Highrish-Pregnant Flashcards
A situation which a mother, her fetus, or both are at a higher risk for problems during pregnancy, delivery, and postpartum than in any typical pregnancy
High-risk pregnancy
Maternal age
35 is considered advanced age, adolescent:19 below
reasons for high risk pregnancy in adolescent
physical development isn’t complete, development task not yet fufilled, indentity vs role confusion
complications during high risk pregnancy during adolescence
Pregnancy induced hypertension, iron deficiency anemia, premature labor, where pevis is not yet developed to give birth, low birth weight, cephalopelvic disproportion, and intimate partner abuse.
Expulsion of the product of conception or termination of pregnancy before fetus is
viable.
Abortion
Condition that occurs during the first 20 weeks of pregnancy, assessment shows closed cervix, with scanty to bright red vaginal bleeding with positive uterine contractions
threatened
assessment shows there is profuse vaginal bleeding, an open cervix, and (+) ruptured BOW, as well as contractions
Imminent or inevitable
assessment shows the fetus has already died but has not been expelled from the utero, closed cervix, and (+) spotting
Missed
Products of conception are expelled spontaneously, all fetal and placental material and expelled from the uterus before 20 weeks of gestation.
Complete
management for complete category would be
observation for bleeding, and emotional support
some products of pregnancy are still in the uterus with active uterine bleeding, and severe abdominal cramping.
Incomplete
Three or more consecutive spontaneous abortion, to discover the cause of abortion
Recurrent abortion
possible causes to recurrent abortion
chromosomal abortion, endocrinal or autoimmune disorder, altered immune system (APAS), deviations of the Uterus
Elective termination of pregnancy Voluntary method to end a pregnancy at the request of the woman but not for reasons impaired maternal health or fetal
disease
Induced Abortion
Methods for pregnancy termination
Mifepristone, Misoprostol, Methotrexate, Vacuum aspiration with curettage, Dilation and curettage
How can induce abortion impact future pregnancies?
Ectopic pregnancies, spontaneous abortion, low birth weight infants, Fertility.
During nursing management, what ido you need to monitor?
Vital signs, type of bleeding, pain, emotional response to loss
What is needed to administer to rh negative px after abortion?
Rho - gam
Occurs when implantation happens on anywhere other than the uterine lining
Ectopic pregnancy
Common site of ectopic pregnancy
Ampulla part of the Oviduct
Most dangerous site for ectopic pregnancy
Interstitial part of the oviduct
Clinical manifestations of ectopic pregnancy are?
Sharp stabbing pain in lower abdomen, radiating pain in the scapula, Vaginal spotting or bleeding, dizziness, lightheadedness, fainting, nausea and Vomiting, s/sx of hypovolemic shock.
Abnormal conceptions with excesive placental, and little to no fetal development which can lead to gestational trophoblastic neoplasia
Hydatiform mole(molar pregnancy)
Types of molar pregnancy
Partial(fetal tissue and membrane) and complete(large villi)
beta hCG of molar pregnancy
1-2 million U/mole, normal: 50,00 U/mole
Also known as incompetent cervix or cervix efficiency
Premature cervical Dilatation
(Dysfunctional Cervix)
Clinical manifestations of premature cervical dilatation
Painless Contractions mid Trimester, pink - vaginal discharge, ruptured BOW
Implantation of the placenta at the lower uterine segment near the Cervical os.
Placenta Previa
Classification of placenta previa whereas the placental ridge approaches the cervical os
Partial placenta previa
Classification fo placenta previa where the placenta only lies low on
Low lying placenta previa
Clinical manifestations of placenta Previa
Painless, profuse bright red bleeding in the 3rd trimester, spotting in the 1st trimester. Bleeding after sexual contact, soft nontended abdomen.
Conditions where the placenta doesnt completely seperate with the uterus
Abnormal placental attachments
Placenta imbeds at the myometrium
Placenta Acrceta
Placenta attaches itself as much as perimetrium
Placenta Percreta
Premature separation of Placenta, before delivery of the fetus after 20 weeks of AOG
Abruptio Placenta
Risk factors for abruptio placenta
Multiparity, advanced maternal age, chronic hypertensive disease, smoking or cocaine, Myoma, multiple Gestation, PROM
Gestational: less than 20 weeks of pregnancy
Pregnancy induced: ?
should resolve after 6 weeks of giving birth, with no reports of edema and proteiuria present
Final diagnosis of pregnancy induced hypertension should only be done pospartum, true or false?
True
Characterized by high blood, sometines with fluid retention and proteinuria
Pre-eclampsia
Severe thpe of Pre-eclampsia
BP higher than 160/110 on 2 or more redings, taken 6 hours apart, after bed rest
Seizure and/ or coma associated with hypertension, proteinuria, and edema
Eclampsia
Expectant mother is RH- and fetus is RH+
Rhesus Factor Incompatibility
Medical management for RH incompatibility would be:
Diet and lifestyle modification, blood glucose monitoring, prevention of DM, insulin therapy, blood glucose monitoring.
Pre existing cardiac conditions that can agfravate the pregnant client’s condition together with the fetus.
Heart disease
(Gravidocardiac)
The danger of a pregnancy in a women with cardiac disease occurs primarily because of the increase in cirulatory volume. The most dangerous time for a woman is in weeks 20-26 weeks, just after the blood volume peaks. True ir false?
False
During nursing managment, what are observed during prenatal period
Health teaching on adequate rest
Instruct to wear elastic legings
Elevate legs periodically
Continue to teach importance of medical management
