Reviewer #3 Flashcards
Sometimes called pernicious vomiting
Hypermesis Gravidarium
ASSESSMENT FINDINGS for Hypermesis Gravidarium
- Severe nausea and vomiting
- Elevated hematocrit
- Reduced serum levels of sodium, potassium, and chloride
- Hypokalemic acidosis
- Polyneuritis
- Weight loss
- Urine positive for ketones
Administer intravenous solutions like?
Ringers lactate with added Vit B
Sedative med for Hypermesis…
Phenobarbital
Antiemetic med for Hypermesis…
Chlorpromazine
The placenta grows on the back
wall of your uterus
Posterior placenta
The placenta grows on the front
wall of your uterus closest to your abdomen.
Anterior placenta
The placenta grows at the top of
your uterus.
Fundal placenta
The placenta grows on the right or
left wall of your uterus.
Lateral placenta
Premature separation of
the placenta.
Abruptio placenta
Predisposing factors of Abruptio placenta
high parity, chronic hypertensive
disease, pregnancy-induced hypertension, direct trauma, and vasoconstriction from cocaine use.
Which category of abruptio placenta has concealed hemorrhage
Partial and Complete separation
No symptoms apparent; diagnosis made after delivery
Grade 0
Minimal separation enough to cause vaginal bleeding and changes in maternal vital signs; no fetal distress or hemorrhagic shock
Grade 1
Moderate separation; evidence of fetal distress; uterus tender and painful on palpation
Grade 2
Extreme separation; without immediate intervention, maternal shock and fetal death result
Grade 3
As initial separation occurs what happens in uterine fundus
Sharp stabbing pain
Uterine outline is possibly?
Enlarged or Changing shape
if placenta separates first at the edges and blood escapes freely from the cervix causes?
External Bleeding
To minimize fetal anoxia administer?
oxygen via mask
A low implantation of the placenta
Placenta previa
Implantation in the lower rather than the upper portion of the uterus
Partial placenta
Implantation that occludes a portion of the cervical os
Partial previa
The placental edge approaches that of the cervical os
Marginal placenta
