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Nursing · NCLEX-RN

Maternal-Fetal High-Risk Nursing

Preeclampsia, gestational diabetes, and preterm labor complication management, distinct from the stage-of-care focus of the antepartum, intrapartum, and postpartum decks.

33 cards · basic cards · AI-written, checked twice. Edit anything.

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What is preeclampsia?
New-onset hypertension with proteinuria or other organ dysfunction occurring after 20 weeks gestation.
What blood pressure reading confirms a preeclampsia diagnosis?
140/90 mmHg or higher on two occasions at least 4 hours apart.
What blood pressure defines severe-range preeclampsia?
160/110 mmHg or higher.
Which drug is given to prevent eclamptic seizures?
Magnesium sulfate.
What is the therapeutic serum magnesium level during magnesium sulfate therapy?
4 to 7 mEq/L.
What medication reverses magnesium sulfate toxicity?
Calcium gluconate.
What is often the earliest sign of magnesium sulfate toxicity?
Diminished or absent deep tendon reflexes.
At what respiratory rate should a nurse hold magnesium sulfate and notify the provider?
Below 12 breaths per minute.
What does the HELLP in HELLP syndrome stand for?
Hemolysis, Elevated Liver enzymes, Low Platelets.
What symptom triad suggests worsening preeclampsia toward eclampsia?
Severe headache, visual disturbances, and epigastric or right upper quadrant pain.
What is the only definitive treatment for preeclampsia?
Birth of the baby and placenta.
What environmental precaution reduces seizure risk in a patient with severe preeclampsia?
A dim, quiet room to minimize stimulation.
What is gestational diabetes mellitus?
Glucose intolerance first identified during pregnancy.
What screening test is used for gestational diabetes?
The 1-hour 50-gram oral glucose challenge test.
Gestational diabetes screening is routinely performed during which weeks of pregnancy?
24 to 28 weeks gestation.

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