Hemorrhagic Disorders ATI Ch. 7 Flashcards
What happens during a D&C (dilation and curettage)
Dilate and scrape the uterine walls to remove uterine contents for inevitable and incomplete abortions
When does a D&C happen?
For a spontaneous abortion or miscarriage.
What should the patient notify the provider of immediately following a spontaneous abortion
Heavy, bright, red vaginal bleeding, elevated temperature or foul-smelling vaginal discharge.
A small amount of discharge is normal for ___
1 to 2 weeks
Patients should refrain from
Tub baths, sexual intercourse or placing anything into the vagina for 2 weeks
Expected findings from an ectopic pregnancy
Unilateral stabbing pain and tenderness in the lower-abdominal quadrants, delayed menses, scant brown or dark red vaginal spotting 6 to 8 weeks after normal menses, referred shoulder pain.
What is Cullen’s sign
Bruising around the umbilicus
Client education for methotrexate
Avoid vitamins containing folic acid to prevent a toxic response and use protection against sun exposure.
Expected findings in placenta previa
Painless, bright red vaginal bleeding during 2nd or 3rd trimester. Decreased urinary output (can be an indicator of blood loss)
What to assess for placenta previa
Assess for bleeding, leakage or contractions. Assess fundal height, refrain from performing vaginal exams.
What to administer placenta previa
IV fluids, blood products, and medications as prescribed
What drug is given and why for a premature birth
Betamethasone, fetal lung maturation and surfactant production.
Risk factors for abruptio placentae
Maternal hypertension, external abdominal trauma, cocaine use, previous incidents of abruptio placentae, cigarette smoking, prelabor rupture of membranes, multifetal pregnancy
Expected findings in abruptio placentae
Sudden onset of localized intense uterine pain with dark red vaginal bleeding. Fetal distress, signs of hypovolemic shock.
What do we expect in a patient with a hydatidiform mole?
Fundal height that is higher than normal. Excessive nausea/vomiting due to increased hCG, and scant dark discharge can occur in the 2nd trimester
