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Maternity Chapter 5
Terms in this set (68)
A high risk pregnancy can be defined as one in which the health of the mother or fetus is in jeopardy
Characteristic Causes of
Can relate to the pregnancy itself
Can occur because the woman has a medical condition or injury that complicates the pregnancy
Can result from environmental hazards that affect the mother or her fetus
Can arise from maternal behaviors or lifestyles that have a negative effect on the mother or fetus
Preparing the patient properly
Explaining the reason for the test
Clarifying and interpreting results in collaboration with other health care providers
New technologies allow ultrasound pictures to be transmitted by internet to specialists across the country to interpret and collaborate with local physicians
Danger Signs in Pregnancy
Sudden gush of fluid from the vagina
Edema of face and hands
Severe, persistent headache
Blurred vision or dizziness
Chills with fever over 38.0° C (100.4° F)
Painful urination or reduced urine output
Blood incompatibility between woman and fetus
Excessive nausea and vomiting
Can impact fetal growth - may result in a low-birth weight infant
Dehydration - impairs placental perfusion
Reduced delivery of blood, oxygen, and nutrients to the fetus as an end result of dehydration may occur
Hyperemesis Gravidarum differs from morning sickness in a number of ways:
Persistent nausea/vomiting, lasting beyond the first trimester
Significant weight loss
Dehydration - symptoms include dry mouth/tongue, scant/concentrated urine, increased Hct level, decreased skin elasticity
Electrolyte and acid-base imbalances
Correct dehydration and electrolyte or acid-base imbalance
Rule out other causes for excessive N/V such as gastroenteritis, or liver/gallbladder/pancreatic disorders
Antiemetic drugs may be prescribed
In extreme cases
TPN may be required
Bleeding Disorders of Early Pregnancy
Abortion, Ectopic Pregnancy or hydatidiform mole
Abortion is the spontaneous (miscarriage) or intentional termination of a pregnancy before the age of viability (20 weeks of gestation)
When a threatened abortion occurs, every effort is made to keep the fetus in utero until the age of viability
The suturing of an incompetent cervix that opens when the growing fetus is putting pressure against it. This procedure is successful in allowing pregnancies to carry to term in many cases.
Types of Abortions
Pt. may experience cramping, backache, light spotting. Cervix is closed, no tissue is passed at this point.
Treatment: U/S to determine if fetus is living, bed rest, abstain from sex
Increased bleeding, cramping, dilation of cervix has begun.
Treatment: Patient placed on bed rest and monitored, await the natural evacuation of the uterine contents, save peripads for inspection
Bleeding, cramping, dilation of cervix, passage of tissue.
Treatment: Uterus may be emptied by vacuum extraction or D&E (Dilation and Evacuation)
Passage of all products of conception (POC), cervix closes, bleeding stops.
Treatment: Patient is monitored and emotional support is provided. Give RhoGAM if needed
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