Deck 1 Flashcards
Preeclampsia
a condition that can occur during pregnancy, where a woman develops high blood pressure and problems with organs like the liver and kidneys. It can affect both the mother and the baby and usually happens in the second half of pregnancy.
Symptoms of preeclampsia
include high blood pressure, swelling, and protein in the urine.
Placenta Previa
When the placenta abnormally implants in the lower segment of the uterus near, or over the cervical os - instead of attaching to the fundus
Symptoms of placenta Previa
PAINLESS bright red vaginal bleeding
Refrain from what with placenta Previa
Refrain from vaginal exams - can exacerbate bleeding. Put on external fetal monitor to monitor mom and baby simultaneously. (Mom on bed rest)
Cervical insufficiency
Premature cervical dilation
Cervical insufficiency signs and symptoms
Pink stained discharge, urge to push
Magnesium sulfate
Used to treat eclampsia to treat seizures. Used to prevent preterm labor.(used prophylactically)
Magnesium sulfate toxicity
absence of reflexes (DTRs)
• Low urine output <30ml/1hr - report to provider and discontinue medication
• Bradypnea RR <12 BPM
• Have calcium gluconate present - the antidote
What do you give for magnesium sulfate toxicity
Calcium gluconate
Betamethasone is used for
Enhances fetal lung maturity & surfactant production
• Used for potential preterm labor
Betamethasone dosage
Two 12mg doses, given 24 hours apart -
Betamethasone side effects
Flushing, sweating, high BP
Understand what actions to implement on a 37-week gestation client with severe pre-eclampsia.
Dark room
• Have Mag sulfate order
• Have calcium gluconate ready
• Monitor vital signs closely
Understand the risk factors for placental abruption.
MOST COMMON RISK FACTOR = Maternal hypertension (chronic or gestational)
Understand what the manifestations are seen with urinary tract infection and preterm labor.
Pelvic discomfort
• Backache
• Increased vaginal discharge
• Urinary symptoms
Understand what to prepare for if placenta previa is suspected and the client who is 40 weeks gestation has saturated two perineal pads within 30 minutes.
Possible c-section call the provider
Understand what to give to the client who is in preterm labor with L/S ratio of 1:1.
Betamethasone
Understand deep tendon reflexes
these are hyperactive in preeclampsia
A nonstress test depends upon fetal movement. What can make a fetus more active?
Giving mom a snack or juice, blood sugar = increases fetal activity
What are Tocolytic medications?
used to relax the uterus in preterm labor.
