Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Nurs332 > Mat P1 > Flashcards

Mat P1 Flashcards

1
Q

What is an abortion? What is considered viable? What is it after this?

A

is a medical term for any interruption of a pregnancy before a fetus is viable (20-24 wks of gestation or one that weighs at least 500g). a fetus born before this point is considered a miscarriage or is termed a premature or immature birth.

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

time frame for early vs. late miscarriage?

when is bleeding more of a problem and why?

A

early- week 16
late- 16-24

week 12+ because placenta is imbedded in uterus and it is more life threatening

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

% of spontaneous abortions in pregnancies?

A

15-30%

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

what are torc infections?

A

they are associated with inc risk of spontaneous abortions
Toxoplasmosis- cat litter/feces
Other- chicken pox
Rubella- immune? There is an inc risk of SA and fetal affects to death to mental retardation or systemic rash
Cytomegalo virus
Herpes

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

What are some other causes of spontaneous miscarriages?

A

abnormal fetal development d/t teratogenic, immune system response, corpus letup does not produce enough progesterone, alcohol, UTI, systemic infections cause sloughing of endometrium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what is antiphospholipid antibody syndrome?

A

it is an autoimmune disease that occurs more freq in women than in men. Abnoral protein (antiphospholipid autoantibodies) initiate coagulation and so lead to clotting in arteries and veins. If this occurs in placental vessels- blocks placenta growth and thrombi can loosen the placenta and interfere with o2 and nutrient exchange

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

how do you treat antiphospholipid antibody syndrome?

A

o Prophylaxis therapy to prevent miscrriages is oral low dose aspiri and subcu heparin started at beginning of pregnancy
o Alt therapies- IV immunoglobulin infusions or administration of a corticosteroid such as prednisone can be added if heparin and aspirin are not adequate.
`

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

what are some postpartum risks for antiphospholipid Ab syndrome?

A

DVT

clotting inc w bed rest, smoking, obesity and birth control pills

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

what is the result of antiphospholipid Ab syndrome?

A

recurrent miscarriage or hypertension in preg

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

what are some complications of miscarriage?

A

hemorrhage, infection, septic abortion (abortion d/t infection), isoimmunization (ab against rh positive blood

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what is an ectopic pregnancy?

A

implantation occurs outside the uterine cavity. (most commonly the fallopian tube in the ampler area- distal portion)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

where can fertilization occur in an ectopic pregnancy?

A

o Fertilization still occurs in the distal third of the fallopian tube but there is an obstr present such as an adhesion of the fallopian tube from a previous infection, congenital malformations, scars from tubal surgery or a uterine tumor pressuing on the proximal end of the tube, the zygote cannot travel the length of the tube

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

if you have one ectopic pregnancy can you have another? why or why not?

A

o If you have on ectopic preg more likely to have another, because salpingitis general leaves scarring which is bilateral.

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

S&S of ectopic preg?

A

sharp, stabbing pain in one of her lower abdm quadrants at the time of the rupture, followed by scant vaginal spotting. (amount doesn’t indicate amount lost)

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

what are you at risk for in ectopic preg?

A

inc blood los- hypovolemic shock

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what happens if you wait too long after ectopic pregnancy before getting help?

A

abdm becomes rigid from peritoneal irriation and umbilicus may develop a bluish- tinged hue (Cullen sign)

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

Tx for ectopic preg?

A

some spont end before the rupture and are reabsorbed over the next few days requiring no tx.
• Usually treated by PO med of methotrexate. Adv: tube is left intact with no surgical scarring that oculd cause a 2nd ectopic implantation
• Therapy is laparoscopy to ligate the bleeding v and remove or repair damaged fallopian tube. A rough suture on tube may lead to another tubal preg so either tube is removed or suturing is done microsurgical technique. If tube removed she is 50% fertile. Not reliable cause ova can still move to other tube and fertilize there.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

if a woman comes in with an ectopic pregnancy, how do you get the EBL?

A

not just the external blood loss. get a Hgb, RBC, Hct lab done and might have to cross match

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

what is gestational trophoblastic disease? (hydatidiform mole)

A

o Abnormal proliferation and then degernation of the trophoblastic villi. As the cells degenerate they become filled with fluid and appear as clear fluid-fille, grape sied vesicles. The embryo fails to develop beyond a primitive start.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

why is it important for (hydatidiform mole) cells to be identified?

A

because they are associated with choriocarcinoma, rapid mets malignancy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

who is more likely to get (hydatidiform mole)?

A

1 in 1500
o occurs more often in low protein diets and woman older than 35 and of Asian heritage and blood group A and may blood group O men

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

assessment of (hydatidiform mole)?

A

• uterus tends to expand faster than usual or the uterus reaches its landmarks (just over symphysis brim at 12 wks and umbilicus at 20-24) before usual time

  • gestational htn may present before wk 20
  • US shows dense growth but no fetal growth
  • at wk 16- if structure not identified might show through vaginal bleeding starting as dark red or perfuse fresh flow then clear fluid vesicles.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

tx of • hydatidiform mole)?

A

suction curettage to evacuate the abnormal trophoblast cells. Following extraction women should have a baseline pelvic exam and a serum test for the beta subunit of hCG and hcg checked q2k until levels are normal. Then q4wk for next 6-12mths to see if declining

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

if a woman passes clear vesicles, what does this mean?

A

might have hydatidiform mole (gestational trophoblastic disease)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

what is occurring at a cellular level in gestational trophoblastic disease?

A

o A partial mole has 69 chr. (69XX, 69XY) – 3 chr for every pair instead of 2 (triploid formation). One egg fertilized by 2 sperm or ovum fertilized by one sperim in which meiorsis or reduction division did not occr.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

which type of mole is more likely to turn into cancer?

A

complete moles more likely lead to choriocarcinoma rather than partial

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

in gestational trophoblastic disease, will your hCG be high or low?

A

it will still be high because the trophoblastic cells release hCG until about day 100

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

in gestational trophoblastic disease, will you still have n + V?

A

yes, most likely from hCG

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Tx of gestational trophoblastic disease?

A

suction curettage to evacuate the abnormal trophoblast cells. Following extraction women should have a baseline pelvic exam and a serum test for the beta subunit of hCG and hcg checked q2k until levels are normal. Then q4wk for next 6-12mths to see if declining

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

if your hCG level (following evac of cells) plateaus or inc, what could this mean?

A

malignant transformation aka choriocarcinoma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

what is cervical insufficiency?

A

it is premature cervical dilation and cannot retain the fetus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

when does cervical insufficiency occur?

A

around week 20 and fetus is too immature

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

symptom of cervical insufficiency?

A

• Painless and 1st sympt is show (pink-stained vaginal disch) or inc pelvic pressure which is then rupture of membranes and dichar of amniotic fluid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

what is the treatment or procedure for cervical insufficiency?

A

cervical cerclage surgery following the loss to prevent this from happening again.
• As soon as US confirms fetus of second preg is healthy at 12-14 wk purse string sutures are placed in the cervix by the vaginal route under regional anesthesia. Procedure is called a mcdonalf or shirodkar procedure. Sutures strengthen the cervix and prevent it from dilating

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

what is the difference between Mcdonald and Shirdokar in cervical insufficiency?

A
  • Mcdonald- nulon sutures are placed horizontally and vertically across cervix
  • Shirodkar0 sterile tape is threaded in a purse-string mane ruder submucos layer of the cervix and sutured in place to achieve a closed cervix. Can be done by transabdominal route
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

what nursing care can you do following a cervical cerclage surgery?

A

keep women in trendelenburg position for a few days to dec pressure on new sutures

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

what is placenta previa?

A

where the placenta is implanted abnormally in the lower part of the uterus. most common cause of painless bleeding in the 3rd trimester

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

what are the different degrees placenta previa can occur?

A

implantation in the lower, rather than the upper part of the uterus (low-lying placenta), marginal implantation (the placenta edge approaches that of the cervical os), implantation that occludes a portion of the cervical os (partial placenta previa), and imlentation that totally obstructs the cervical os (total placenta previa)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

why is placenta previa a life threatening condition?

A

it can cause hemorrhage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

in placenta previa, why should you not do a internal exam?

A

because placenta might be covering cervix and could rupture

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
41
Q

how is the baby delivered in placenta previa?

A

some can be vaginal but most C/S

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
42
Q

what drug might you give the mom before C/S for placenta previa?

A

betamethasone IM to increase fetal surfactant

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
43
Q

in a patient with placenta previa, should you be worried about a little bleeding from vagina?

A

yes, can be life threatening to fetus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
44
Q

epidiemology of placenta previa?

A

5in 1000 births

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
45
Q

why would bleeding occur in placenta previa?

A

o Bleeding doesn’t usually begn until the lower uterine segment starts to differentiate from the upper segment late in the pregnancy (approx. wk 30) and cervix begins to dilate. Bc the placenta is unable to stretch to accommodate the differing shape of the lower uterine segment or the cervix, small portion loosens and damaged blood vessels begin to bleed.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
46
Q

what is abruption placentae?

A

premature separation of the placenta. the placenta is implanted correctly but begins to separate and bleeding results. Part of the placenta peels away from the uterine wall and blood is still being delivered to uterus and collects in space or comes out of the vagina (hidden bleeding –occult or obvious bleeding that comes out) some of the babies blood escapes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
47
Q

what are risks of abruption placentae

A

unknown causes. high parity, older age, short umbilical cord, chronic htn disease, htn of preg, direct trauma, vasoconstriction from cocaine or cigarette use and thrombophilitic conditions that lead to thrombosis formation. Or chorioamniotisi or infections of the fetal membranes and fluid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
48
Q

what is the most common cause of perinatal death?

A

aburtpio palcentae

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
49
Q

what is the epidemiology of abruptio placentae?

A

10% of pregnancies

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
50
Q

S&S of abruptio placentae?

A

usually occurs late in pregnancy or during labour, sharp, stabbing pain at fundus, tender uterus on palpation, heavy bleeding unless concealed, may be dark in colour, uterus becomes rigid, boardlike (COUVELAIRE uterus)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
51
Q

what bloodwork do you want for patient with abruptio placentae?

A

clotting time, platelets, cross match to prepare

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
52
Q

is the delivery of fetus quick or slow in abuptio placentae?

A

very fast

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
53
Q

Tx for abuptio placentae?

A 
IV fluid
monitor FHR and vitals
keep in lateral no spine to prevent p on vena cava and fetal circulation
preg must be terminated unless C/S
Grading scale 0-3 ?
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
54
Q

what is the epidemiology of preterm labour?

A

9-11% of pregnancies. responsible or 2/3 of all neonatal deaths

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
55
Q

what are the risks for pre-term labour?

A

dehydration, UTI’s, periodontal disease, chorioamnionitis, low SE status, partner violence/abuse

56
Q

what weeks are considered pre-term labour?

A

<37 wk

57
Q

what does preterm labour feel like?

A

feels like baby is moving or brixton-hicks contractions

58
Q

how can you determine if preterm labour?

A

Have a big glass of water and put hands on abdm and it tightens and relaxes – if it does more than 4 times in 20 minutes (preterm labour) , might not be painful but just feels tightening

59
Q

what else will they be looking for to determine if it is preterm labour?

A

cervical changes, persistent, dull low backache, spotting, feeling of pelvic pressure, abdominal tightening, menstrual-like cramping, inc vaginal discharge, intestinal cramping

60
Q

what should you do for pre-term labour

A

bedrest, hydration(helps halt contractions because pit release oxytocin and secretes AHDH, treat UTI

betamethason to mature lungs and turbutalane (tocolytic) to stop contractions, Abx for infections, magnesium sulfate (smooth muscle relaxant to stop uterus from contracting)

61
Q

what is the epidemiology of preterm rupture of membranes?

A

5-10% of pregnancies

62
Q

what causes premature rupture of membarnes?

A

infection, multiple gestation, risk of cord prolapse

63
Q

is labour stopped in premature rupture of membranes?

A

no bc risk for infection

64
Q

rush of water from premature rupture of membranes can cause risk of what?

A

pulling out the umbilical cord and can cause prolapse and stop circulation

65
Q

what interventions do you do for premature rupture of membranes?

A

IV access, Abx, IV, bedrest, betamethasone

66
Q

how can you confirm that it is the amniotic fluid that has ruptured as opposed to other fluids?

A

confirm with nitrazine paper bc amnionic fluid is alkaline and urine acidic so can test from so that and nitrazine paper- so on the paper it shows up bright blue and slide looks like ferns bc of salts

67
Q

what can prevent you from going into preterm labour?

A

getting the flu shot

68
Q

what is the epidemiology of gestational htn?

A

5-7%

69
Q

what its he patho and cause of gestational htn?

A

vasospasm. Underlying cause unknown, some correlation with length of time the couple have known one another, younger and older mothers, risk for seizures, coma, and death r/t cerebral edema, • Assoc with women of colour, those w multiple preg, primiparas <20yrs or >40yrs, low socioeconomic status (?d/t nutrition), those w 5+ pregnancies, hydramnios, or underlying CVD, DM

70
Q

what are the 3 cardinal signs of gestational htn?!!?

A

inc BP (30mmhG above baseline), edema, proteinuria

71
Q

S&S of gestational htn?

A

headache, blurred vision or visual disturbance, epigastric pain and discomfort.

72
Q

what do you assess for in gestational htn?

A

hyperreflexia, urine dips for protein, 24 hour creatinine clearance, liver function tests, clonus, daily weight.

73
Q

what is the cure of gestational htn?

A

delivery of the infant

74
Q

where is it bad to find edema in gestational htn ?

A

face and sacrum

75
Q

how much weight gain is alarming in gestational htn?

A

1-2lb over night

76
Q

why do you look at creatinine clearance and kidney function in gestational htn?

A

o Damage to kidneys → inc perm → proteinuria

• Dec GFR → inc creatinine

77
Q

why is vision affected in gestational gyn?

A

because deem around the eye and ocular nerve causes vision problems

78
Q

why might you have upper quadrant pain in gestational htn?

A

because liver is inflamed

79
Q

how much protein is urine is bad for gestational htn?

A

2 or 3+

80
Q

how can you test for clonus in gestational htn?

A

push against palmer surface of foot and ask to totally relax but if you have clonus your foot will beat

81
Q

what tx do you do for gestational htn?

A

bedrest, wiet, antihypertensive (labetolol), anti-convulsant (mg sulfate)

82
Q

what 2 diseases do you give magnesium sulphate?

A

gestational htn and pre-term labour

83
Q

what is the difference between pre-eclampsia and eclampsia and PIH

A

Preeclampsia- high bp assoiated with preg, protein in urine, edematous
Eclampsia- u have had a seizure
PIH- old term

84
Q

what does the baby usually present with in gestational htn?

A

IUGR (intrauterine growth retardation

85
Q

why do you experience eclampsia gestation htn?

A

because the damage to the kidneys cause na and water retention which causes edema which can lead to cerebral and pulmonary edema and seizures

86
Q

would Hct be high or low in gestational hypertension?

A

high because fluid is lost in the IS

87
Q

is systolic or diastolic a better indicator of vasospasm

A

diastolic because it is an important indicator of degreee of peripheral arterial spasm

88
Q

would you restrict salts in gestational htn?

