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Chapter 5
nursing care for women with pregnancy complications
43
Nursing
Undergraduate 1
03/22/2023

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Term
danger signs in pregnancy
Definition
sudden gush of fluid from the vagina, vaginal bleeding, abdominal pain, persistent vomiting, epigastric pain, edema of face and hands, severe, persistent HA, blurred vison or dizziness, chills with fever over 100.4f, painful urination or reduced urine output
Term
pregnancy r/t complications
Definition
hyperemisis gravidarum, bleeding disordes, hypertension, blood incompatibility
Term
manifestations of hyperemisis gravidarum
Definition
ecessive n/v, dehydration, reduced delivery of blood, o2, and nutrients to the fetus
Term
spontaneous abortion classifications
Definition
threatened, inevitable, incomplete, compleet, missed, recurrent
Term
induced abortion classifications
Definition
therapeutic, elective
Term
If woman is actively bleeding she should be kept _ status
Definition
NPO
Term
Implantation outside the uterine cavity
Definition
Ectopic Pregnancy
Term
scarring or tubal deformity may result from
Definition
hormonal abnormailities, inflammation, infection, adhesions, ocngenital defects, endometriosis
Term
95% of ectopic pregnancy occurs in the
Definition
fallopian tube
Term
manifesteastions of ectopic pregnancy
Definition
lower abdominal pain, light vaginal bleeding
Term
manifestations of tube rupture r/t to ectopic pregnancy
Definition
sudden sever lower abdominal pain, vaginal bleeding, signs ofhypovolemic shock, shoulder pain (referred pain)
Term
s&s of hypovolemic shock
Definition
tachycardia, tachypnea, shallow, irregular respirations, air hunger, hypotension, decreased/absent urinary output, pale skin or pale mucous membranes, cold clammy skin, faintness, thirst
Term
Occurs when chorionic villi abnormally increase and develop vesicles .
Definition
Hydatidiform Mole
Term
Hydatidiform mole may cause
Definition
hemorrhage, clotting abnormalities, hypertension, and later development of cancer
Term
manifestastion of hydatidiform mole
Definition
bleeding, rapid uterin growth, failure to detect fetal heart activity, signs of hyperemesis gravidarum, unusually early development of gestational HTN, higher than expected levels of hCG, a distinctive snowstorm patter on ultrasound
Term
occurs when the placenta develops in the lower part of the uterus rather than the upper part.
Definition
Placenta Previa
Term
Three degrees of placenta previa depending on relation to the cervix:
Definition
marginal, partial, total
Term
Placenta reaches within 2 to 3 cm of the cervical opening
Definition
marginal placenta previa
Term
Placenta partially covers opening
Definition
Partial
Term
Placenta completely covers the cervical opening
Definition
total placent previa
Term
main characteristic sign of placenta previa
Definition
painless, bright red vaginal bleeding
Term
complications/ risks of placenta previa
Definition
fetal hypoxia, fetal/neonatal anemia, hypovolemic shock, infection or hemorrhage after birth
Term
goal of treating placenta previa
Definition
maintain pregnancy until fetal lungs are mature
Term
Because it may complications _ should be avoided in pt with placenta previa
Definition
vaginal exams, enemas, or rectal exams
Term
Premature separation of the placenta
Definition
Abruptio placentae
Term
abruptio placentae may be
Definition
partial or total; marginal or central
Term
predisposing factors to abruptio placentae
Definition
hypertension, concain, cigarette smoking, poor nutrition, blow to the abdomen, prior hx of abruptio, folate deficiency
Term
typical characteristics of abruptio placentae
Definition
dark bleeding w/ abdomen or lowerback pain
Term
bleeding for abruptio placentae occurs after bleeding has
Definition
leaked past the edge of the placenta
Term
manifestations of abruptio placentae
Definition
dark bleeding w/abdominal or lower back pain, frequent cramp like uterin contractions
Term
risk/complications of abruptio placentae
Definition
fetal anemia or hypovolemic shock, disseminated intravascular coagulation, increased risk for infecton
Term
treatment for DIC r/t abruptio placenta
Definition
ending pregnancy by delivery of fetus and placenta, IV heparin
Term
treatment for abruptio placentae w/complications
Definition
immediated c-section
Term
types of gestational hypertension
Definition
preeclampsia, eclampsia
Term
risk factors for GH
Definition
first rpegnancy, obesity, family hx of GH, age >35 or <19, miltifetal pregnancy, chronic hypertension, chronic renal disease, diabetes mellitus
Term
Gestational htn is a systolic increase of _ over baseline and diastolic increas of _ over baseline
Definition
30, 15
Term
manifestation of gestational hypertension is a BP over _ during pregnancy
Definition
140/90
Term
manifestation of eclampsia
Definition
seizure
Term
manifestations of preeclampsia
Definition
proteinuria, edema, CNS, eyes, urinary tract, resp system, GI and liver, blood clotting
Term
mild preclampsia is a BP >_ or and increase in systolic BP>_ or diastolic >_ above baseline on two occasionas at least _ hrs apart with 1 to 2+ _ on random sample
Definition
140/90, p30, 15, 6hrs, proteinuria
Term
a weight gain over _ wk in the second trimester and _ wk in the third trimester may also indicate mild preclampsia
Definition
2lb, 1lb
Term
sever preeclampsia is a BP rise to _ or above at least two occasions at least _ apart with _ random sample collection
Definition
160/110. 6hrs, +3 to +4
Term
manifestatiosn of sever preclampsia
Definition
Visual disturbances, cardiac involvement, extensive peripheral edema, hepatic dysfunction, thrombocytopenia, epigastric pain and headache.
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