hemorrhagic disorders Flashcards
what are the classifications of SAbs?
- threatened
- inevitable
- incomplete
- complete
- septic
- missed
- recurrent
what are the classifications for fetal viability?
- 20 weeks gestation
- fetal weight of 500g
abortion is the term for pregnancy loss before 20 weeks
true
among which classifications of abortion is the cervix closed?
- threatened
- missed
among which classifications of abortion is the cervix open?
- incomplete
- recurrent
among which classifications of abortion is the cervix dilated?
- inevitable
- septic
characteristics of threatened abortion
- vaginal spotting early in gestation
- no passage of fetal tissue
- abdominal cramping
- closed cervix
treatment for threatened abortion
- activity restriction for 24-48 hours
- sedation
- no sex nor orgasms for 2 weeks
characteristics of inevitable abortion
- unpreventable
- moderate-heavy bleeding
- fetal tissues in cervix
- dilated cervix
treatments for inevitable abortion
- dilation and vacuum curettage (D/C)
- administer prostaglandin analog to evacuate uterus
characteristics of incomplete abortion
- passage of conception products
- U/S reveals retained products
- open cervix
treatment for incomplete abortion
possible need for additional dilation to perform D/C
characteristics of complete abortion
- all conception products passed in bleeding
- U/S reveals empty uterus
management for complete abortion
- assess if uterine contractions were adequate to prevent hemorrhage
- check for infection
characteristics of septic abortion
- fever
- abdominal pain
- tenderness
- malodorous bleeding
- dilated cervix
management for septic abortion
- termination of pregnancy
- culture and sensitivity studies
- initiate antibiotic therapy
characteristics of missed abortion
- nonviable embryo retained for ≥ 6 weeks
- closed cervix
management for missed abortion
- uterine evacuation
- monitor blood clotting factors
- monitor for possible development of DIC at week 12
characteristics of recurrent abortion
- ≥ 3 consecutive losses
- open cervix
treatment of recurrent abortion
- prophylactic cerclage (if r/t cervical insufficiency)
nursing interventions for abortion
- monitor uterine contractions
- initiate IV with large bore needles (≥ 18g)
what are the symptoms that abortion may be occurring?
- uterine cramping
- backache
- pelvic pressure
- shock
- malodorous discharge
- bright red bleeding + fragments
what are the s/s of shock?
- weak pulse
- pallor
- hypotension
what are the different insufficient conditions of a placenta?
- previa
- abruptio placentae
- vasa previa
- accreta
- increta
- percreta
