Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

OB Exam 3 > Complications Of Preganancy > Flashcards

Complications Of Preganancy Flashcards

1
Q

Care for a patient with MILD pre-eclampsia

A
  • bed rest; increase perfusion leads to enough time for baby to mature
  • frequent assessments of mother and baby
  • steroids to ripen the cervix
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Care for SEVERE preeclampsia

A
  • BP meds to get level out of stroke range
  • measure fetal perfusion through BPPs, amniotic fluid index, fetal growth and umbilical Doppler flow
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

The components of a pre-eclampsia assessment

A
  • V/S: document maternal perfusion
  • Pulse ox
  • LOC
  • HA
  • visual changes
  • lung sounds
  • epigastric pain
  • generalized edema
  • reflexes
  • clonus
  • wt. gain
  • symptoms of abruptio placenta
  • Urine output
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Laboratory findings for preeclampsia

A
  • urine dipstick for protein
  • 24hr urine
  • CBC
  • complete metabolic profile*
  • liver enzymes *
  • urine acid *
  • may be combined as PIH profile *
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Baby assessment

A
  • fetal kick counts
  • NST
  • BPP
  • amniocentesis for fetal lung maturity
  • steroids for premature delivery
  • cervical ripeness
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Findings that indicate HELLP syndrome (hemolysis, elevated liver enzyme, low platelets)

A
  • can occur w/ or w/out HTN or proteinuria
  • danger is rupture of the haptic capsule
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

When does the 1hr GTT screening occur

A

At 24-28wks gestation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Assessment and care of patient w/ gestational DM

A
  • Hgb A1C: dx but not helpful for monitoring at
  • Screened at 24-28wks with 1hr GTT
    * 1hr GTT >120-140 = 3hr GTT dx if 2 or more values are elevated
    * 1hr GTT > 200 = automatic dx
  • Switch from oral to insulin d/t oral medication crosiing the placenta
  • Tight control of blood gluocse
    * FBS <95
    * 2hr postprandial <120
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Role of the nurse caring for a pateint with gestational DM

A
  • Health maintance and promotion
  • Testing
  • Teaching
  • Antenatal monitoring
  • Nursing dx; interventions
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

s/s of preterm labor/ PPROM (ati)

A
  • gush/ leakage of clear fluid
  • prolapsed umbilical cord, abrupt FHR variable, prolonged decelaration, or palpable cord at the introitus
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

complications due to PPROM

A
  • prolapsed cord
  • chorioamnionitis
  • cord compression r/t oligohydraminos
  • decreased placental perfusion
  • preterm delivery
  • neonatal sepsis
  • neonatal RDS r/t oligohydramnios
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

The number 1 cause and SE of PRROM

A

INFECTION

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Role of the nurse caring for a patient with PRROM/ preterm labor

A
  • assessment
  • communication
  • patient advocate
  • education
  • support
  • safe adminstration of meds
  • knowledge
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

interventions for patient with hyperemesis

A
  • rest
  • avoidance of triggers
  • frequent small meals, high protein snacks, avoid spicy/ fatty foods
  • replace fluids IV
  • antiemetics
  • severe n/v treatment: pyridoxine w/ or w/o doxylamine, antiemetics, ondanserton
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

maternal risk factors for pateints with multiple gestation pregnancy

A
  • preeclampsia
  • gestational DM
  • C/s
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

fetal risk factors for patients with multiple gestation pregnancy

A
  • preterm
  • IUGR
  • twin to twin transfusion
  • abruptio placenta after delivery of 1st baby
  • cord entanglement
  • C/s
17
Q

danger signs in the first trimester

A
  • spontaneous abortion
  • ectopic pregnancy
  • hydatidiform mole
  • hyperemesis gravidarium
18
Q

danger signs of the 2nd trimester

A
  • gestational trophoblastic disease
  • gestational DM
  • preeclampsia
19
Q

placenta previa

3rd trimester

A
  • painless; mild bleeding
  • implants marginal, partial, complete
  • dx by ultrasound
  • edu: nothing in the vagina, seek immediate medical attention for bleeding
20
Q

abruptio placenta

3rd trimester

A
  • vaginal bleeding
  • sharp abdominal pain
  • tender rigid uterus
  • risk factors: elevation in BP, trauma, decrease in uterine size
21
Q

vas previa

3rd trimester

A
  • fetal vessels are implanted into the membrane rather than the placenta
22
Q

nursing care for patient with cervical insufficiency

A
  • cerclage stitch if there is no uterine contractions
  • indomethasone- 1st 48hrs; moniotr to make sure it doesnt cause contractions
23
Q

nursing care for placenta previa

A
  • stay in the hospital rest of pregnacy to closely montitor
  • nothing in the vagina
24
Q

nursing care for placental abruption

A
  • assess fetal well being to determine if immediate c/s is necessary
25
Q

care for a preganant patient after MVI

A
  • seatbelts
  • ABC’s: v/s cardiopulmonary status
  • abdomen: soft, firm, rigid, tender
  • bleeding: quantity, weigh pads: 1g=1ml
  • fetal heart tracing: reflects maternal hypoxia, poor perfusion
    * observe for brady,tachycardia, reduced variability and late decelerations
  • alert team and stabalize mother
26
Q

care for a pregnant women after IPV

A
  • A: alone - reassure the women she is not alone and help is available
  • B: belief- communicate belief in her, abuse is not her fault
  • C: confidentiality- ensure you will keep information confidential until she is ready to report
  • D: document- record her account and nature and extent of injuries
  • E: education- teach her about community resources for referal includign local shelters
  • S: safety- tell her to call 911 if she is in imminent danger and to alert neighbor tto call if they hear or see conflict
27
Q

magnesium sulfate

A
  • DOC to prevent exclampsia
  • CNS depressant: watch respiratory depression, LOC
  • SE: muscle dysfunction, sedation, flushing adn sensation of heat
  • Vasodilator: decrease BP and increase perfusion
  • diuretic: causes dehydration; monitor I/O can cause toxicity
28
Q

betamethasone

A
  • given in 2 doses; 24hrs apart
  • improves lung maturity and surfactant production
29
Q

Ampicillin

A
  • treatment for infections like GBS
  • given durign labor
30
Q

procardia

A
  • ca channel blocker for HTN
  • DOC for longterm management of PTL
  • 10mg PO q6hrs
  • SE: HA, decreased BP
31
Q

Zofran (ondansetron)

A
  • for hyperemesis

OB Exam 3 (3 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions