Shared Flashcard Set

Details

CHAPTER 26 PREGNANT WOMAN WITH COMPLICATION
PREGNANT WOWMAN WITH COMPLICATIONS
41
Nursing
Undergraduate 1
03/30/2013

Additional Nursing Flashcards

 


 

Cards

Term
WHAT ARE MANIFESTATIONS OF THREATENED ABORTION?
Definition
VAGINAL BLEEDING "SPOTTING" FOLLOWED BY CRAMPING AND BACK ACHE.
CERVIX IS CLOSED AND BHCG LEVEL ARE RISING.
Term
WHAT IS THE THERAPEUTIC MANAGEMENT OF THREATENED ABORTION?
Definition
ADVICE PATIENT TO CURTAIL SEXUAL ACTIVITY.
ULTRA SOUND TO DETERMINE IF FETUS IS ALIVE.
ADVICE PATIENT TO NOTE NUMBER OF PERIPADS USED AND NOTE SIGNS OF INFECTIONS.
Term
WHAT ARE THE MANIFESTATIONS OF INEVITABLE ABORTION?
Definition
ABORTION CANT BE STOPPED. VAGINAL BLEEDING IS HEAVIER THAN THREATENED ABORTION. MEMBRANES RAPTURE AND THE CERVIX IS OPEN
Term
WHAT IS THE THERAPEUTIC MANAGEMENT OF INEVITABLE ABORTION?
Definition
DILATION AND CURTTEGE IF TISSUE REMAINS IN TH UTERUS.
Term
WHAT ARE THE MANIFESTATIONS OF INCOMPLETE ABORTION?
Definition
FETAL AND PLACENTA ARE PASSED. SOME TISSUE REMAINS IN THE UTERUS. ACTIVE BLEEDING AND UTERINE CRAMPING.
THE CERVIX IS OPEN.
Term
WHAT IS THE THERAPEUTIC MANAGEMENT OF INCOMPLETE ABORTION?
Definition
IV POTICIN TO CONTROL BLEEDING.
CARDIOVASCULAR STABILIZATION
D & C
Term
WHAT ARE THE MANIFESTATIONS OF MISSED ABORTION?
Definition
FETUS DIES ON THE FIRST HALF OF THE PREGNANCY.
EARLY SIGNS AND SYMPTOMS OF PREGNANCY DISAPPEAR
Term
WHAT IS THE THERAPEUTIC MANAGEMENT OF MISSED ABORTION?
Definition
PASSING OF THE FETUS. BY APPROPRIATE PROCEDURE (D&C, C-SECTION, INDUCE LABOR)
Term
WHAT ARE THE TWO MAJOR COMPLICATIONS OF MISSED ABORTION?
Definition
DISSEMINATED INTRAVASCULAR COAGULATION AND INFECTION
Term
WHAT IS RECURRENT SPONTANEOUS ABORTION
Definition
ABORTION THAT OCCURS 3 OR MORE CONSECUTIVE SPONTANEOUS ABORTION.
Term
WHAT IS ECTOPIC PREGNANCY?
Definition
PREGNANCY THAT OCCURS OUTSIDE THE UTERINE CAVITY
Term
WHAT ARE THE RISK FACTORS FOR ECTOPIC PREGNANCY?
Definition
PELVIC INFLAMMATORY DISEASE, PREVIOUS ECTOPIC PREGNANCY, USE OF IUD, FAILED TUBAL LIGATION, MATERNAL AGE OF 35
Term
WHAT ARE THE NURSING INTERVENTIONS FOR ECTOPIC PREGNANCY?
Definition
PRESERVATION OF THE TUBE.
IF RAPTURED, CONTROL BLEEDING AND CARDIOVASCULAR STABILIZATION AND PREVENT HYPOVOLEMIC SHOCK.
PROVIDING SUPPORT
Term
WHAT ARE THE MANIFESTATIONS FOR HAYDATIDIFORM MOLE?
Definition
