Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

Peds > High Risk Pregnancy > Flashcards

High Risk Pregnancy Flashcards

1
Q

Preterm Labor

What is preterm labor

A

Labor between 20 to 36 6/7 days of weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Preterm Labor

What are signs and symptoms of preterm labor

A
  • > 6 uterine contaction in an hr
  • cramping
  • pressure
  • backache
  • pink tinged discharge
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Preterm Labor

What are risk factors of preterm labor

A
  • prior hx of incompetent cervix/preterm delivery
  • extreme age
  • infections
  • multiple preganancy
  • abdominal trauma
    *>3 elective abortion
  • stress
  • poor lifestyle choices
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Preterm Labor

Daignosis of Pretern labor

A
  • cervical length
  • fetal fibroncetin
  • cervical exam
  • external fetal monitor
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Preterm Labor

What are managements of preterm labor

A
  • IV hydration
  • bedrest
  • tocolysis: magnesium sulfat, terbulaine, nifedipine
  • improve neonatal outcomes: magnesium sulfate, betamethasone
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Preterm Labor

What is PROM (preterm rupture of membrane)

A

rupture of amniotic sac prior to 37 wks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Preterm Labor

What are signs and symptoms of PROM

A

leaking fluid of vagina
oligohydramnios=low amniotic fluid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Preterm Labor

What is the management for PROM

A

bedrest
assess uterine activity and cord prolapse
administer agents

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Hypertensive Disorder

What are types of hypertensive disorders

A

gestational hypertension
preeclampsia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Hypertensive Disorder

What are characterisitcs of gestational hypertension

A
  • after 20wks
  • increased bo
  • treated: labetolo, nifedipine, nethldopa
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Hypertensive Disorder

What are characteristics of preeclampsia

A
  • after 20 wks
  • mutliple organ systems involved
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Hypertensive Disorder

What are preeclampsia risk factors

A
  • pre-gestational htn or diabetes
  • obesity
  • extreme age
  • 1st pregnancy
  • multiple gestation
  • hx of preeclampsia
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Hypertensive Disorder

Risk factor for the mother in preeclampsia

A

HELLP syndrome
Renal failure
placental abruption
pulmonary edema
eclampsia
stoke
death

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Hypertensive Disorder

Risk factor for the baby in preeclampsia

A

premature
intrauterine growth restriction
oligohydramnios
death placental abruption

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Hypertensive Disorder

What is the assessment of women with preeclampsia

A
  • bp measurment accuracy
  • munual for unexpected findings
  • urine: protein/platelt/liver enzyme
  • headache/blurred vision
  • edema
  • deep tendon reflex
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Hypertensive Disorder

what are some prevention of preeclampsia

A

control of htn and obsesity
low dose aspirin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Hypertensive Disorder

What are nursing interventions of preeclampsia

A
  • monitor s/s
  • decrease environmental stimuli
  • fetal monitoring
  • labs monitor: platlet, AST, ALT, LDH creatine
  • magneisum sulfate
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Hypertensive Disorder

What is the role of Magnesium Sulfate

A
  • decrease risk of exlampsia (seizure)
  • normal 1.5 to 2.5
  • therapeutic 4 to 7
  • can lead to repsiratory depression, edema, renal failure, coma

antidote calcium gluconate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Diabetes

What are two types of diabetes in pregnancy

A

Pre-gestational & gestational

20
Q

Diabetes

What are Pregestational Diabetes

A
  • Type 1 & 2
  • care prior to pregnancy
  • A1C>7 reduced birth defect
  • insulin adjustement
21
Q

Diabetes

What are Gestational Diabetes

A
  • Preganancy-related
  • 1hr oral glucose tolerance test (24 to 26 wks)
22
Q

Diabetes

What is the oral glucose tolerance test

24 to 26 wks

A

positive in hr = need 3 hr test
treatment :diet, insulin, glucose monitor, surveillance of fetal health

23
Q

Diabetes

What risk does diabetes pose to the fetal

A
  • marosomia
  • birth injuries
  • preterm birth
  • pregestational
24
Q

Diabetes

What risk do diabetes pose on mom

A
  • preterm labor
  • increased risk for preeclampsia
  • increased risk for UTI
  • pregeastational
25
# Diabetes What is the management of Gestational Diabetes
* adherence key * Diet: carbs throughout day * Insulin: combo short/long acting * fingerstick bg
26
# Hemorrhagic disorder What are the Hemorrhagic disorder types
Placenta Previa Placental Abruption
27
# Hemorrhagic disorder What is Placenta Previa
* partially or completely covering the cervix * impplants to low
28
# Hemorrhagic disorder Characteristics of Placenta Previa
* routine US * painless/bright red bleeding in large amounts * C-section only safe mode * painless bright red * large amounts
29
# Hemorrhagic disorder What is care for placenta previa
* NO VAGINAL EXAMS * maintain IV acess * vitals every 4hrs * magnesium sulfate, betamethasone
30
# Hemorrhagic disorder What is the Placenta Abruption
* placenta seperate from uterine wall before delivery baby
31
# Hemorrhagic disorder What are characteristics of Placental abruption
* abdominal trauma * dark red * smaller amount * moderate-severe pain * ultrasound unreliable
32
# Hemorrhagic disorder What are classifications of the placental abruption
Grade 1 Grade 2 Grade 3
33
# Hemorrhagic disorder What is Placenta abruption: Grade 1
* mild seperation * Vital signs, FHR stable
34
# Hemorrhagic disorder What is PLacenta abruption: Grade 2
* Partial seperation * Elevated maternal heart rate * BP stable * low fibronogen levels
35
# Hemorrhagic disorder What is Placenta abruption: Grade 3
* fetal death common * hypertonic contraction * maternal shoc * death
36
# Hemorrhagic disorder What is the management f placental abruption
* Large bore IV * baseline health history, clotting factor * c-section
37
# Hemorrhagic disorder What are similarities between both Hemorrhagic disorder
* cause vaginal bleeding * cause massive hemorrhage * cause death of mother/fetus
38
# Hemorrhagic disorder What is Rh Factor Incompatibility
pregnancy complication that occurs when a pregnant woman has Rh-negative blood and her fetus has Rh-positive blood
39
# Infectious disease What is TORCH infection
T=toxoplasmosis O=other infections R=rubella C= cytomegalovirus H=herpes simplex virus
40
# Infectious disease What is Toxoplasmosis
* intellectual disability * found in cat ltter, raw meath, goat milk * protozoal infection
41
# Infectious disease What is Rubella in preganancy
* symptoms: mild, rash, aches, swollen glads * deaf, blind, intellectal disability, heart defect in baby * newborn needs **isolation** * MMR is live needs to be given after or before pregnancy
42
# Infectious disease What is the cytomegalovirus
* development delay, hearing loss, visual impairment, dental problems * prevention handwash, avoid saliva contact
43
# Infectious disease What is the Herpes Simplex Virus
* S/S: painful lesons, congenital infection: fever, juandice, seziure, poor feeding * Fetal risk: miscarriage, low birth weight, preterm
44
# Infectious disease What is Hyperemesis Gradidarum
* excessive vomiting * interference with nutrition * imbalance of fluid/electrolyte
45
# Infectious disease What is Hyperemesis Gravidarum's Management
* replace fluids * NPO * Measure I&O * emotional support

Peds (7 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions