Pregnancy Complications Flashcards
Preeclampsia
Onset after 20 weeks gestation.
Risk factors- diabetes, obesity, hypertension, multiple gestations.
S/S: proteinuria, HYPERTENSION, hyperreflexia, headache, dizziness, increase serum transaminase, hemolysis, decrease platelet count, right upper quadrant pain, pulmonary edema.
Eclampsia
Leading cause of maternal death and poor fetal outcome.
Complications associated with- seizures, placenta abruption, fetal demise, abnormal fetal growth, premature delivery, and decrease birth weight.
Treatment- administer mag. Sulfate (anticonvulsant), but watch out for toxicity( decrease LOC, resp. Depression). Administer corticosteroids which facilitates lung development for fetus. Labor induction. Bed rest.
Cardiopulmonary maternal collapse
S/S: Increase in….pulmonary capillary wedge pressure, systemic vascular resistance, clotting factors, tidal volume, oxygen consumption, arterial BP.
Treatment: CPR, c-section
Disseminated intravascular coagulation (DIC)
S/S: blood clotting, bleeding, decrease LOC, cyanosis, hypotension, hypothermia, tachycardia, can lead to death.
Endometritis
Decrease BS, tachycardia, increase WBCs, fever, abdominal tenderness
Chlamydia
Treated with amoxicillin
Toxoplasmosis, rubella, herpes
Jeopardize the growth and development of developing fetus.
TSS
Hypotension, skin desquamation of palms of hands, rash, increase fever, altered LOC
Treatment: penicillins
UTIs
Greatest risk from 6-24 week of pregnancy.
Complications: maternal hypertension, low birth weight, preterm labor, possible renal damage.
Placenta abruptio
May occur during prenatal or intrapartum period.
Anxiety, fear, restlessness. Tachypnea if in shock. Cool, pale, sweating skin. Dark red vaginal bleeding. Sever tearing sensation in abdomen and lower back.
Placenta prévia
Bleeding often occurring as early as 28 week, but possibly not until onset of labor.
Anxiety, fever, restlessness.
Painless, bright red bleeding.
