High Risk Pregnancy Flashcards
Hyperemesis gravidarum:
Excess vomiting during pregnancy.
Nursing action for hyperemesis gravidarum bordering on severe dehydration:
Start an IV of lactated ringers.
Possible outcome for untreated severe hyperemesis gravidarum:
Fetal or maternal demise.
Identical twins sharing a placenta and ovum:
Monozygotic twins.
Fraternal twins that do not share a placenta or ovum:
Dizygotic twins.
Potential risk(s) for multigravida, multiple fetuses pregnancy:
Over distention of the uterus.
Premature delivery.
Procedure(s) done for ectopic pregnancy:
Salpingectomy.
Salpingotomy.
Ectopic pregnancy:
An ovum fertilized outside the uterus.
D&C (dilation and curettage) procedure:
Dilation of the cervix followed by scraping of the uterus.
Spontaneous abortion, but not all products were expelled:
Incomplete abortion.
Placenta previa:
Placenta transplants in the lower uterine segments.
Symptoms of placenta previa:
Painless vaginal bleeding.
Abruptio placentae:
Placenta lifts off the uterus.
Symptoms of abruptio placentae:
Severe pain.
Palpation of abdomen with abruptio placentae:
Rigid, board like between contractions.
Patient positioning for abruptio placentae:
Modified side laying left, with wedge under right hip.
Medication used to treat preeclampsia:
Magnesium sulfate.
Preeclampsia:
Pregnancy induced hypertension.
Carriers of toxoplasmosis:
Cat litter boxes.
Raw or uncooked meats.
Concern for young, underdeveloped teenage girl in labor:
Head of the fetus will be too big to fit through her true pelvis.
Condition when head of the fetus is too big to fit through the true pelvis:
Cephalopelvic disproportion disorder.
Gestation where baby is considered preterm:
37 weeks = term.
Most significant problem that occurs in preterm babies:
Respiratory distress.
Signs and Symptoms of respiratory distress in a preterm newborn:
Grunting.
Flaring.
Retractions.
Cyanosis.
Monitoring for a preterm baby to diabetic mother:
Hypoglycemia.
Pathological jaundice:
Born with it in the 1st 24 hours of life.
Phototherapy:
Fluorescent light converts bilirubin to water so it can be excreted.
PIH:
Pregnancy induced hypertension (preeclampsia).
Monitoring for PIH:
Edema.
Proteinuria.
Visual disturbances.
Urine output.
Deep tendon reflexes.
PPD:
Postpartum depression.
Breastfeeding, with sudden high fever and reddened area on the breast:
Mastitis.
Medication for treatment of mastitis:
Antibiotics.
Timeframe for Rh immuno globulin injection:
72 hours.
TORCH:
Toxoplasmosis.
Other infections.
Rubella.
Cytomegalovirus (CMV).
Herpes.
Signs and Symptoms of disseminated intravascular coagulation (DIC):
Petechia.
Signs of bleeding.
Blood oozing from every orifice.
Common signs of postpartum hemorrhage:
Retained placenta.
Lacerations.
Multiple fetuses.
Differences between placenta previa and abruptio placentae:
Pain.
AP - Severe pain and rigid abdomen.
PP - Painless bright red bleeding.
Missed spontaneous abortion:
The fetus is still in utero but is no longer alive.
Measurement before giving dosage of the stimulant Terbutaline:
Heart rate.
Term for >3 consecutive spontaneous abortions:
Habitual spontaneous abortions.
HELLP:
H - hemolysis.
EL - elevated liver enzymes.
LP - low platelet count.
Toxemia:
Eclampsia.
Consequences of toxemia (eclampsia):
Seizures.
Additional symptom to monitor for PIH with +1 pitting edema in lower extremities:
Blurred vision.
Headache.
Epigastric pain.
Drowsiness.
Can a patient with eclampsia leave the hospital and return home?
No.
Physician orders for eclampsia:
Magnesium sulfate.
Bed rest.
Test for reports of bright red painless vaginal bleeding at 22-28 weeks gestation:
Ultrasound.
Monitor for most post-term neonates:
Hypoglycemia - glucose levels.
Priority intervention for 43 week post-term infant with APGAR of 1-4:
Oxygen for airway.
Primary question for interpreting pregnancy complaints:
“How many weeks pregnant are you?”
Primary risk of mortality in post-term infants:
Hypoxemia.
Lack of oxygen once the placenta has worn out. 40 weeks and it’s done.
Patient positioning for prolapsed cord protruding from her vagina:
Knee to chest position.
Trendelenburg is contraindicated because gravity can compress the cord.
Difficulty for preterm infants related to large body surface area, with decreased brown fat:
Thermal regulation.
Characteristics of post term infant’s skin:
Less vernix.
Hypoglycemic.
Hemolytic anemia occurs when a mother is sensitized to:
Rh factor.
Drug classification ordered for admittance during preterm labor:
Toxicolytic.
Stops or slows down labor.
