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