pregnancy, PTL & PIH Flashcards
placenta functions
hormone production
respiration from mom to baby
nutrition from mom to baby
elimination
hydramnios
too much amniotic fluid
greater than 2000mL
oligohydramnios
too little amniotic fluid
less than 400mL
hormones of pregnancy
HCG
estrogen
progesterone
HPL
primary amenorrhea
absence of a period after 15 yrs of age
HCG
conception occurs
keeps corpus luteum alive
produced by zygote - doubles every 48hrs
causes N/V
32 week gestation pt with bright red painless bleeding intervention
NO vaginal exams
continuous fetal monitoring
THIS IS PLACENTA PREVIA
calcium gluconate administration
slow push
over 2-5 mins
most common sexual disease
chlamydia
erythromycin given to babies for chlamydia and ghonorrea
which sexual disease affects the organs
syphillis
sexually transmitted disease with the characteristic of blisters
herpes
gel that helps soften cervix
prostaglandin
magnesium sulfate administration
given for preeclampsia
ALWAYS GIVE SLOW, can cause cardiac arrest
1-2 mins
presumptive changes in pregnancy
amenorrhea
N/V
urinary frequency
breast tenderness
quickening (fetal movement 18-20wks)
probable changes of pregnancy
chadwicks sign - bluish purple vagina
goodells sign - softening of cervix
hegars sign - softening of lower uterine seg.
pregnancy tests
uterine souffle
positive changes of pregnancy
funic souffle - blood floow in UC (fetal P)
fetal HR
fetal movement
ultrasound
proteinuria in pregnancy
can indicate preeclampsia
preterm premature
rupture of membranes
PPROM
rupture before 37 wks gestation
premature rupture of membranes management
bed rest
pelvi crest
monitor VS
fetal movement monitoring
routine NST
CBC 1-2x/wk
signs and symptoms of preterm labor (PTL)
abd pain
low back pain
pelvic pain/pressure
uterine contractions
change in amt of vaginal discharge
urinary frequency
fetal fibronectin testing
negative result means little chance of preterm labor within next 7 to 10 days
positive result means pt may go into preterm labor soon or may not for weeks
preeclampsia
most common hypertensive disorder in pregnancy
increase in BP after 20 wks accompanied by proteinuria
preeclampsia risk factors
maternal obesity
primagravida
extremes of age
Hx
multiples
clonus
pronounced hyperreflexia and CNS irritability
