OB Ch 16 &17 Flashcards
What is Type 1 Diabetes
hereditary
what is type 2 diabetes
glucose intolerance
what is gestational diabetes
caused by pregnancy - glucose intolerance
if a pregnant woman is found to have gestational diabetes, what should she do daily
multivitamins/ monitor glucose
what is the best way to reduce poor outcomes of diabetes
folic acid
what is the best way to control blood sugar
insulin, diet, exercise
what device delivers insulin frequently and accurately controls blood sugar
insulin pump
what is normal blood sugar level for a fasting glucose test
less than 90
what is normal bloo sugar for a non fasting glucose test
less than 120
what is the desired HbA1C level
less than 8.5
how does pregnancy affect insulin administration
body doesn’t produce
what should a person do after taking a short acting insulin injection
eat
what would necessitate a cesarean birth if the mom has genital herpes
active lesions 3rd trimester
if a baby has HIV antibodies at birth does that mean that the infant is HIV positive
NO
what puts a pregnant woman at risk for toxoplasmosis
cat feces, raw meat
how would the nurse establish a baseline in a mom with a cardiovascular condition
VS all the time
why are cardiovascular problems considered high risk in pregnancy
cause CHF, death in labor
what are symptoms of right sided heart failure
JVD, ascites, peripheral edema
what are symptoms of left sided heart failure
pink frothy sputum, crackles, pulmonary edema
what helsp iron absorption
vitamin C
what are some expected side effects of iron
constipation, black stools
what are some tips to avoid constipation
water, fiber, stool softeners
what symptoms indicate that asthma is not well controlled
preeclampsia, hemorrhage, preterm labor, respiratory failure
what is a common complication to an infant of a teen mom
low birth weight, anemia(low iron), higher infant mortality
what is very important socially for a teen mom to increase a successful pregnancy and outcome
support
what are symptoms of IPV
Anxiety, depression, unable to trust
placenta rips from uterus
what are symptoms of preeclampsia
1+ protein in urine, edema, BP 140/90 or higher
what are symptoms of eclampsia
seizures, coma, death
what medication is commonly given for preeclamspia to relax smooth muscle
magnesium sulfate
what is the antidote for magnesium sulfate
calcium gluconate
what is the desired blood level of magnesium sulfate
4-8
what symptoms would the nurse expect to see if MgSO4 is too high
respiratory depression, no reflexes
what are symptoms of spontaneous abortion
cramping, spotting, frank bleeding, clots
what is the most common fetal cause of spontaneous abortion
chromosomal abnormalities, incompatible with life
what action does Misoprostol have
induce uterine contractions
what can the nurse do to help with the grieving process
offer to view fetus, acknowledge loss, be there for parents
what are symptoms of ectopic pregnancy
pelvic pain, vaginal spotting, shoulder pain
what are risk factors for having an ectopic pregnancy
surgery, infection
what is the treatment of a ruptured ectopic pregnancy
emergency surgery
why is this considered an emergency
could bleed out
what medication can be given if an ectopic pregnancy has not rupture and the goal is preserving the Fallopian tube
Methotrexate
what is placenta previa
placenta is implanted close to or over cervix
what should be avoided if a woman is suspected of having placenta previa
digital exam
what is a priority with placenta previa
getting the baby out alive
what is placental abruption
placenta prematurely ripped away from uterus
what are symptoms of placental abruption
sudden constant pain, dark red vaginal bleeding, rigid abdomen, fetal distress
what are main concerns with placental abruption
bleeding out and baby dying
what is Rh incompatibility
if mom is - and baby is + blood won’t mix well and mom will fight off baby
what is given to combat this and when is it given
rhogam shot - after every birth
what is isoimmunization
produces antibodies to fight Rho(D)
how many children can Rh- mothers have
as many as she wants with rhogam shot
what is hydatiform mole
placenta develops into mass of cysts
what are symptoms of hydatiform mole
vaginal bleeding - bright red, increased HcG
why is it important to follow up with the practitioner after removing mole
monitor HcG watch for S&S of cancer
how long should a woman wait to become pregnant again after having mole
6-12 months
what is the treatment for incompetent cervix and what is the expected outcome
cerclage - ties uterus so baby can’t come out - untie when ready to birth
what is twin to twin transfusion syndrome and when would you see this
1 baby is huge and 1 baby is tiny - only 1 placenta
what is the most common complication with multiple pregnancy
preterm birth
