Exam 39: The Obstetric Patient

A 35-year-old multiparous woman was admitted to the hospital at 36 weeks' gestation for nausea,vomiting,and severe epigastric pain.On admission,her vital signs were as follows: pulse,90 beats/min; blood pressure,165/100 mm Hg; respiratory rate,18 breaths/min; and temperature,99.4° F.The patient reported blurred and double vision and a severe headache.The fetal heart rate was normal.She was placed on bed rest.Urine analysis revealed proteinuria.Her vital signs 6 hours later were as follows: pulse,88 beats/min; blood pressure,185/105 mm Hg; respirations,16 breaths/min; and temperature,98.4° F.The fetal heart rate was normal.Severe pre-eclampsia was diagnosed.In addition to her clinical signs and symptoms,the patient's laboratory studies demonstrate hemolysis of red blood cells,elevated liver enzymes,and a low platelet count.What would be anticipated as an additional diagnosis?

Which medication is not commonly used during pulmonary dysfunction that occurs during pregnancy?

The treatment goals of pregnancy-induced hypertension include

Which animal is the host for the protozoan Toxoplasma gondii?

Which of the following conditions may precipitate DIC in an obstetric patient?

Pre-eclampsia is characterized by widespread physiologic changes,including

Anaphylactoid syndrome (amniotic fluid embolism)of pregnancy

Clinical decisions in a critically ill obstetric patient include

Treatment goals for severe pre-eclampsia include which of the following?

A 35-year-old multiparous woman was admitted to the hospital at 36 weeks' gestation for nausea,vomiting,and severe epigastric pain.On admission,her vital signs were as follows: pulse,90 beats/min; blood pressure,165/100 mm Hg; respiratory rate,18 breaths/min; and temperature,99.4° F.The patient reported blurred and double vision and a severe headache.The fetal heart rate was normal.She was placed on bed rest.Urine analysis revealed proteinuria.Her vital signs 6 hours later were as follows: pulse,88 beats/min; blood pressure,185/105 mm Hg; respirations,16 breaths/min; and temperature,98.4° F.The fetal heart rate was normal.Severe pre-eclampsia was diagnosed.The patient is placed on a magnesium sulfate drip of 3 g/hr.After 1 hour,she has a recurrent seizure.The nurse should

The most common cause of obstetric cardiac arrest in pregnancy is

An autosomal dominant disorder that involves the connective tissue and can lead to dissection or rupture of the aorta is known as

The most teratogenic of all viruses is

Which of the following physiologic changes are common in pregnant women?

The most common obstetric cause of DIC is

Severe neonatal disorders associated with toxoplasmosis infections include

The patient has a congenital cardiac disorder and is experiencing complications that include dysrhythmias,heart failure,and thromboembolism.The nurse recognizes that these are symptoms of

A 35-year-old multiparous woman was admitted to the hospital at 36 weeks' gestation for nausea,vomiting,and severe epigastric pain.On admission,her vital signs were as follows: pulse,90 beats/min; blood pressure,165/100 mm Hg; respiratory rate,18 breaths/min; and temperature,99.4° F.The patient reported blurred and double vision and a severe headache.The fetal heart rate was normal.She was placed on bed rest.Urine analysis revealed proteinuria.Her vital signs 6 hours later were as follows: pulse,88 beats/min; blood pressure,185/105 mm Hg; respirations,16 breaths/min; and temperature,98.4° F.The fetal heart rate was normal.Severe pre-eclampsia was diagnosed.Treatment goals of severe pre-eclampsia include

Which medication used in the advanced cardiac life support algorithm is not contraindicated in pregnancy?

The leading cause of maternal blunt trauma is