Maternal Newborn Flashcards
Contraception- strategies or devices used to reduce the risk of fertilization to prevent pregnancy.
Abstinence, withrawal, calandar rhytm method, standard days method, basal body temperature, cervical mucus ovulation detection method, 2 day method, male condom, female condom, spermicide, diaprhagm, cervical cap, contraceptive snge, combined oral contraceptives, progesting-only pills, emergency oral contraceptive, trandermal contraceptive patch, ingectable progestins, contaceptive vaginal ring, implantable progesting, intrauterine device, transcervial sterilation, female sterilization, male sterilation.
Expected Physiological Changes During Pregnancy
signs of pregnancy; presumptive, probable, positive.
Blood and urine tests verify pregnancy, nagele rule, measure of fundal height, gravidity, parity, viabiltiy, GTPAL.
Body systems- reproductive, cardiovascular, respiratory, musculoskelatl, gastrointestinal, renal, endocrine,.
Body image changes, expected vital signs,
Expected findings
Nursing interventions
Prenatal Care
Nutrition During Pregnancy
Determination of fetal well being
Ultrasound (abdominal, transvaginal, and doppler)
Biophysical Profile
Nonstress test
Contraction Stress Test
Amniocentesis
High-risk pregnancy percutaneous umbilical blood sampling
high risk pregnancy Chronic villus sampling
high risk pregnancy quad marker screening
High risk pregnancy maternal alpha-fetoprotein
Bleeding during pregnancy
Spontaneous Abortion- pregnancy ends as result of natural causes before 200 weeks weighs less than 500 g.
Risk Factors: Chromosomal abnormality, maternal illness, advanced maternal age, premature cervical dilation, chronic maternal infections, maternal malnutrition, trauma or injury, anomalies in the fetus or placentae, substance use, antiphospholipids syndrome.
Expected Findings- abdominal cramping or pain, rupture of membranes, dilation of the cervix, fever, manifestation of hemorrage (hypotension, tachycardia)
Lab tests- Hgb and Hct, clotting factors, WBC, serum human chronic gondrotpin (hcG) levels
Diagnstic and Therpatuic Procedures- ultrasound, examination of the cervix, dilation and curettge, dilation and evacution, prostoglandins and oxytocin
Nusring care- perform a pregnacy test, observe color and amount of bleeding, maintain client on bed rest, risk of falls to sedative meds, avoid vaginal exams, asist with an ultrasond, assist with adminstering medications, blood products, determine how much tissue has passed and save for examination, assist with termination of pregnancy (D&C, D&E) prostoglandin adminstration as indicated, miscarriage, provide emotional support and client education, asist with providing a referral for client and partner to pregnacy loss support gorups.
Medications-
analgesics and sefatives, prostoglanding as a vginal suppository, oxytocin, broad spectrum antibiotics,
Client education-
Ectopic Pregnancy
Gestational Trophoblastic disease
Placenta Previa
Abruptio Placentae
Vas Previa
Infections
HIV/AIDS
TORCH infections
