Antepartum Flashcards
Spotting with cramps & a closed cervix
+ fetal heartbeat
threatened abortion
Moderate bleeding with cramping & a dilated cervix
Inevitable abortion
Heavy or profuse bleeding with severe cramps & tissue present in cervix
incomplete abortion
May have spotting or no bleeding, no cramping, cervix is closed, no fetal heartbeat present
Missed abortion
What complication is common with poor glycemic control in early pregnancy?
Congential anomalies in fetus
Preeclampsia develops when?
after 20 weeks gestation
Preeclampsia & addition of
proteinuria greater than or equal to +1
transient headaches with irritability
Preeclampsia without severe
greater 140 or greater than 90
protein urine greater than +1
Preeclampsia with severe features
greater than 160 or greater than 110
Proteinuria not required*
Preeclampsia: if multi systems involved
delivery must be performed
Preeclampsia: if multi systems not involved yet:
improve blood flow fetal oxygenation bed rest antihypertensive meds anticonvulsant meds assess edema (tremendous weight gain)
The placenta experiences ischemia because the spiral arteries of the uterus fail to reshape and increase in diameter
preeclampsia
what to also check for with preeclampsia?
Increased DTR & Clonus
Mag toxicity s/s
Depressed DTRs
Respiratory depression
oliguria <30 cc per hour
therapeutic level of mag
4-7