She may have a miscarriage.

Progesterone injection or suppository may be needed to maintain a healthy fetus

richly supplied with blood (good for gas exchange, nutrition, waste elimination)

thicker (preventing the placenta from attaching too deep into the uterine muscle and facilitating easy expulsion)

limits blood loss after birth (d/t strong interlacing muscle fibers)

no longer than 20 minutes

<104F

can cause spontaneous aborton

CNS depression

failure of the closure of the neural tube

protect against mechanical injury

contol embryo's temp

prevent adherence of the amnion to the fetus

reduces compression of umbilical cord

the amnion can attatch and cause adhesions to form on the fetus

if not enough fluid is in the lungs, then they can stick together and the baby can not breathe

HTN

ruptured membranes

decrease renal development

postdate

skeletal anomalies

poor lung development

cord compression

uncontolled maternal antibodies

CNS anomalies

GI tract anomalies

multifetal

head

neck

brain

heart

this evens out eventually

blueish-purple

Chadwick's sign (one of the earliest signs of pregnancy)

n/v

lower ab cramping

the dilution of the RBC, not the actual # of cells

Causes a slight decrease in hematocrit

>plasma volume (50%) and erythrocytes (30%)

Yes, it is normal unless lasting for more than 5 minutes

Recommend a humidifier

Factoid

Clotting factors increase d/t the increase in estrogen and blood volume

INCREASE RISK FOR BLOOD CLOTS

peristalsis slows down

iron supplements

weight of uterus pressing on bowels

nauseas

no period

cramps

breast tenderness

my stomach hurts

You can see the baby via ultrasound

hear heart tones

birth after 20 weeks

whether alive or dead

TPAL

T: term (# born 37 or >)

P: preterm (# born b/t 20-36)

A: abortion (# of pregnancies ending before 20 weeks)

L: living (# of current living children)

1st trimester

2nd trimester

3rd trimester

conception - 12 weeks

13-25 weeks

26-37 weeks (40)

normal pregnancy is 37-42 weeks

First day of LMP

subtract 3 months and add 7 days

if pt is:

overweight

fibroids or benign tumors

decrease/increase on amniotic fluid

fetal growth: DM tend to have bigger babies

elevated v/s such as temp and heart rate

Bleeding

leaking of fluid

urine screen

edema/hyperactive DTR

signs of infx

HA/vision changes

contractions

protein in urine

HA/vision changes

Hyper responsive DTR

Factoid

During the later 1/2 of the pregnancy, the fetal lungs produce fluid

vaginal delivery: mechanical stimuli when the fetal chest is compressed and squeezes out fluid

cesarean: more excess fluid in lungs d/t lack of compression, need to bulb out extra fluid

Increase in PCO2 and decrease in pH and PO2

&

colder temperature

increase respirations/heart rate

nonshivering thermogenesis

can lead to respiratory distress syndrome

hypoglycemia

&

hypoxemia

Wet with amniotic fluid

(methods of heat loss)

vacuum used (blue faced and petichiae all over face)

RH-

ABO incompatibility (momtype O)

NEED to increase feedings and go under bili-light

increase feedings to promote bowel elimination

feed every 3 hours

make sure they are stooling

phototherapy

glucose

these babies tend to be hypogylcemic with an unstable temperature

may go into respiratory distress and have abnormal breath sounds

breastfeed

&

early ambulation

Lochia changes:

Bright red at birth

Rubra-dark red

Serosa-pink

Alba-white

Rubra-2 to 3 days

serosa-3-10 days

alba-1 to 2 weeks

Note amounts of lochia on pad:

scant

light

moderate

heavy

excessive

scant: 1"

light: 1-4"

moderate: 4-6"

heavy: saturated in 1 hour

excessive: saturated in 15 minutes

yes, she will have more pain

uterine overdistension

yes it is

100.4

epidural can cause this as well

pushing

dehydration

tachycardia

&

low blood pressure

body is trying to rid of excess fluid

may lead to filling of the bladder

decrease in oxytocin may cause this as well

2 hours

(I.S.)

More than likely the pt will be NPO

an ileus can form

Start with h2o

avoid with motrin

both in nsaid category

for c section pt

lasts for 24 hours

Overdistention

multiparity

rapid or prolonged labor

oxytocin induction of labor

C section

rupture of membrane (<24 hours, predisposes to infx)

for PP hemorrhage

placed in rectum versus vagina d/t bleeding

Do not put gel on finger, use blood

tachycardia

cool and clammy

decrease BP

decreased level of consciousness

modified trendelenberg

(brain needs blood)

Puerperal infection: aka postpartum infx

Puerperal morbidity- temperature being?

c section

prolonged labor

ROM> 24 hours

GBS/STDs

OB trauma

preexisting infx

DM, compromised immune status

fever

chills

foul odor to lochia

lethargy

ABDOMINAL PAIN with TENDERNESS

CBC

may need antibiotics

Fowler's to drain infx

V/S

Ab assessment

comfort measures such as pain meds

Staph/Strep

caused by engorgement of milk stasis

cracked nipples

poor hygiene

engorgement

supplemental feedings

change in routine feeding patterns

cushions

&

maintains a stable temperature

1. allowing symmetric development as the major body surfaces fold toward the midline

2. preventing the membranes from adhering to developing fetal parts

3. allowing room and buoyancy for fetal movement

1. fetal urine

2. fluid transported from the maternal blood across the amnion

1. poor placental bf

2. preterm membrane rupture

3. failure of fetal kidney development

4. blocked urinary excretion

1. contraction of muscle fibers

2. catabolism

3.regeneration of uterine epithelium

-decline in aldosterone, which is increased during pregnancy d/t the sodium wasting effects of progesterone

-decrease in oxytocin, which promotes reabsorption of fluid

A urinary output of 3000 ml/day is normal

30,000

average increase: 14,000-16,000

if the pt had a c-section

receiving MgSO4

smoker

Hx of frequent URI, or asthma