Module 03: Pregnancy At Risk: Gestational Problems Flashcards
This is defined as one in which the health of the mother or the fetus is in jeopardy.
High Risk Pregnancy
Why is early and consistent assessment important in high-risk pregnancy?
It ensures a positive outcome for both the mother and fetus by identifying risk factors early.
What are the three major risk factor categories in high-risk pregnancy?
(A) Physiological
(B) Psychological
(C) Social
Give an example of a physiological risk factor.
If client is diabetic, hypertensive, or has a heart problem
Give an example of a psychological risk factor.
If the client had been raped, cannot accept pregnancy, or is depressed.
Give an example of a social risk factor.
If the client has addiction to any illegal substances
What must an OB nurse develop to identify high-risk pregnancies effectively?
A clinical eye to differentiate between normal and abnormal findings.
What is a key principle in managing high-risk pregnancies?
If the mother has a health problem, the fetus is also at risk.
Why is early detection important for biophysical risks?
If the mother had a previous child with a medical condition, there is a risk of passing it on to the next child.
This category of high risk pregnancy includes genetic factors from the mother and father, as well as medical conditions like Trisomy 21 (Down Syndrome).
BIOPHYSICAL
What are the different categories of high risk pregnancy?
(A) Biophysical
(B) Behavioral
(C) Psychological
(D) Socio-demographic
What is an example of a biophysical risk?
A history of genetic disorders in the family, such as Down Syndrome.
This category of high risk pregnancy pertains to the way the mother perceives and behaves toward her pregnancy.
BEHAVIORAL
Give examples of behavioral risks in pregnancy.
Skipping check-ups, unhealthy diet, poor hygiene, substance abuse, and smoking.
How does stress affect pregnancy internally?
It can cause hormonal imbalances, unstable vital signs, and increased blood pressure due to stress-related pathophysiology.
What are external signs of stress in a pregnant woman?
She may appear irritable, sad, or withdrawn.
What other factors can affect the behavioral category of high risk pregnancies?
Environment may have an effect on the mother, e.g working place (might inhale harmful chemicals), living conditions.
What are common psychological risks in pregnancy?
Depression, anxiety, stress.
How can psychological risks affect pregnancy outcomes?
They can lead to abortion, negligence, or hemorrhage due to poor maternal self-care.
What are examples of modifiable psychological risk factors?
A young mother’s level of independence/dependence on her family.
What are non-modifiable psychological risk factors?
Age and family history of a medical condition.
Why is maternal age a risk factor in pregnancy?
Pregnant women below 18 and above 35 are at higher risk due to physical, emotional, and medical concerns (Example: preeclampsia (under 18) , hypertension (over 35).
What makes multiparity a high-risk condition?
Overly stretched uterus → lesser pain perception, no feeling of bearing down → higher risk for hemorrhage.
How can marital status affect pregnancy?
Single or married status may have psychological effects on the mother, impacting emotional well-being.