesium sulfate
33
for magnesium sulfate seziure stops at 1st dose (T/F)
TRUE
34
indication of magnesium sulfate
depress cns ; blocks acetylcholine reduce edema (muscle relaxant)
35
dose of m sulfate
4-6g; 20mins infused maintenance dose: 1-2g/hr piggy back
36
before administering m sulfate what is assessed
rr : >12-14 UO: 100ml/4hrs DTR: present serum magnesium levels: 7mg
37
loss of DTR is a sign of
hYPERMAGNESEMIA
38
side effects of m sulfate
mama: confusion, flushing cns depression baby: tachycard, hypogly,calc,magnesemia
39
given 5mg first followed by 5 - 10 mg q20 ; Antihypertensive (peripheral vasodilation)
Hydralazine
40
Antidote for MgSO4 toxicity
Calcium Gluconate
41
given 20mg q10 to 300mg ; Antihypertensive
Labetalol
42
given 5-10mg q5;q10 observing respiratory depression ; Halt seizures
diazepam
43
signs of convulsions
epigastric pain severe headache severe nausea, vomiting
44
responsibilities of nurse during convulsion
airway maintenance INJURY PROTECTION
45
signs of placental abruption
v bleeding abd pain decreased fetal act
46
nursing resp aft convulsion
take vs suction nasopharynx ; adm 02
47
used if mgSO4 cant control convulsions
Diazepam
48
u should give something to client when mildy awake
False, should be fully awake
49
once patient is stabilized delivery commence within
3-6hrs
50
often ysed to ripen cervix
Prostaglandin E2
51
given continously after 24hrs of delivery to prepare for convulsions
MgS04 therapy
52
BP & PR are checked postpartum when
q4hrs for 2days