HIGH LEVELS OF BHCG, UTERUS LARGER THAN EXPECTED, VAGINAL BLEEDING WHICH VARIES FROM DARK BROWN SPOTTING.
NAUSEA AND VOMITING
DEVELOPMENT OF PREECLAMPSIA
HYPERTHYROIDSM
Term
WHAT ARE THE THERAPEUTIC MANAGEMENT FOR HYDATIDIFORM MOLE?
Definition
EVACUATION OF THE MOLE AND FOLLOWING UP THE DETECT ANY MALIGNANT CHANGES IN THE REMAINING TROPHOBLASTIC TISSUE.
Term
WHAT ARE NURSING INTERVENTIONS FOR HAYDATIDIFORM MOLE?
Definition
ADVICE PATIENT NOT TO GET PREGNANT FOR A YEAR AND OFFER CONTRACEPTIVE OPTIONS.
Term
WHAT IS PLACENTA PREVIA?
Definition
IMPLANTATION OF THE PLACENTA IN THE LOWER PART OF THE UTERUS.
Term
WHAT IS CLASSIC SIGN OF PLACENTA PREVIA?
Definition
PAINLESS BLEEDING.
Term
WHAT ARE THE CONTRAINDICATIONS OF PLACENTA PREVIA?
Definition
AVOID MANUAL EXAMINATION OF THE CERVIX BECAUSE IT CAN RAPTURE THE PLACENTA FROM THE UTERUS.
ADMINISTRATION OF OXYTOCIN SHOULD BE AVOIDED.
AVOID SEXUAL INTERCOURSE. NO HANKY PANKY
Term
WHAT ARE THE RISK FACTORS OF PLACENTA PREVIA?
Definition
MULTIPARAS, C-SECTION, WOMAN WHO HAD D&C, ASIAN OR AFRICAN ETHNICITY AND COCAINE USE.
Term
WHAT ARE THE MAJOR DANGERS WITH WOMEN WHO HAS ABRUPTIO PLACENTA? DANGERS FOR FETUS?
Definition
MOTHER:HEMMORHAGE, DIC, HYPOVOLEMIC SHOCK
FETUS:ANOXIA, BLOOD LOSS AND PRETERM BIRTH.
Term
WHAT IS THE LEADING CAUSE OF ABRUPTIO PLACENTA?
Definition
THE LEADING CAUSE IS COCAINE USE. COCAINE IS A VASOCONSTRICTOR.
Term
WHAT ARE THE THERAPEUTIC MANAGEMENTS FOR ABRUPTIO PLACENTA?
Definition
CARDIOVASCULAR STABILIZATION FOR BOTH MOM AND FETUS. BED REST AND TOCOLYTIC SHOULD BE ADMINISTERED.
IF FHR SHOWS NONREASSURING SIGNS, PROMPT DELIVERY IS NECESSARY.
Term
WHAT ARE THE THERAPEUTIC MANAGEMENT FOR HYPEREMESIS GRAVIDARUM?
Definition
VITAMIN B6, GINGER, ANTIEMTICS (ZOFRAN, PROMETHAZINE AND REGLAN)
Term
WHAT ARE NURSING CONSIDERATIONS FOR HYPEREMESIS GRAVIDARUM?
Definition
ASSESS FOR WEIGHT LOSS.
MONITOR INPUT AND OUTPUT
MONITOR FOR FLUID/ELECTROLYTE IMBALANCE.
WATCH FOR KETONES IN THE URINE (SUGGESTS THAT FAT AND PROTEIN ARE METABOLIZED FOR ENERGY USE)
Term
WHAT ARE MANIFESTATION FOR GESTATIONAL HYPERTENSION?
Definition
blood pressure greater than 140/90 after 20 weeks of pregnancy and returns to normal after 6 weeks postpartum. No protein urea.
Term
WHAT ARE THE NURSING INTERVENTIONS FOR HYPERTENSION DURING PREGNANCY.
Definition
RELAXATION, MEDICATION, SUPPORT.
Term
