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N105 > Highrish-Pregnant > Flashcards

Highrish-Pregnant Flashcards

1
Q

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

A

High-risk pregnancy

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2
Q

Maternal age

A

35 is considered advanced age, adolescent:19 below

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3
Q

reasons for high risk pregnancy in adolescent

A

physical development isn’t complete, development task not yet fufilled, indentity vs role confusion

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4
Q

complications during high risk pregnancy during adolescence

A

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.

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5
Q

Expulsion of the product of conception or termination of pregnancy before fetus is
viable.

A

Abortion

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6
Q

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

A

threatened

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7
Q

assessment shows there is profuse vaginal bleeding, an open cervix, and (+) ruptured BOW, as well as contractions

A

Imminent or inevitable

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8
Q

assessment shows the fetus has already died but has not been expelled from the utero, closed cervix, and (+) spotting

A

Missed

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9
Q

Products of conception are expelled spontaneously, all fetal and placental material and expelled from the uterus before 20 weeks of gestation.

A

Complete

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10
Q

management for complete category would be

A

observation for bleeding, and emotional support

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11
Q

some products of pregnancy are still in the uterus with active uterine bleeding, and severe abdominal cramping.

A

Incomplete

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12
Q

Three or more consecutive spontaneous abortion, to discover the cause of abortion

A

Recurrent abortion

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13
Q

possible causes to recurrent abortion

A

chromosomal abortion, endocrinal or autoimmune disorder, altered immune system (APAS), deviations of the Uterus

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14
Q

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

A

Induced Abortion

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15
Q

Methods for pregnancy termination

A

Mifepristone, Misoprostol, Methotrexate, Vacuum aspiration with curettage, Dilation and curettage

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16
Q
A
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17
Q

How can induce abortion impact future pregnancies?

A

Ectopic pregnancies, spontaneous abortion, low birth weight infants, Fertility.

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18
Q

During nursing management, what ido you need to monitor?

A

Vital signs, type of bleeding, pain, emotional response to loss

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19
Q

What is needed to administer to rh negative px after abortion?

A

Rho - gam

20
Q

Occurs when implantation happens on anywhere other than the uterine lining

A

Ectopic pregnancy

21
Q

Common site of ectopic pregnancy

A

Ampulla part of the Oviduct

22
Q

Most dangerous site for ectopic pregnancy

A

Interstitial part of the oviduct

23
Q

Clinical manifestations of ectopic pregnancy are?

A

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.

24
Q

Abnormal conceptions with excesive placental, and little to no fetal development which can lead to gestational trophoblastic neoplasia

A

Hydatiform mole(molar pregnancy)

25
Q

Types of molar pregnancy

A

Partial(fetal tissue and membrane) and complete(large villi)

26
Q

beta hCG of molar pregnancy

A

1-2 million U/mole, normal: 50,00 U/mole

27
Q

Also known as incompetent cervix or cervix efficiency

A

Premature cervical Dilatation
(Dysfunctional Cervix)

28
Q

Clinical manifestations of premature cervical dilatation

A

Painless Contractions mid Trimester, pink - vaginal discharge, ruptured BOW

29
Q

Implantation of the placenta at the lower uterine segment near the Cervical os.

A

Placenta Previa

30
Q

Classification of placenta previa whereas the placental ridge approaches the cervical os

A

Partial placenta previa

31
Q

Classification fo placenta previa where the placenta only lies low on

A

Low lying placenta previa

32
Q

Clinical manifestations of placenta Previa

A

Painless, profuse bright red bleeding in the 3rd trimester, spotting in the 1st trimester. Bleeding after sexual contact, soft nontended abdomen.

33
Q

Conditions where the placenta doesnt completely seperate with the uterus

A

Abnormal placental attachments

34
Q

Placenta imbeds at the myometrium

A

Placenta Acrceta

35
Q

Placenta attaches itself as much as perimetrium

A

Placenta Percreta

36
Q

Premature separation of Placenta, before delivery of the fetus after 20 weeks of AOG

A

Abruptio Placenta

37
Q

Risk factors for abruptio placenta

A

Multiparity, advanced maternal age, chronic hypertensive disease, smoking or cocaine, Myoma, multiple Gestation, PROM

38
Q

Gestational: less than 20 weeks of pregnancy
Pregnancy induced: ?

A

should resolve after 6 weeks of giving birth, with no reports of edema and proteiuria present

39
Q

Final diagnosis of pregnancy induced hypertension should only be done pospartum, true or false?

A

True

40
Q

Characterized by high blood, sometines with fluid retention and proteinuria

A

Pre-eclampsia

41
Q

Severe thpe of Pre-eclampsia

A

BP higher than 160/110 on 2 or more redings, taken 6 hours apart, after bed rest

42
Q

Seizure and/ or coma associated with hypertension, proteinuria, and edema

A

Eclampsia

43
Q

Expectant mother is RH- and fetus is RH+

A

Rhesus Factor Incompatibility

44
Q

Medical management for RH incompatibility would be:

A

Diet and lifestyle modification, blood glucose monitoring, prevention of DM, insulin therapy, blood glucose monitoring.

45
Q

Pre existing cardiac conditions that can agfravate the pregnant client’s condition together with the fetus.

A

Heart disease
(Gravidocardiac)

46
Q

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?

A

False

47
Q

During nursing managment, what are observed during prenatal period

A

Health teaching on adequate rest

Instruct to wear elastic legings

Elevate legs periodically

Continue to teach importance of medical management

N105 (4 decks)

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