Module 5 & 6 Flashcards
blood pressure of 140/90 mmHg that develops for the first time during pregnancy
Gestational Hypertension
Hypertension that develops after 20 weeks gestation, accompanied by proteinuria
Preeclampsia
Accompanied by convulsions
Eclampsia
Develops preeclampsia and eclampsia during pregnancy
Superimposed Eclampsia and Preeclampsia
presence of hypertension before pregnancy or develops before 20 weeks of gestation
Chronic Hypertension
6 Risk factors of Chronic Hypertension
- Primiparity
- Below 20, above 35
- Pre-existing disease such as diabetes and chronic hypertension
- Low socioeconomic status and inadequate prenatal care
- Poor nutrition
- Pregnancy complications such as hydatidiform mole and diabetes mellitus
Management for Chronic Hypertension
- Bedrest
- Monitor BP and I & O
- Hydrazine to reduce blood pressure
- Magnesium sulfate to prevent convulsions
Drugs to prevent anemia
Iron supplementation
Drug to reduce chest pain
Nitroglycerine
Drug used for cardiac dysrhythmias
digoxin and quinidine
Drug used to prevent and treat infection
Antibiotics
safest anticoagulant during pregnancy
Heparin
Management for Heart Disease
- Promotion of rest
- Diet: controlled calories
- Avoid high altitudes, smoking and overcrowded areas
- Prevention of infection
- Provide instructions on danger signs of heart failure
- Medications
- Intrapartum management
delivery preferred for heart disease patients
vaginal delivery
left lateral recumbent position
Semi Fowler’s Position
given for painless and push less delivery
Epidural anesthesia
felt by parents towards the baby
Bonding
bond to an infant to parents
Attachment
development of cueing system
Mutual Regulation
each other develops with mutual development of love and growth
Reciprocity
baby appears to listen and follow faces
Entertainment
mother achieves confidence in giving care to the infant
Maternal Role Attainment