A

No big salt restrictions as that will activate RAA and cause inc in BP

89
Q

what does magnesium sulphate do?

A

reduces deem by causing shift from EC spaces into intestine, it is a CNS depressant and blocks neurmuscular transmission of Ach to half convulsions

90
Q

what is magnesium sulphate antidote?

A

calcium gluconate

91
Q

what is HELLP syndrome?

A

it is a variation of gestational Htn. preeclampsia and eclampsia can turn into this.

Hemolysis
Elevated 
Liver Enzymes
Low 
Platelets
92
Q

what is a precursor for HELLP?

A

preeclampsia

93
Q

what are you at risk for in HELLP?

A

bleeding and clotting, therefore birth is a risk

94
Q

what is the cause of HELLP?

A

unknown

95
Q

what is the cure for HELLP?

A

delivery of infant

also give transfusion

96
Q

how long does it take for mom to recover if she has HELLP?

A

48-72 hours

usually ICU

97
Q

what increases chance of multiple pregnancy?

A

invitro fertilization

more common in blacks and hispanics

98
Q

what are the two different (common) kinds of multiple pregnancy

A
  • Monozygotic = identical; from 1 egg + 1 sperm; one placenta, one chorion, two amnions; 1/3 of twins
  • Fraternal (dizygotic) = from 2 separate ova + 2 sperm; have 2 of everything
99
Q

what is vanishing twin syndrome? how will this appear?

A

• U/S may show multiple amniotic sacs but later only one = vanishing twin syndrome

100
Q

what are you more susceptible to in multiple pregnancy?

A

• More susceptible to gest htn, hydramnios, placenta previa, preterm labor, + anemia
• More prone to postpartum bleeding b/c additional uterine stretching
more fatigue, need several small meals

101
Q

what is hydramnios ?

A

> 2000ml of amniotic fluid (normal is 500-1000)

102
Q

what does the additional space in hydramnios allow for fetus?

A

can turn around, malposition

103
Q

rwhat are you at risk or in hydramnios?

A

premature rupture d/t possible infect, proloapsed cord, and preterm birth

104
Q

how is amniotic fluid formed? what is it used for?

A

from cell os amniotic membrane and fetus urine

• Swallowed by fetus, absorbed across intestinal membrane into fetal bloodstream + transferred across the placenta.

105
Q

what does hydramnios suggest for the fetus?

A

possible fetal inability to swallow, absorb, or excessive urine production
hyperglycemia in mom can be same in fetus–> polyuria

106
Q

S&S of hydramnios?

A

rapid enlargement of uterus; hard to palpate fetus, fetal heart monitoring difficult, SOB, lower extremity varicosities + hemorrhoids d/t lack of VR, weight gain

107
Q

tx for hydramnios?

A
  • Bed rest to inc uteroplacental circ + reduce P on cervix to prevent preterm labour
  • Avoid constipation (fiber, stool softener) – P could cause rupture
  • Amniocentesis possibly to reduce fluid amounts – has to be done daily
  • Tocolytics to halt early labour
108
Q

what is oligohydramnios

A

less than average amniotic fluid

109
Q

what is oligohydramnios usually d/t?

A

bladder or renal disorder in fetus–> not voiding or severe growth restriction of fetus (not voiding as much)

110
Q

what effect does oligohydramnios have on fetus?

A

• Fetus cramped → weak muscles, lungs not fully developed (hypoplastic), distorted facial features

111
Q

what is the normal term of pregnancy ?

A

38-42 weeks

112
Q

are post-term babies also babies with wrong predicted due dates?

A

yes bc mom can have a long menstrual cycle

113
Q

what dangers to the fetus result from post-term pregnancy?

A

<2wk overdue risk for meconium aspiration, macrosomia can create birth problem

114
Q

how long does the placenta function for?

