Unit 1: Prepartal Flashcards
Ma'am Cercado
One in which the life or health of the mother or fetus is jeopardized due to a disorder coincidential with or unique with pregnancy.
High Risk Prenatal Client
For how long does the high risk status arbritarily extends through the pueperium?
30 days after birth
4 divisions of Maternal Risk
- Pre existing risk
- Risk emergency during pregnancy
- Risk of labor and delivery
- Risk of postpartum
What are the pre existing risks?
- Age
- Parity
- Social/Environmental factors
- Marital Status
Risk emergency during pregnancy
- Anemia
- Toxemia
- Antepartum hemorrhage
- Transverse lie term
- Suspected cephalopelvic disproportion
Risk of Labor and Delivery
- Premature rupture of membrane
- Transverse lie
- Prolonged obstructed labor
- Intrapartum beeding from placenta previa and post partum hemorrhage
Risk of post partum
- Puerperal infection
- Hemorrhage
- Subinvolution
- Post-operative compilation in the case of cesaerian delivery
- Postpartal depression
Categories of High Risk Factors
- Biophysical Factors
- Psychosocial Factors
- Socio-demographic factors
For hemorrhage, this is the best you can do during the postpartum period as a nurse
Pad count (Fully soaked + pad count + lochia)
How long are mothers advised to not get out of the bed for after delivery?
4 - 6 hours
Biophysical Factors
- Genetic considerations
- Nutritional status
- Medical and Obstetric disorder
This may interfere with normal fetal or neonatal development
Genetic Considerations
Results in congenital anomalies or create difficulties for the mother
Genetic Considerations
The biophysical factor includes:
- Multiple pregnancies
- Large fetal size
- Transmissible inherited disorders
What are the conditions that influence nutritional disorders?
- Young age
- Three pregnancies in the previous two years
- Inadequate dietary intake becaese of chronic illness of food fads
- Inadequate or excessive weight gain
- Hematocrit value < 33%
- Tobacco, alcohol, or drug use
Falls under medical and obstetric disorder
- Preterm Labor
- Polyhydramnios
- Intra Uterine Growth Restriction
Factors of Preterm Labor
- Age < 16 or >35
- Low socioeconomic status
- Maternal weight < 50kg
- Poor nutrition
- Previous preterm birth
- Smoking
- Drug addiction and alcoholl use
- Pneumonia
- Multiple gestationss
- Anemia
- Abnormal fetal presentations
Factors of Polyhydramnios
- Diabetes Mellitus
- Multiple gestations
- Abnormal fetal presentation
- Infection
- Fetal congenital anomalies
Factors of Intrauterine Growth Restriction
- Multiple gestations
- Poor nutrition
- Preeclampsia
- Drug addiction and alcohol abuse
- Fetal infections
- Chronic hypertension
What are the Psychosocial Factors
- Smoking
- Caffeine
- Alcohol
- Psychological Status
What are the risks of smoking
- Low birth weight of infants
- Higher neonatal mortality rate
- Increased miscarriages
- Increased incidence of PROM
High intake of this substance has been related to a slight decrease in birth weight
Coffee (3 or more cups each day)
Exerts adverse effects on the fetus, resulting in fetal alcohol syndrome, learning disabilities, and hyperactivity
Alcohol
Psychological status includes:
- Intrapsychic disturbances and addictive lifestyles
- Unsafe cultural, ethnic, or religious practices
- Situational crises
