Pre-Existing Flashcards
Hypoglycemia S&S
shakes sweaty hunger headaches irritable pounding HR
Diabetes- pre-pregnancy
Need control of glucose and insulin
Will need to use insulin, oral control is usually not sufficient
Increase risk for UTI/ infections
Hyperglycemia S&S
frequent urination fruity smell breath confusion headache thirst blurred vision
Results of poor glucose control
Early pregnancy AB
Late- macrosomnias, PIH 2nd tri, C/S, preterm labor, polyhydrominos
Nursing interventions with pre-existing diabetes
Monitor mom frequently- urine and blood
Baby may have increased RBCs
Mom will be a High Risk pregnancy
Follow diet, insulin compliancy
Cardiovascular disease S&S
cyanosis, edema, pallor, increase BP, shortness of breath, murmur
Cardiovascular disease risks
preterm labor, IUGR, AB, congenital heart problems
Cardiovascular Nursing intervention
longer labor, let baby come down, epideral
monitor intake high protein, low NA, monitor fluids
eliminate stress
at increased risk for infections
Anemias Risks
Higher risk for infection
SGA preterm labor
Anemia risk factors
Poor diet, weight loss long time, heavy periods, PICA, short intra-pregnancy
Anemia nursing interventions
Iron supplement
Educate on compliance
Seizure disorders risks
placenta abruptio
vaginal bleeding
this pt. needs to consult physician prior to pregnancy bc most anti-epileptics harm the fetus
Lupus
Can cause PIH, PTL, PTD, AB
okay to get pregnant after 3 months of no S&S
consult physician meds are harmful to fetus
HIV
baby can have false positive after birth
6 months test again
Trauma
take care of mom first
airway
