Final - 2 Reproduction Flashcards
Nursing Care for Fetal Distress:
- place mom on _____ side to increase uterine blood flow to fetus
- _____ oxytocin if it is infusing
- give O2 8-10 L by _____
- _____ IV rate to improve hydration
- _____ can sometimes relieve cord compression
- assist the provider to expedite delivery
Nursing Care for Fetal Distress:
- place mom on left side to increase uterine blood flow to fetus
- discontinue oxytocin if it is infusing
- give O2 8-10 L by mask
- increase IV rate to improve hydration
- amnioinfusion can sometimes relieve cord compression
- assist the provider to expedite delivery
Preeclampsia is most often seen in _____-time pregnancies, pregnant _____, and in women over _____
Preeclampsia is most often seen in first-time pregnancies, pregnant teens, and in women over 40
Other risk factors include:
- A history of high blood pressure prior to pregnancy
- A history of preeclampsia
- Having a mother or sister who had preeclampsia
- A history of obesity
- Carrying more than one baby
- History ofdiabetes,kidney disease,lupus, or rheumatoid arthritis
the more pre-eclamptic/eclamptic you are, the _____ protein in urine you have
more, so increase protein in diet
intervention for eclampsia:
- prepare for emergent delivery
- administer medications immediately (start _____)
- seizure precautions
- monitor VS, _____, & check for _____
- quiet environment, low light to prevent cerebral disturbances
- monitor labs
- monitor for progression to _____
intervention for eclampsia:
- prepare for emergent delivery
- administer medications immediately (start magnesium)
- seizure precautions
- monitor VS, DTR, & check for clonus
- quiet environment, low light to prevent cerebral disturbances
- monitor labs
- monitor for progression to HELLP
CNS irritation =
hyperreflexia
high magnesium levels =
diminished or absent reflexes
clonus occurs with _____ pronounced hyperreflexia
clonus occurs with more pronounced hyperreflexia
antidote for magnesium sulfate
calcium gluconate
HELLP stands for:
- hemolysis
- elevated liver enzymes
- low platelets (normal: 150,000-400,000)
Rupture of membranes before onset of tru labor
PROM (premature rupture of membranes)
rupture of membranes at <37wks and before onset of true labor
PPROM (preterm premature rupture of membranes)
most common complication with prolonged ROM is _____
infection
women with a placenta previa usually deliver via…
C section
the placenta breaks away from the uterine wall before the baby is born
abruption placentae
s/s of abruption placentae
- sudden/severe abdominal pain
- uterus may feel hard or rigid
- abnormal FHR
