Author Question: The most common neurologic disorder accompanying pregnancy is: a. Eclampsia. c. Epilepsy. b. ... (Read 72 times)

lunatika

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The most common neurologic disorder accompanying pregnancy is:
 
  a. Eclampsia. c. Epilepsy.
  b. Bell's palsy. d. Multiple sclerosis.

Question 2

Marfan syndrome is an autosomal dominant genetic disorder that displays as weakness of the connective tissue, joint deformities, ocular dislocation, and weakness to the aortic wall and root.
 
  While providing care to a client with Marfan syndrome during labor, which intervention should the nurse complete first?
  a. Antibiotic prophylaxis c. Surgery
  b. -Blockers d. Regional anesthesia



wuly

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Answer to Question 1

ANS: C
The effects of pregnancy on epilepsy are unpredictable. Eclampsia sometimes may be confused with epilepsy, which is the most common neurologic disorder accompanying pregnancy. Bell's palsy is a form of facial paralysis. Multiple sclerosis is a patchy demyelinization of the spinal cord that does not affect the normal course of pregnancy or birth.

Answer to Question 2

ANS: A
Because of the potential for cardiac involvement during the third trimester and after birth, treatment with prophylactic antibiotics is highly recommended. -Blockers and restricted activity are recommended as treatment modalities earlier in the pregnancy. Regional anesthesia is well tolerated by clients with Marfan syndrome; however, it is not essential to care. Adequate labor support may be all that is necessary if an epidural is not part of the woman's birth plan. Surgery for cardiovascular changes such as mitral valve prolapse, aortic regurgitation, root dilation, or dissection may be necessary. Mortality rates may be as high as 50 in women who have severe cardiac disease.



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wuly

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