QUIZ 2: NURSING CARE OF A FAMILY EXPERIENCING A PREGNANCY COMPLICATION FROM A PREEXISTING OR NEWLY ACQUIRED ILLNESS Flashcards
A suddenly developing pathologic condition in a patient, due to an accidentt or disease, which requires urgent medical or surgical therapeutic intervention.
OBSTETRIC EMERGENCY
Hyperdynamic, hypervolemic, maternal circulation
Cardiac output increases by 50%, blood volume by 45% (peak at 32- 34 weeks)
30% loss of fluid may be tolerated without tachycardia
PREGNANCY CHANGES
___complicates only 1% of pregnancies but accounts for 5% of maternal deaths.
HIGH-RISK PREGNANCY: CARDIOVASCULAR SYSTEM
Occurs in conditions such as mitral stenosis, mitral insufficiency, and aortic coarctation
LEFT-SIDED HEART FAILURE
to allow fluid to settle to the bottom of the woman’s lungs and free spaces for gas exchange
Orthopnea
sudden waking at night due to shortness of breath
Paroxysmal nocturnal dyspnea
Occurs when the output of the right ventricle is less than the blood volume received by the right atrium from the vena cava
RIGHT-SIDED HEART FAILURE
Is an endocrine disorder in which the pancreas cannot produce adequate insulin to regulate body glucose levels
A WOMAN WITH DIABETES MELITUS
____ during pregnancy-including type 1, type 2, or gestational diabetes-can negatively affect the health of women and their babies.
Diabetes
___ is a rare condition in young adults and especially in pregnancy, because women with symptoms of untreated this are often anovulatory and unable to conceive
Hypothyroidism
____Is the most common anemia of pregnancy, complicating as many as 15% to 25% of all pregnancies.
Iron- deficiency anemia
____ necessary for the normal formation of RBCs in the mother as well as being associated with preventing neural defects in the fetus.
Folic acid, or folacin, one of B vitamins,
___ is a recessively inherited hemolytic anemia caused by an abnormal amino acid in the beta chain of hemoglobin
Sickle cell anemia
_____ (common cold) tends to be more severe during pregnancy than at other times because during pregnancy, estrogen stimulation normally causes some degree of nasal congestion.
Acute nasopharyngitis
____ is caused by a virus, identified as type A, B, or C. The disease spreads in epidemic form and is accompanied by high fever, extreme prostration, aching pains in the back and extremities, and generally a sore, raw throat.
Influenza