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Mother Baby Unit 2 > Class 5 Study Guide > Flashcards

Class 5 Study Guide Flashcards

1
Q

Pros and Cons of delayed pregnancy

A

Cons- increased risk of genetic abnormalities with age, preexisiting conditions such as HTN and DM,
-Increased risk of miscarriage, GDM, C/S, preterm delivery, stillbirth, preclampsia, placenta previa/abruption

Pros- more resources, financially stable

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2
Q

Irreparable Defect

A

-deal with the fact that infant will have lifelong disability, Downs, microcephaly, CF

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3
Q

Caffine effects on fetus

A
  • crosses placenta
  • stimulant
  • teratogenic effects are undocumented
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4
Q

Tobacco effects on fetus

A

-prematurity
-LBW
-neurodevelopmental problems
increased incidence of SIDS

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5
Q

Alcohol effects on fetus

A
  • fetal demise
  • FGR
  • FASD
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6
Q

Marijuana effects on fetus

A

-unclear

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7
Q

Cocaine effects on fetus

A
  • tachycardia
  • stillbirth
  • prematuriy
  • irritability
  • sleep followed by agitation, poor response to comforting or interaction, possible attention and language problems
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8
Q

Meth effects on fetus

A
  • increased risk for FGR
  • prematurity
  • cleft palate
  • abnormal sleep patterns
  • agitation
  • poor feeding
  • vomiting
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9
Q

Antidepressants effects on fetus

A
  • trainsient respiratory distress
  • irritability
  • poor tone
  • persistant pulmonary hypertension
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10
Q

Opioid effects on fetus

A
  • FGR
  • LBW
  • perinatal asphyxia
  • meconium aspiration
  • NAS
  • fetal/neonatal death
  • SIDS
  • abuse/neglect
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11
Q

Concurrent death/survival in multifetal

A
  • conflicting and complex feelings of joy and grief.
  • grieving process is complicated
  • fear for surviving infant
  • problems with attachment
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12
Q

Hemorrhagic conditions of early pregnancy

A
  • abortion
  • ectopic pregnancy
  • hydratiform mole
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13
Q

Missed Abortion

A
  • fetus dies during first half of pregnancy but never aborts self.
  • pregnancy symptoms disappear
  • can cause infection/sepsis
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14
Q

Risk Factors for ectopic pregnancy

A
  • history of STIs that scar fallopian tubes
  • history of PID
  • history of previous ectopic pregnancies
  • failed tubal ligation
  • IUD
  • multiple induced abortions (scaring)
  • maternal age >35
  • assisted reproductive technique used
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15
Q

Gestational Trophoblastic Disease

hydatidiform mole

A
  • cells that attach the fertilized ovum to uterine wall that deveop abnormally
  • placenta develops but not the fetus
  • grape like mole that can easily turn cancerous
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16
Q

Hydatidiform Mole-

Complete vs Partial

A
  • complete: ovum is fertilized by sperm that duplicates its own chromosomes while chromosomes of ovum are deactivated
  • partial: maternal contribution present but paternal doubled
17
Q

Hydatidiform Mole

S/S

A
  • vaginal bleeding with grape like clots
  • uterus larger than expected
  • excessive N/V
  • high hormone levels
  • early development of preeclampsia
18
Q

Placenta Previa- Marginal

A
  • low lying placenta

- lower border is more than 3 cm from cervix

19
Q

Placenta Previa- Partial

A

-lower border of placenta is less than 3 cm from cervix

20
Q

Placenta Previa- Risk

A
  • older gestational age
  • previous C/S (scarring)
  • induced abortion (scarring), or misscarrige
  • smoking
  • cocaine use
  • male fetus
  • asian
21
Q

Placenta Previa- S/S

A
  • painless uterine bleeding with sudden onset

- cervical change my disrupt placenta attachment which can cause bleeding

22
Q 
Abruptio Placentae (placental abruption)
Maternal and Fetal Danger
A

maternal-hemorrhage, hypovolemia shock, DIC

Fetal- anoxia, blood loss, preterm birth

23
Q

Placental abruption risk

A
  • HTN
  • smoking
  • multipgravida
  • abd trauma
  • cocaine use
  • autoimmune
24
Q

Placental abruption s/s

A
  • vaginal bleeding
  • abdominal or low back pain
  • uterine irritability
  • high uterine resting tone
  • uterine tenderness at abruption site
  • non-reassuring FHR
  • hypovolemia shock
  • fetal death
  • hemorrhage may be concealed or apparent
  • baby is not happy

Mother Baby Unit 2 (3 decks)

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