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OB week 8
Terms in this set (21)
What are causes of antepartum hemorrhage > 20 weeks?
What is likely the cause: A woman presents with vaginal bleeding after intercourse? Painless bleeding
What are the risks for placenta revia?
having a c section because of the scarring
Nursing management for a bleeding placenta previa patient?
-pelvic rest!! - no sex, vaginal exams
-VS. CBC, blod loss
-NST for baby
-try to maintain pregnancy if mom is stable
-blood type and screen
What can cause painful bleeding?
What increases r/f abruption?
HTN, smokers, cocaine
NC for abruptio placenta
-if its partial, do not rush to deliver (INPATIENT)
-type and cross
-Kleihauer betke - check for Fetal RBCs in mom circulation
What does the Kleihauer-Betke test measure?
the amount of fetal blood transferred from the fetus to the mother's blood stream
What is an accreta placenta?
Attatch to endometrium
-go to OR
What is increta placenta?
What is percreta?
Significance of abnormal placentation?
-increases hemorrage, hystorectomy
-caused by prior csections
Describe normal pregnancy CV compensations
decrease BP, increased HR
What type of HTN in pregnancy does not have proteinuria?
HTN is more likely to grow ______ babies related to FGR and placental insufficiency
Dx of gestational diabetes?
-2 readings 4-6hrs apart
-develop after 20 weeks gestation
BP >140/90 after 20wks
PreEclapmsia w/o severe
PREEclampsia with severe features
High serum Cr
Presence of Urine protein
Factors that promote involution
placental delivery, ambulation, breastfeeding
Factors that slow involution
full blacker, incomplete expulsion of POC, anesthesia, polyhydramnios/macrosomia that overstretched uterus, long slow labor (uterine fatigue)
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