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OB > Chapter 19- Nursing Management For At Risk Pregnancy > Flashcards

Chapter 19- Nursing Management For At Risk Pregnancy Flashcards

1
Q

What is placenta previa?

A

bleeding condition that occurs during the last two trimesters of pregnancy; placenta implants over the cervical os instead of attaching to the fundus

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2
Q

What are some NIs for placenta previa? (4)

A
  • fetal monitoring/ fetal monitoring counts/ fetal heart rate
  • pad count for bleeding
  • avoidance of vaginal exams
  • educate/ prepare for possible C section birth
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3
Q

What is the BP reading for MILD preeclampsia?

A

> 140/ >90 after 20 weeks of gestation, resolving 12 weeks post partum

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4
Q

What is the definition of preeclampsia?

A

multisystem, vasopressive disorder that targets the cardiovascular, hepatic, renal, and CNS

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5
Q

How often do we monitor BP for preeclampsia?

A

every 4-6 hours when awake

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6
Q

What medication is given during labor for a patient with preeclampsia?

A

magnesium sulfate

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7
Q

What medication is kept at the bedside for a patient with preeclampsia?

A

calcium gluconate

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8
Q

What is the BP reading for SEVERE preeclampsia?

A

> 160/>110

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9
Q

What is the treatment for SEVERE preeclampsia?

A

vaginal delivery

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10
Q

What is painless vaginal bleeding indicate?

A

placenta previa

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11
Q

What is abruptio placenta?

A

separation of the normally located placenta after the 20th week of gestation

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12
Q

What position should the pregnant woman be in if abruptio placenta is assummed? and why?

A

left lateral

to prevent pressure on the vena cava

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13
Q

What can abruptio placenta lead to?

A

hemorrhage / DIC

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14
Q

What is HELLP?

A

severe form of preeclampsia involving hemolysis, thrombocytopenia, and liver dysfunction

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15
Q

Use of cocaine is a risk factor for?

A

abruptio placenta

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16
Q

Sudden onset of intense localized uterine pain with dark red vaginal bleeding indicates which disease?

A

abruptio placenta

17
Q

What does HELLP stand for?

A

Hemolysis- resulting in anemia and jaundice
Elevated Liver enzymes
Low Platelet count

18
Q

What is the difference between HELLP and severe preeclampsia?

A

HELLP is diagnosed by labs, not clinically

19
Q

Why do we give RhoGAM?

A

when the mother is Rh - and the fetus is Rh +

20
Q

When do we give RhoGAM?

A

at 28-32 weeks and within 72 hours after birth

21
Q

What is the name of the test that determines +/- of RhoGAM?

A

Coombs test

22
Q

Light red blood without pain is an indication of what condition?

A

placenta previa

23
Q

What are the two common side effects from eclampsia treatment?

A

loss of deep tendon reflex

decreased respirations

OB (8 decks)

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