Chapter 19- Nursing Management For At Risk Pregnancy Flashcards
What is placenta previa?
bleeding condition that occurs during the last two trimesters of pregnancy; placenta implants over the cervical os instead of attaching to the fundus
What are some NIs for placenta previa? (4)
- fetal monitoring/ fetal monitoring counts/ fetal heart rate
- pad count for bleeding
- avoidance of vaginal exams
- educate/ prepare for possible C section birth
What is the BP reading for MILD preeclampsia?
> 140/ >90 after 20 weeks of gestation, resolving 12 weeks post partum
What is the definition of preeclampsia?
multisystem, vasopressive disorder that targets the cardiovascular, hepatic, renal, and CNS
How often do we monitor BP for preeclampsia?
every 4-6 hours when awake
What medication is given during labor for a patient with preeclampsia?
magnesium sulfate
What medication is kept at the bedside for a patient with preeclampsia?
calcium gluconate
What is the BP reading for SEVERE preeclampsia?
> 160/>110
What is the treatment for SEVERE preeclampsia?
vaginal delivery
What is painless vaginal bleeding indicate?
placenta previa
What is abruptio placenta?
separation of the normally located placenta after the 20th week of gestation
What position should the pregnant woman be in if abruptio placenta is assummed? and why?
left lateral
to prevent pressure on the vena cava
What can abruptio placenta lead to?
hemorrhage / DIC
What is HELLP?
severe form of preeclampsia involving hemolysis, thrombocytopenia, and liver dysfunction
Use of cocaine is a risk factor for?
abruptio placenta
Sudden onset of intense localized uterine pain with dark red vaginal bleeding indicates which disease?
abruptio placenta
What does HELLP stand for?
Hemolysis- resulting in anemia and jaundice
Elevated Liver enzymes
Low Platelet count
What is the difference between HELLP and severe preeclampsia?
HELLP is diagnosed by labs, not clinically
Why do we give RhoGAM?
when the mother is Rh - and the fetus is Rh +
When do we give RhoGAM?
at 28-32 weeks and within 72 hours after birth
What is the name of the test that determines +/- of RhoGAM?
Coombs test
Light red blood without pain is an indication of what condition?
placenta previa
What are the two common side effects from eclampsia treatment?
loss of deep tendon reflex
decreased respirations
