PROM, PIH Flashcards
occurs when fetal membrane rupture before labor begins
between 36-40 weeks
PROM
occurs before 37 weeks of pregnancy
25% are responsible for all preterm delivery
preterm PROM
PROM most common cause
infection
obstetrical procedure of PROM
application of cerclage
amniocentesis
risk factors of PROM
low socioeconomic
STI
previos preterm birth
overdistension of uterus
abruptio placenta
cigarette smoking
PROM s/sx
leakage of fluid in vagina
constant wetness in the underwear
passage of fluid followed by signs of labor
labor often begins within 24 hours after the rupture of membranes
in term PROM
labor can be delayed up to a week or more after PROM
in preterm PROM
2 options of treatment for PROM
delivery or expectant management
slow or stop the contractions of the uterus
tocolytics
speed up lung development in preterm babies
betamethasone
PROM 34-37 weeks treatment and management of PROM
MD will weigh risk of premature birth
PROM goal
prolong pregnancy to at least 34 weeks
management and tx of PROM
hospitalization on bed rest and close monitoring
corticosteroids
antibiotics
tocolytics
helps the fetus brain
Magnesium Sulfate
HPN that develops after the 20th week of gestation
PIH
bp of 140/90 develops for the first time without proteinuria and within 12 weeks postpartum bp is back to normal
gestation HPN
140/90 bp that develops after 20 weeks gestation accompanied by proteinuria and edema
preeclampsia
all s/sx of preeclampsia accompanied by convulsion or coma that is not caused by other conditions
eclampsia
occurs during pregnancy in both small and large arteries
vasopasm
pregnancy HPN classic signs
headaches
sudden weight gain
vision changes
nausea or vomiting
urinating only a little bit at a time
occurs only after HPN and proteinuria appears
EDEMA
any status above gestational hpn and below a point of seizures
mild preeclampsia
same bo with gestational hpn
proteinuria 1 or 2 reagent strips
orthostatic preteinuria
edema
weight gain 2 pounds in 2nd trimester and 1 pound in 3rd tri
mild preeclampsia
bp of 160/110 or above on at least occasions 6 hours apart from bed rest or DP pressure of 30mmhg above pre pregnancy level
severe pre-eclampsia
elevated of 160/110 bp
marked proteinuria 3-4 strips
severe epigastric pain nausea and vomit
severe preeclampsia
causes seizures
most severe classification of PIH
eclampsia
2 main responsibilities of nurse during convulsion
maintenance of airway
protection from injury
