Module 06: Abortion, Ectopic Pregnancy, and H-mole Flashcards
What are the different danger signs of pregnancy?
(A) Vaginal bleeding
(B) Persistent vomiting
(C) Chills and fever
(D) Sudden escape of fluid from vagina
(E) Abdominal or chest pain
(E) Absence of fetal heart sounds
(G) Swelling of face and fingers
(H) Flashes of lights
(I) Blurring of vision
(J) Severe headache and dizziness
What are the different nursing considerations for vaginal bleeding?
(A) The degree of bleeding should be evaluated.
(B) It should reported immediately.
(C) May lead to hypovolemic shock.
What are the different nursing considerations for persistent vomiting?
(A) Nausea and vomiting that continues after 12 weeks is extended vomiting.
(B) It depletes the nutritional value of the fetus.
(C) It can cause dehydration and may lead to fetal or maternal death.
What is hyperemesis gravidarum?
Excessive vomiting during pregnancy
What are the different nursing considerations for chills and fever?
(A) May be due to intrauterine infection
(B) Could lead to serious complications to both the mother and the fetus.
(C) The cause should be determined.
Chills and fever is often caused by what?
(A) Infections (i.e UTI)
(B) Dehydration
Infections during pregnancy can lead to what?
(A) Preterm labor
(B) Low birth weight
(C) Sepsis
What medication is given for infections during pregnancy?
CEFUROXIME 800 mg BID 7 DAYS
This condition is characterized as an infection in the membrane that surrounds the fetus and the amniotic fluid (CHORION and AMNION).
Chorionamniotitis
Dehydration during pregnancy can lead to what?
PRETERM LABOR, and IF NOT TREATED, PRETERM DELIVERY
What are the nursing considerations for amniotic fluid leakage?
(A) Membranes are ruptured.
(B) Mother and fetus are threatened because the uterine cavity is no longer sealed against infection
(C) It can cause immaturity of the organs (kidney and lungs)
What is the normal value for amniotic fluid?
1000cc to 2000cc
This condition occurs when the umbilical cord is wrapped around the fetal neck.
Nuchal cord
In one hour, how much of the amniotic fluid is replaced?
1/3 of the amniotic fluid is replaced
What are the nursing considerations for abdominal and chest pain?
(A) May mean tubal pregnancy that have ruptured.
(B) There is already separation of the placenta
(C) Can lead to preterm labor
(D) Chest pain ( pulmonary embolus that follows thrombophlebitis)
How is thrombophlebitis assessed?
HOMAN’S SIGNS
What are the nursing considerations for absence of fetal heart sounds?
IUFD or STILLBIRTH (After they have been initially auscultated on the 4th and 5th month)
What is IUFD?
Intrauterine Fetal Demise
What danger signs of pregnancy can denote pregnancy-induced hypertension and preeclampsia?
(A) Swelling of the face and fingers (edema)
(B) Flashes of lights or dots (scotoma)
(C) Blurring of vision
(D) Severe headache or dizziness
This is known as the excessive nausea and vomiting that persist beyond 12 weeks of gestation.
Hyperemesis Gravidarum (may lead to abortion)
What are the complications of hyperemesis gravidarum?
(A) Dehydration
(B) Weight loss
(C) Starvation
(D) Electrolyte imbalance
The causative agent of hyperemesis gravidarum is cause by bacterial growth in the uterus. True or false?
False: The concrete causative agent is unsure.
What are the possible causes of hyperemesis gravidarum?
HCG and H.pylor
What is the normal HCG?
10,000 to 20,000