Complications of Maternity Flashcards
What are the 2 signs and symptoms of a miscarriage?
- Spotting
2. Cramping
How is a miscarriage treated?
Bedrest and pelvic rest
Imminent - IV, blood D&C
How is a hydatidiform mole (molar pregnancy) confirmed and treated?
Ultrasound; treated with a D&C, no pregnancies during follow up time
A gestation outside of the uterus that usually occurs in the Fallopian tube. It is confirmed with an ultrasound and the first sign is pain and spotting. Methotrexate (Rheumatrex) is given to the mom to stop the growth of the embryo to save the tube.
Ectopic pregnancy
The placenta is implanted wrong and it begins to prematurely separate when the cervix begins to dilate and efface. Treated with bed rest, c-section, and blood count checks. No vaginal exams can be performed.
Placenta previa
What are 2 maternal complications for someone with placenta previa?
- Hemorrhage
2. Potential DIC risk
The placenta is implanted normally but it begins to separate prematurely. Ultrasound is used to confirm the diagnosis. Rigid board like abdomen with or without vaginal bleeding, abdominal pain, incrased uterine tone, and difficult to palpate the fetus.
Abruptio placenta
What is the method of delivery for a woman with abruptio placenta?
C-section
What are the 2 priorities with an abruptio placenta?
- Manage fetal status
2. Maternal shock
This is when the cervix dilates prematurely which occurs in the fourth month of pregnancy. This client will have a history of repeated, painless second trimester miscarriages.
Incompetent cervix
cerclage at 14-18 weeks to reinforce cervix
What will a women with hyperemesis gravidarum have in her urine?
Ketones
What are 4 interventions for someone with hyperemesis gravidarum?
- NPO for 48 hours
- IV fluids 3,000 ml in first 24 hours
- Don’t talk about food (foods should be icy cold or steaming hot)
- Quiet environment
Increased blood pressure, proteinuria, edema after 20 weeks, sudden weight gain, hyperreflexia, headache, blurred vision, and seeing spots. Treat with bedrest, magnesium, and increased protein in diet.
Preeclampsia
how often should checks for magnesium toxicity be done?
Every 1-2 hours (BP, respirations, deep tendon reflexes, and LOC)
What is the only cure for preeclampsia?
Delivery (after delivery, mom is at RF seizures for 48 hours)
What is the turning point from preeclampsia to eclampsia?
Seizure occurs
Occurs after 20 weeks, proteinuria is present
Pregnancy induce hypertension
Occurs after 20 weeks but there is no proteinuria
Gestational HTN
Labor that occurs between 20-37 weeks
Premature labor
What happens if the umbilical cord ceases to pulse?
Fetal death has occurred
What should you check when membranes rupture either spontaneously or artificially?
Fetal heart tones
What are the 2 positions that a woman should be placed in if there’s a prolapsed cord?
- Trendelenburg
2. Knee chest
What are the 3 risks to the fetus that has shoulder dystocia?
- Fetal hypoxia
- Brachial plexus injury
- Broken clavicle
Should a nurse ever apply fundal pressure?
No - physician must do it
Leading cause of neonatal morbidity and is transmitted from the birth canal of the infected mother during delivery. The risk to the fetus is only after the rupture of membranes. Not a sexually transmitted disease.
Group B Strep
