High risk conditions in pregnancy: 3 DONE Flashcards
Preterm labor
Risk factors?
Patients may report?
decelerations:
-variable?
-early?
-accelerations?
-lates?
KNOW THIS!!!!
-multiparity, multiple gestation
-prior preterm birth
-infection, stress, substance abuse
-trauma, polyhydramnios
-hypertensive disorders
-diabetes, obesity, dehydration
Patients may report uterine contractions, low back pain, or pelvic pressure
V: variable
E: early
A: accelerations
L: lates
C: compression of umbilical cord
H: head compression
O: oxygenated / ok
P: placental insufficiency
Preterm labor
nursing care?
Patient education on signs and symptoms of PTL
Screen for infections (VS, urinalysis, labs)
Hydration (PO or IV depending on
protocol)
Rule out UTI
Fetal monitoring
Palpate abdomen for contractions
and/or tenderness
Discuss risk for, signs and symptoms, and nursing care for:
What is PROM?
What is PPROM?
Increased risk of?
Treatment based on?
Nursing care?
PROM - (Pre-rupture of membranes)
Spontaneous rupture of the amniotic membranes before the onset of labor (sometimes called pre-labor ROM)
PPROM – preterm premature rupture of membranes
Increased risk of infection as barrier to external environment is gone
Treatment based on gestational age, could include antibiotics and prolonged bed rest
Nursing care:
* Teaching
* Vital signs
* Fetal surveillance
