12.2c Postterm Pregnancy Flashcards
1
Q
Post-term Pregnancy
A
- When pregnancy reaches 42 weeks 0 days (unknown cause)
CLINICAL MANIFESTATIONS
- Maternal weight loss (3lb a week)
- Decreased amniotic fluid causing decreased uterine size
- Meconium in amniotic fluid
- Fetal bone maturation with exceptionally hard skull
2
Q
Risks of Post-term Pregnancy
A
- Labor Dystocia
- Severe Perineal Injuries
- Chorioamnionitis
- Endomyometritis
- Postpartum Hemorrhage
- C-Section
3
Q
Interventions for Post-Term Pregnancy
A
- Induction of labor with prostaglandins and oxytocin
- Forceps/Vacuum Assisted Birth
- C-Section
4
Q
Complications of Post-Term Pregnancy
A
- Abnormal Fetal Growth
- Small for Gestational Age
- Macrosomia
- Shoulder dystocia can lead to fetal injury
FETAL RISK
- Decreased amniotic fluid
- Cord compression leading to hypoxemia
- Meconium stained amniotic fluid
- Meconium aspiration
5
Q
Characteristics of Fetus With Post-Term Pregnancy
A
- Decreased SubQ Fat
- Lacks Lanugo and Vernix
- Dry, Cracked, Peeling Skin
- Long Nails
- Meconium staining of skin, nails, umbilical cord
6
Q
Care Management for Post-Term Pregnancy
A
- Fetal Surveillance (NST, CST, BPP, mBPP)
- Labor can be induced at 41 weeks if cervix is favorable
- Assess fetal activity daily
- Assess signs of labor
- Woman should go to all her appointments
- If oligohydramnios is present, amnioinfusion maybe done
