Term
| Describe the hemorrhagic conditions of early pregnancy including spontaneous abortion, ectopic pregnancy, and gestational trophoblastic disease |
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Definition
sponateous abortion is when the mother miscarries the fetus due to a congenital or maternal abnormality.
ectopic pregnancy is when the ovum implants in the fallopian tube. This results in an incompetent pregnancy that is usually spontaneous abortion. If the body doesn't abort the fetus, then sx must be done to remove the ovum to prevent further complications and infection.
gestational trophoblastic disease-this disease causes abnormal growth. The placenta develops, but the fetus doesn't. This creates hydatidiform moles. This can lead to a very rare, but serious cancer called choriocarcinoma. |
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Term
| Discuss the effects and management of hyperemesis gravidarum |
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Definition
| antiemetics, fluid replacement, small frequent meals, dry crackers before getting out of bed, avoiding irritating foods |
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Term
| Discuss the risk factors and therapeutic management of patients with pregnancy induced hypertension (PIH), preeclampsia and HELLP Syndrome (hemolysis, elevated liver enzymes, low platelet levels) |
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Definition
| risk factors include: chronic HTN, eclampsia, risk for hemorrhage, risk for shock, fetal or maternal death |
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Term
| Develop nursing care plans for patients with hypertensive disorders during pregnancy |
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Definition
| medication regimens, decrease sodium, monitor fluid intake and urine output, bedrest, fetal monitoring, monitor for bleeding |
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Term
| Identify the medications used for the therapeutic management of patients with eclampsia, preeclampsia and HELLP syndrome |
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Definition
magnesium sulfate, calcium gluconate (for mag toxicity), hydralazine, nifedipine, or labetolol
platelets or PRBC |
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Term
| Identify the woman who is at high risk for developing AIDS |
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Definition
| high sexual behavior, intravenous drug use |
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Term
| Discuss fetal-neonatal risks whose mother HIV positive |
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Definition
baby can develop HIV or even AIDS later in life, higher risk for infection, weak immune system, enlargement of liver or spleen, lymphadenopathy,failure to thrive, persistent thrush, extensive cradle cap, bacterial infections such as meningitis, pneumonia, osteomyelitis, septic arthritis, and septecemia
mother is not able to breast feed |
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Term
| Discuss the maternal, fetal and neonatal effects of the most common infections that may occur during pregnancy |
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Definition
syphyllis, gonorrhea, chlamydia, trichomoniasis, HPV, candidiasis, cystitis, acute pyelonephritis, herpes, GBS
pg 625-630 |
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Term
| Discuss the physiological action, therapeutic effect, side effects and nursing implications for magnesium sulfate, calcium gluconate and Zidovudine (Retrovir) |
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Definition
magnesium sulfate is used to prevent seizures in the pre eclamptic mom. have to be careful to avoid mag toxicity
calcium gluconate is the antidote for mag toxicity. should always be at bedside when mag is being administered
zidovudine is antiretroviral that is given to HIV positive mothers |
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