WHAT ARE THE RISK FACTORS FOR PREECLAMPSIA?
Definition
OVERWEIGHT, PREPREGNANCY DIABETES, WOMEN OLDER THAN 35 AND AFRICAN AMERICAN.
Term
WHAT ARE THE MANIFESTATION OF PREECLAMPSIA?
Definition
BLOOD PRESSURE GREATER THAN 140/90 AFTER 20 WEEKS OF PREGNANCY AND ITS ACCOMPANIED BY PROTEINURIA IN A 24 HOUR URINE COLLECTION.
BLURRED VISION, HEADACHE, SEVERE EDEMA, EPIGASTRIC PAIN AND DECREASED URINE OUTPUT.
Term
WHAT ARE THE THERAPEUTIC MANAGEMENTS OF PREECLAMPSIA?
Definition
DELIVERY IS THE DEFINITIVE TREATMENT FOR PREECLAMPSIA.
STEROIDS TO ACCELERATE FETAL LUNG MATURITY IF THE FETUS IS LESS THAN 34 WEEKS OF GESTATION.
Term
WHAT SHOULD BE CONSIDERED WHEN MANAGING MILD PREECLAMPSIA AT HOME?
Definition
ACTIVITY RESTRICTION, FETAL ACTIVITY (MONITOR KICK COUNTS), DIET, MONITOR BLOOD PRESSURE, MONITOR WEIGHT.
Term
WHAT ARE NURSING INTERVENTIONS FOR SEVERE PREECLAMPSIA?
Definition
PREVENT SEIZURES AND MAINTAIN THE PREGNANCY UNTIL IT IS SAFE TO DELIVER.
BED REST
ANTICONVULSANT MEDICATIONS (MAGNESIUM SULFATE)
Term
WHAT ARE NURSING IMPLICATIONS IN ADMINISTERING MAGNESIUM SULFATE?
Definition
ASSESS VITAL SIGNS, RESPIRATORY RATE, OXYGEN SATURATION, PRESENCE OF DTR.
PLACE RESUSCITATION EQUIPMENT IN THE ROOM.
KEEP CALCIUM GLUCONATE AVAILABLE.
Term
WHAT IS ECLAMPSIA?
Definition
SEVERE PREECLAMPISA MARKED BY ONSET OF ONE OR MORE GENERALIZED SEIZURES.
Term
WHAT IS THE PROMINENT SYMPTOM OF HELLP SYNDROME?
Definition
PAIN IN UPPER RIGHT QUADRANT, LOWER CHEST OR EPIGASTRIC AREA
Term
WHAT ARE THE MANIFESTATIONS FOR CHRONIC HYPERTENSION?
Definition
BLOOD PRESSURE GREATER THAN 140/90 THAT IS KNOWN TO EXIST BEFORE PREGNANCY OR DEVELOPED BEFORE 20 WEEKS OF GESTATION.
Term
WHAT ARE THE TWO SPECIFIC CIRCUMSTANCES THAT COEXIST WITH RH FACTOR?
Definition
THE EXPECTANT MOTHER IS RH NEGATIVE AND THE FETUS IS RH POSITIVE
Term
THE FIRST RH POSITIVE INFANT IS USUALLY AFFECTED AFTER BIRTH. TRUE OR FALSE?
Definition
FALSE, ANTIBODIES ARE FORMED AFTER BIRTH. THE SECOND INFANT WILL BE AFFECTED IF THE MOTHER IS NOT SENSITIZED WITH RHOGAM
Term
WHAT INDICATES SENSITIZED MOTHER AND THE PRESENCE OF ANTIBODIES AGAINST RH POSITIVE INFANTS?
Definition
A POSITIVE INDIRECT COMBS TEST.
Term
WHAT
Definition
Term
WHAT ARE THE MANIFESTATIONS OF ABRUPTIO PLACENTA?
Definition
VAGINAL BLEEDING
ABDOMINAL AND LOW BACK PAIN
UTERINE IRRITABILITY
UTERINE TENDERNESS
Supporting users have an ad free experience!