High Risk Prenatal

Question 1

What is a must with abortions

Answer 1

everything comes out

Question 2

What are risk factors for Ectopic pregnancies

Answer 2

tubal corrective surgery 
Tubal sterilization 
previous history 
IUD 
PID
Assisted reproduction

Question 3

What are nursing interventions for ectopic pregs

Answer 3

Monitor stability
Vital signs, Pain, Hemorrhaging
Offer explanation
Provide support, Comfort and time to grieve

Question 4

What is a recommendations for HIV mother and their babies

Answer 4

no breast feedings

Question 5

When is Rohogam given

Answer 5

28 wks and right after birth

Question 6

What is the folic acid recommendations

Answer 6

400 mcg then 600 after preg is confirmed

Question 7

What might we do for Intrahepatic Cholestasis of Pregnancy

Answer 7

induce labor to reduce risk for infant death

Question 8

What are the S/S of Intrahepatic Cholestasis of Pregnancy

Answer 8

Mother: intense itching in the hands and feet, dark urine, light-colored feces and jaundice
Baby: preterm birth, meconium aspirations

Question 9

What are some S/S of hyperemesis

Answer 9

Pale, dry skin, rapid pulse, fruity breath from acidosis, common CNS: confusion, headache, and lethargy.

Question 10

What are some risk factors for Previa

Answer 10

endometrial scarring

Question 11

What are the complications for the women for previa

Answer 11

Hemorrhagic shock
Anemia
Potential Rh sensitization

Question 12

What are the complications for the babyfor previa

Answer 12

Disruption of Placental blood flow
Blood loss, Fetal anemia
Neonatal death

Question 13

What is the care for previa

Answer 13

Planned or emergency: C-section
Blood transfusion
Stabilized management: Close observation
Bed and pelvic rest
No vaginal exams

Question 14

What are the risk factors for abruptions

Answer 14

Previous abruption, PIH
Abdominal trauma, Cocaine, meth
Cigarette smoking, Uterine anomalies

Question 15

What are the comps for women with abruption

Answer 15

Hemorrhagic shock
DIC
Hypoxic damage to organs
PP hemorrhage

Question 16

What are the comps for baby with abruption

Answer 16

Preterm birth
Hypoxia, Hemorrhage
IntraUteGrowthRestriction
15% neonatal death

Question 17

What is the care with abruptions

Answer 17

Emergency: C-section
Restoring blood loss
Monitor coagulation studies

Question 18

Dont do a vag exam if

Answer 18

you see bleeding

Question 19

What are the interventions for both previa and abruptions

Answer 19

Monitor vaginal bleeding
Assess abdominal pain
Palpate uterus for contractions
Manage nausea
Assess renal output
Monitor Vital signs, s/s shock
Maintain IV site
Administer oxygen
Assess FHR
Monitor lab values
Provide emotional support
Inform your patient.

Question 20

What are some associated findings with pregs with STI’s

Answer 20

. Previous history of sexually transmitted disease or pelvic inflammatory disease. Numerous sexual partners Use of intravenous drugs or partners who use intravenous drugs

Question 21

What are some common mani’s of STI

Answer 21

PrematureRuptureOfMembrane
Preterm birth
Systemic fetal infection

Question 22

What does TORCH stand for

Answer 22

toxo
Other- Syphilis, hep and HIV
Rubella
Cytomeg
herps

Question 23

What are the interventions for STI’s

Answer 23

Carefully screen for infections during pregnancy and treat possible infections as ordered. At the first prenatal visit, the pregnant woman should have a rubella titer drawn. A titer of 1:8 provides evidence of immunity. If the titer is below 1:8, rubella vaccine is offered to the woman before discharge postpartum. Those women who require the vaccine should be cautioned not to become pregnant for at least 3 months afterward.
Cytomegalovirus currently has no effective therapy. This is important to remember because the highest rate of maternal infections occurs between the ages of 15 and 35. Usually, the infection is symptomatic.
Women who are presumed to be susceptible to varicella-zoster (chicken-pox) should have immune testing. Varicella-zoster immune globulin should be administered to those who are susceptible or who have been exposed. Varicella-zoster immune globulin should be administered to the exposed newborn within 72 hours of their birth.
All pregnant women should be screened for HbsAg, the hepatitis B surface antigen. The hepatitis B immune globulin can prevent infection in both mother and newborn. An initial injection can be given to the newborn, followed by doses given at 1 month and 6 months of age. Adults receive three injections that are given over a 6- to 12-month period.
Provide client and family teaching regarding the diagnosis of infection to promote compliance with the treatment plan.