Maternal Conditions Flashcards
Asthma
when preg mom has ___, fetus receives ___
infant born to mother w \_\_ may be at inc risk for P L H/J R TTN
diff breathing, less O2
uncontrolled asthma premature birth low birth weight hyperbilirubinemia/jaundice respiratory distress transient tachypnea of newborn
Cancer often leads to __
__ often delayed until after __ bc of __ on fetus
infant born to mom tx w chemo may be at inc risk for L/P
women w preexisting __ considered high risk
strict control of __ essential to prevent maternal __, M_, premature __, H__
infant risk- large for __, B__, N__
assess infant for ___
such as J/weak ___/i/poor __/decreased __/dec __/A
preterm delivery
chemo, birth, teratogenic effects
low birth weight, premature birth
DM
blood glucose
seizures, miscarriage, labor, HTN
GA, birth defects, neonatal hypoGly
low blood gluocse
jitters, cry, irritable, feeding, tone, temp, apnea
Epilepsy
preg can inc likelihood of __
contining ___ can prevent comps from inc ___
infant risk- fetal HR __, fetal __, premature __
AED meds inc risk of C, N, V, F/E abnormalities
seizures
AED, seizure risk
decelerates, injury, birth
cleft lip, NTD, VSD, facial/extremity
during preg, workload of __ inc w inc ___
woman w __ have highest inc of neonatal comps
__ may also harm child
Infant risk- premature __, fetal __, R__, neonatal __
BB inc risk of slowed __, low __, premature __, neonatal __
heart, blood volume
cyanotic hd
meds
birth, growth restriction, RDS, death
HR, birth weight, birth, hypogly
Lupus- considered __
inc risk of __, S, P, impaired __ fxn
infant risk for __, congenital __, H__
__ important for development of infant __/__
__/__ ca impair fetus, such as by __
__ can cause HBP, or P
risk to infant- Low ___, premature ___
hypoT can cause fetal __, __ retard, low __
high risk
miscarriage, stillbirth, miscarriage, renal
premature birth, heart block, hydrops fetalis
TH, brain/CNS
too much/little, miscarriage
hyperT, preeclampsia
birth weight, birth
growth restriction
mental
birth weight
untx __/__ pose threat
__ tx of choice during preg
SSRI places infant at risk for B__, premature __, P__, lower ___, R__, __ later, develop __
depression/anx
SSRIs
birth defect, birth, PPH, apgar scores, RDS, ADHD, delays
Gestational DM
all women checked around __w gestation
infant risk- large for __, injuries during __, neonatal __, r__, H/J, feeding __
Gestational HTN- after _ gestation
can dec ___ to placenta or cause __
infant risk- premature __, low___, r___
24-26w
GA
birth, hypoGly, RDS, hyperbilirubinemia/jaundice, diff
20w
blood flow, placental abruption
birth, birth weight, RDS
Preeclampsia develops in __
women get __ w high __ in urine and swelling in F/L/H
mother reports H/A/V
can reduce __ to fetus
__ to tx severe preeclampsia/eclampsia to prevent ___
infant risk- low __, premature __, respiratory __, low ___/__, dec __/__, inc __, difficulty __, s
__ affects the infant CNS
these infants should be monitored for R__, h/l/low _
2/3 trimester
HTN, protein, feet/legs/hands
blood flow
MgSO4, seizures
birth weight, birth, RDS, BG/BP, WBC/platelets, RBC, feeding, stillbirth
MgSO4
RDS, hypotonia, lethargy, BP
HELLP stands for
mothers should be placed on __
receive __ to tx anemia and low platelets
__ to tx seizure
infant risk- premature __, low _/__/__
also monitor baby on __ for R/H/L/L
hemolysis, elevated liver enzymes, low platelets
bedrest
blood products
MgSO4
birth
birth weight/WBC/platelets
MgSO4
RDS/hypotonia/lethargy/low BP
Chorioamnionitis- occurs when __ enters amniotic fluid and causes ___
mother presents w __
may have __ amniotic fluid
infant at risk for __, __, R, S, __ dz, D
monitor for R/L/H/dec __/ A/B/Poor __
bacteria, infection
fever
foul smelling
infection, PNA, RDS, seizure, hematologic, Deaht
RDS, lethargy, hypotonia, temp, apnea, bradycardia, feeding
TORCH- includes __/__/__ infections
T O R C H
viral/parasitic/bacterial
toxoplasmosis other- syph, varicella, hepB rubella CMV HSV
Excessive caffeine- can cause rapid __, inc __ and __
can cross __ and reach __
most advise to __
infant risks- dec ___
P/Low __/inc __/birth __
I/S/S
heartbeat, BP, jitters
placenta, fetus
avoid
placental blood flow
preterm birth, BW, HR, defect
irritability, sleeplessness, sids
Nicotine- __ BV
can dec __/__ the fetus receives, resulting in __
can lead to __/__ over time
infant risk- P/I/C/S
alcohol- bc __ is underdeveloped, cannot breakdown __
can cause __/__ defects, known as __
no __, early __ necessary
Infant risk- Growth __, micro__ w small __/__, thin ___, flattened ___, mental __, delayed develop of __, hyper__/__ disabilities, memory probs/poor __, i__, s__
constricts
O2/nutrients, fetal growth restrict
T2DM, learning disabilities
premature birth, IUGR, colic, SIDS
fetal liver, alcohol
physical/mental, FAS
tx, intervention
retard, cephaly, eyes/jaw
upper lip, cheek, retard, motor skills
activity/learning, judgment, impulsive, seizure
Many __/__ drugs can cause AE
infant exposed to __ can experience __ after birth- called ___ NAS
NAS- occurs when fetus exposed to __/__
__ begin 3 days after birth
any infant __ should be assessed for withdrawal
infants prescribed __ to alleviate sx and weaned off
Infant risk- loose __, M, excessive __/__, hyperactive __, i__, F, poor __, rapid __, difficulty _, __/__ nose, V
nonpharm tx
reduce __, S, small, freq __, non nutritive __ w pacifier
illegal/px
narcotics, withdrawal
narcotic abstinence syndrome
opiates/narcotics
sx, exposed
narcotic
stools, mottling, sucking/crying, reflex, irritable, fever, feeding, breathing, sleeping, sneezy/stuffy, vomit
external stimuli, swaddling, feedings, sucking
__ monitor assesses fetal well being during labor
normal is __ to __ bpm
causes for variability
M___, M, __ occlusion, C__
infant may be at inc risk of __
careful for __/__ decel of fetal heart tones- may indicate baby is __
Prolonged labor
when 1/2 stages of labor last longer than __
can lead to __, __ rupture, d
infant risk- I/fetal __, A/ M__ in utero, D
FHR
120-160
maternal position, meds, UC, CHD
hypoxic injury
late/variable, not doing well
18hrs
infection, uterine, death
infection, distress, asphyxia, meconium, death