A

40-42 weeks, then calcium deposits and fetus now may not get adequate o2 and nutrients

115
Q

at 41 weeks what do you check?

A

amniotic fluid level + state of placental perfusion - labour induced if abnormal results or fetus is term size

116
Q

what kind of diseases what be worsened by pregnancy?

A

inflm disease bc we secrete lots of cortisol so when pregnancy, arthritis and IBS, etc would settle dow

117
Q

what is the epideimilogy of cardiovascular disease in pregnancies?

A

1%

118
Q

how much inc blood volume do you get in pregnancy? when and why?

A

30-50% inc and peaks in 28-32

inc in case of hemorrhage and provide blood for baby

119
Q

which week are you more likely to lose the most blood?

A

28-32 when blood vol peaks

120
Q

if fetus does not get enough blood what can it develop?

A

Intrauterine growth restriction (IUGR)

not enough o2 and waste products don’t get taken away

121
Q

what do you do with meds that woman regulariliy take when pregnant?

A

if safe, inc dose

if not i.e.) warfarin, has to go off.

122
Q

are beta blockers and ACE inhibitors safe? is heparin safe? is warfarin safe?

A

yes yes but give Vit k around birth if on heparin and warfarin is not safe

123
Q

symptoms of CVD?

A

edema-profuse

  • Pulmonary edema
  • JVD
  • inc fatigue, orthopnea (some need to sleep in recline chari)
  • Renal function decline
  • Chest pain
  • SOB with slow recovery
124
Q

symptoms of normal pregnancy?

A

-mild edema to hands and feet only
-Mild SOBOE- quick recovery
-Some postural SOB
-Orthostatic hypotension
-Supine hypotension (think lying down with baby laying on vena cava)
Btw safest position to lay is left lateral because gives most perfusion to the placenta

125
Q

differences between CVD and healthy pregnancy?

A

SOB quick recovery in pregnancy, only deem to hands and feet not pulmonary, no east pain or renal function decline unless gestational hypertension,

126
Q

what are cardiac patients at risk for?

A

infection. especially pulmonary infection

127
Q

which woman more commonly have hematological disorders in pregnancy?

A

More common for women of lower Socioeconomic status, cant afford good food

128
Q

epic of pregnancies affected by Fe deficiency?

A

12-15%

129
Q

what is the effect of anemia on pregnant woman? fetus?

A

maternal fatugue
IUGR- palpcenta not well perfused (baby is smaller because placenta is not as well perfused in smokers)
differentiate from psuedoanemia blood is dilute in pregnancy

130
Q

Hg in preg vs not pregnant?

A

non preg
12-16
9.5-15 in preg

131
Q

Hct in preg vs not

A

non preg
35-44%
28-40 in preg
(more dilute)

132
Q

platelets in preg vs not preg

A

165-415

in preg…146-429

133
Q

WBC in preg vs not preg

A
  1. 5-9.1 in nonpreg

5. 6-16.9 in preg

134
Q

what medications should pregnant woman be on to prevent hematollogical disorders?

A

iron with Vit C 27mg per day

Folic acid 400mcg

135
Q

what medications would a pregnant woman be on if she had a hematological disorder?

A

IV iron sucrose
blood
iron supplements

136
Q

what are common orders for obstetrical emergencies?

A

O2 by mask 10L
IV 16-18g with volume expander like RL or NS
EFM
Stat bloodwork (Hg, Hct, platelets, D-dimer, coagulation studies, CBC, X-match and type and screen for blood products)
Monitor urine output, catheterize-think renal function
Left lateral position
VS q5-15 minutes
Always remember to attend to the fear, anxiety in the woman and family

137
Q

what are 4 common causes of bleeding in pregnancy?

A

Spontaneous abortion (miscarriage)
Ectopic pregnancy
Placenta previa
Abruptio placentae

Nurs332 (12 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions