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222-Child Bearing Families > Ch 7-Complications in Pregnancy > Flashcards

Ch 7-Complications in Pregnancy Flashcards

1
Q

Chorionic villus sampling

A
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2
Q

Amniocentesis

A
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3
Q

Maternal Assays

A
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4
Q

Fetal Movement Count

(how to perform)

A
  • feel for movements daily for 1-2 hrs
  • 10 distinct movements in 2 hrs is considered normal
  • contact HCP if less than 4 in 2 hrs
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5
Q

Contraction Stress Test

A

measure the baby’s HR during labor

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6
Q

BPP

What it tests for (5)

A

Is a US with NST
Tests for
* FHR reactivity
* Fetal movement
* Tone
* Breathing
* Amniotic fluid volume

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7
Q

Midwife

A
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8
Q

Amniotic Fluid Index

A
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9
Q

Common High risk factors for a pregnancy

A
  • pre-existing health conditions
  • hx of pregnancy complications
    obesity
  • multiple gestation
  • <18 or >35
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10
Q

Pregestational Diabetes: risks to baby

A
  • congenital defects to CNS and heart
  • macrosomia
  • hypoglycemia
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11
Q

Pre-clampsia onset

3

A
  • early: before 34 wks
  • late: after 34 weeks
  • new onset: postpartum
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12
Q

Preclampsia phase 1 vs 2

A

Phase 1- early placenta; growth of narrow vessels with bad placental perfusion
Phase 2- Mom develops s/sx’s. Inflammatory response, affecting brain, liver, kidneys, vascular system

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13
Q

Preeclampsia Risks to Mom

A
  • cerebral & pulmonary edema
  • hemorrhage/stroke
  • CHF
  • abruptio placenta
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14
Q

Preeclampsia Risks to Baby

A
  • IUGR (intrauterine growth restriction)
  • premature birth
  • intolerance to labor (ie stillbirth)
  • risk for diseases later in life
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15
Q

Preeclampsia assessment (severe)

A
  • BP>160/110 more than 1 reading
  • visual problems
  • proteinuria
  • new SOB/pulmonary edema
  • abnormal kidney/liver tests (RUQ pain from liver)
  • thrombocytopenia
  • HELLP syndrome
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16
Q

Preeclampsia Care

Goal and nursing care

A
  • Goal: control BP, prevent seizures and bleeding
  • Care:
    -assess CNS, vision changes, clonus, DTR, RUQ pain, edema, lung sounds, urinalysis
    -maintain bed rest and lateral recumbent position
17
Q

Preeclampsia meds

3 (and their MOA)

A
  • mag sulfate (blocks calcium, vasodilates)
  • antihypertensies (vasodilate)
  • anticonvulsants (binds to CNS receptors to stabalize cells)
18
Q

Eeclampsia care

A
  • pt safety
  • airway
  • lateral position
  • monitor length
  • fetal monitoring
19
Q

HELLP Syndrome

A
  • Hemolysis (destruction of RBC)
  • Elevated Liver enzymes
  • Low Platelets
20
Q

Infection risk to fetus

A
  • PTD
  • IUGR
  • LBW
  • Sepsis
  • Neurological damage
21
Q

Infection routes

3

A
  • intrapartal (during vaginal delivery)
  • transplacental
  • ascend birth canal

222-Child Bearing Families (15 decks)

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