Your 22 week pregnant females presents for

Your 22 week pregnant females presents for a mild headache, worsening back pain. She reports b/l pedal edema and some blurred vision. PEX: Vitals: T 99.2 HR 102 RR 20 B/: 165/95 Urinalysis: LE neg, Nitrates neg, color amber, 2+ protein . Labs: cbc WBC 12.2 Hgb/Hct 12/34 Plt 150. Chem: Na 134 K 3.5 Alt 42 Ast 30 T Bili 2.0 The NP notes this reflects what condition in her pt ? Pyelonephritis Pre-eclampsia Eclampsia HELLP syndrome All of the following statements are true regarding HTN in pregnacy women except: HTN is considered with any sbp 30+ or DPB 15+ above baseline Chronic HTN is any HTN that exists before 20 weeks gestation Beta blockers (BB), Calcium channel blockers (CCB) are as good or better than Aldomet (methyldopa) ACE inhibitors or ARBS are the best choice. Your 10 week pregnant female presents w painless bleeding. Her Serum HCG is 3000, the TSVUG shows an empty sac. The L adnexa shows a mass. Her diagnosis is: Early pregnancy loss Ectopic pregnancy Early pregnancy Placenta previa All of the following statements are true regarding bleeding in pregnancy except: It occurs in 40 % of women in the 1st trimester Differentials can include – bleeding with a live intrauterine pregnancy, early pregnancy loss, ectopic pregnancy Risk factors can include hx ectopic pregnancy, smoking , drug use Size / Date discrepancies showing a fetus that is large for gestational age can exhibit criteria below except: Birth mother w Gestational diabetes Hx of smoking Be at risk for shoulder dystocia at birth Breech presentation Your female pt who is 22 weeks pregnant pt presents to your ER with acute abd pain and bleeding. Her vitals are stable. Her PMH is notable for G2P1A1 (placenta abruption). Your next best course of action is to: Perform a quick digital exam of the cervix Order an abdominal ultrasound Alert the OR to an emergency c section Type and cross for 4 units .Your 25 week old pt has a UTI. Her vitals are stable and she looks ok. She has a PCN allergy. Your next best course of action is to: Rx for Levaquin 750 daily x 7 days Rx for Macrobid 100 mg bid x 7 days Rx for Augmentin 875 mg po bid x 7 days Rx for Cipro 500 po bid x 7 days IT’s October and your 25 yo pt presents for review of her labs from her first prenatal visit. On exam you note the following: MMR – no immunity, RPR neg, Hep B surface ag negative, u/a : neg LE, neg Nitrates, neg protein, trace glucose. CBC: WBC 10 k, HGB 9 HCT 19 MCV 75 Plt 150 K. IN addition to writing for prenatals, your treatment plan will be to: Give MMR vaccine, Fluzone inj vaccine, Covid vaccine, start the hep b vaccine Give Fluzone im, Covid, Hep B , iron tabs, 1 hr GTT. Hep B vaccine give Give Fluzone IM, Covid vaccine, iron tabs, 1 hr GTT Give iron tabs, MMR Your 35 week old pt has a nasty sinus infection. Your choice of antibiotic shows a category of C this means: Always allowed Use with caution Conditional use only after consultation w perinatologist Can be safely used in all pregnancies Your pregnant pt presents with b/o 160/110, PLT 50 K, AST 56, ALT 65 , 3+ protein in urine. She has: Preeclampsia Eclampsia HEELP syndrome Diabetes SCIENCE HEALTH SCIENCE NURSING NURS 7810

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