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Maternal Newborn > Complicated pregnancy NOTE > Flashcards

Complicated pregnancy NOTE Flashcards

1
Q

Preterm labor
What that is?
Nursing goal?

A

a)
Uterine contractions and cervical changes
Between 20-36 weeks
b)
Stop or at least slow down before cervical changes and labor cannot stop

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2
Q

Preterm labor
Mom risk

A

Infection
Stress r/t baby’s condition
Fear
Pain r/t contractions

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3
Q

Preterm labor
Fetus risk

A

Mortality d/t respiratory maturely
Maturation deficiencies d/t Immature organ system

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4
Q

Preterm labor
Nursing implications

A

Monitor FHR
Monitor contraction pattern
Identify existing infection

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5
Q

Preterm labor
Education

A

Report sing
-uterine cramping
-bleeding
-low back pain
Limit activity to bathroom
Rest left side

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6
Q

Premature Rupture of membranes
PROM

A

Spontaneous rupture of membranes
before labor begins
After 37 weeks

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7
Q

PROM
Risk mom

A

Infection
Abnormal placenta
Hemorrhage
Sepsis and die

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8
Q

PROM
Risk fetus

A

Fetal sepsis (fetal)
Prolapsed cord
Poor placenta perfusion

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9
Q

PROM
PPROM
Nursing implications

A

Limit virginal exam
Asses temp every 2-4 hr
Asses fetal well being

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10
Q

Preterm Premature Rupture of Membrane
PPROM

A

Premature spontaneous rupture
before labor begins
after week 30 to 37weeks

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11
Q

PPROM
a) Risk Mom
b) Risk fetus

A

a) infection

b) Prolapsed cord
Fetal sepsis
Respiratory distress
Premature birth
Tachycardia

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12
Q

Prolapsed cord?

A

Occur if fetus is not engaged in pelvis
Requires C-section ASAP!!

Can result in a loss of oxygen to the fetus, and may even result in a stillbirth
d/t compression

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13
Q

Placentae previa
What that is?
Onset?
Pain?

A

Placenta placed lower cervical instead if the fundus
Quiet and sneaky onset
Painless!!

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14
Q

Placentae previa
Uterus?
Blood color?
Fundal heights?

A

soft and non tender
Bright red
Higher than normal

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15
Q

Abruptio Placenta
What that is?
Onset?
Pain?

A

Partial or completes separation
More dangerous!!

Sudden and stormy
Sever and steady

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16
Q

Abruptio Placenta
Uterus?
Blood color?
Fundal heights?

A

Firm and tenderness
Dark

17
Q

Abruptio Placenta
Mom risk

A

Hypovolemic shock
Spontaneous bleeding
Death

18
Q

Cervical insufficiency

A

Cervix opens too early during pregnancy
2 nd semester
Painless
-They don’t realized till they lost baby

19
Q

Cervical insufficiency
Mom risk
Fetal risk

A

Guilt, shame
-because they didn’t notice till they lost the baby

Preterm deliver
Death

20
Q

Cerclage

A

A procedure
Cervical openings is closed with stiches

They MUST notify when labor can be sing

21
Q

First trimester risk

A

-12weeks
Spontaneous abortion before 20weeks
Ectopic pregnancy
Gestational Trophoblastic Disease
-Hydatidiform Mole

22
Q

Gestational DM
Risk Mom

A

Difficulty labor
Preterm labor
PRM
Inc risk for c-section
Inc risk for infection

23
Q

Gestational DM
Risk fetus

A

Preterm deliver
IUGR
Macrosomia
Shoulder dystocia
NICU admission
Respiratory distress
Hyperbilirubinemia

24
Q

Gestational DM
Education

A

Perform daily kick counts
Maintain diet
Exercise
Change to oral to insulin

25
Q

Preeclampsia
Initial sing

A

Headache
Vison change
Nausea
Edema
Dec featl movment

26
Q

Preeclampsia
Worsening sing

A

Inc BP
Dec platelets
Dec u/o
Abruptio placenta d/t HTN

27
Q

Preeclampsia
Why does it bad?

A

inc risk of placental abruptio
HELLP syndrome(Mom)
Poor placental perfusion d/t inc mom BP

28
Q

Preeclampsia
Nursing intervention

A

The only cure is delivery!!31

29
Q

Gestational diabetes
Baby risk at hypoglycemia after born
why??

A

Mom’s blood sugar was elevating even though it control
Baby was getting lots of sugar from mom
Now the baby is outside, no longer to get the sugar
Baby’s blood sugar CRASH!!!

30
Q

Hyperemesis Gravidarum
a) S/S
b) NC

A

emesis=N/V
a) Weight loss is red flag
b) IV fluids

31
Q

Hypoglycemia
S/S

A

Skin-cold and clammy need some candy!!

32
Q

Hyperglycemia
S/S

A

Skin-warm and dry…. sugar high!!

Maternal Newborn (20 decks)

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