Upgrade to remove ads
OB Ch 68
based on review
Terms in this set (57)
inadequate amounts of oxygen and nutrients
What is intrauterine growth restriction linked to?
diabetes, placental growth or functioning, intrauterine infection, PIH
What are some predisposing factors to intrauterine growth restriction (IUGR)?
placental and fetal damage, premature labor, abortion
What are some risks involved with an amniocentesis?
What test can provide the following information?
-gestational age, fetal head size, location of the placenta, some fetal abnormalities
-identify multiple pregnancy
-allows for mother to watch fetus move and listen to heartbeat
What can the following factors cause?
-tubal occlusion, intrauterine contraceptive device, tumors, pelvic infection, endocrine imbalances, abnormal tube development
__ __ is one that implants outside of the uterus
__ __ is a disease in which the embryo dies in utero and chorionic villi degenerate, forming grape-like clusters of vesicles and abnormal enlargement of the uterus
__ __ is pernicious vomiting in pregnancy.
-persistent vomiting to the point of weight loss
__ is a condition in which a woman whose pregnancy was previously progressing normally develops hypertension with either edema, proteinuria, or both, usually after the 20th week of gestation.
hemolysis, elevated liver enzymes, low platelet count
What does the acronym HELLP represent in HELLP syndrome?
-it is a potentially life-threatening complication of pregnancy-induced hypertension
What is the preferred drug to treat pregnancy induced hypertension?
The following potential problems are associated with a mother with what disease?
-fetal death, macrosomia, fetus with respiratory disorders, difficult labor, preeclampsia, eclampsia, polyhydraminos, congenital malformations
__ __ is a type of hemolytic disease of the newborn when the mother and the fetus' blood type is not compatible.
-Ex: mother is A, fetus is B or AB; mother is O, fetus is A, B, or AB
_ _ is when the placenta implants in the lower segment of the uterus instead of the upper wall.
The following are predisposing factors for what condition?
-closely spaced pregnancies, late fertilization
-abnormalities in uterine structure, old cesarean scars
placenta is partially or completely covering cervical os; vaginal bleeding
What are signs of placenta previa?
observe for hemorrhage; fetal monitoring
What are nursing interventions for placenta previa?
__ __ is the abrupt premature separation of the normally implanted placenta from the uterine wall.
-usually develops after week 20 of gestation
vaginal bleeding; signs of shock; rising uterus
What are a few s/s of abruptio placentae?
The following are predisposing factors of what condition?
-hypertension, preeclampsia, poor fetal circulation
-grand multiparity, numerous abortions or still births
observe fundus, measure abd girth, monitor fetal heart rate
What are some nursing consideration associated with abruptio placentae?
_ __ is when the placenta fails to separate, fails to be expelled within 20-30 minutes after delivery, or leaves remnants in the uterus
__ is an excessive amount of amniotic fluid
more than 2 L or 2000 mL
What amount of amniotic fluid is labeled polyhydramnios?
The following are s/s of what condition?
-copious vaginal bleeding
-uterus high in abdomen
-signs of maternal shock
massage the uterus
What should be done first in the case of postpartum hemorrhage?
What degree of laceration involves the perineal skin and vaginal mucous membranes?
What degree of laceration involves the muscles of the perineal body?
What degree of laceration involves the anal sphincter?
What degree of laceration involves extension to the anal canal?
time of delivery, use of forceps, marks or injuries to newborn from forceps (mother's physical status, vital signs, emotional reactions)
What should be documented after a forceps delivery?
buttocks presenting (with knees bent and feet next to buttocks)
What is presenting in complete breech presentation?
one or both feet are presenting
What is presenting in footling breech?
buttocks presenting (legs extended straight up)
What is presenting in frank breech?
What is presenting in transverse presentation?
What is presenting in vertex presentation?
The following should be performed in the case of what condition?
-put mother in Trendelenberg or knee-chest position
-notify physician STAT
-prepare for resuscitation of newborn
__ is prolonged, painful labor that does not result in effective cervical dilation or effacement.
observe lochia; check VS; check fundus; record I&O; continue IV fluids for 24 hours post-surgery; administer peri-care; administer oxytocic drugs
What should be included in postoperative care in the mother who had a cesarean delivery?
__ __ is bleeding into the subcutaneous tissue in the perineal area.
The following nursing interventions are of special importance with what condition?
-observe perineal area for discoloration and swelling
-offer cold compresses and/or medicated pads, such as Tucks
-offer compress soaked with magnesium sulfate
-offer sitz bath
-provide analgesics as needed
What action can be taken to lower the chance of the mother getting thrombophlebitis?
__ __ is blood loss from the uterus between 500 and 1000 mL within 24 hours.
__ _ is a lack of muscle tone
Which postpartum mood disorder is the following associated with?
-occurs 3-10 days after delivery
-includes mother crying, anxiety, poor appetite, irritability, and insomnia
-this is considered a normal adjustment
-teach family to schedule follow-up treatment of s/s get worse
-treatment includes: understanding, reassurance, and support
What postpartum mood disorder is the following associated with?
-occurs about 4 weeks after delivery
-may last 6 months or more
-is more serious than postpartum blues
-treatment includes: psychotherapy and medications, such as fluoxetine (Prozac)
What postpartum mood disorder is the following associated with?
-mother exhibits manic-depressive behaviors
-usually starts 4 weeks after delivery
-s/s may include: incoherence; delusions or hallucinations r/t child or childbirth
-this is a medical emergency
-suicide or infanticide is common
-treatment includes: hospitalization with suicide precautions; medications, such as lithium, antipsychotics, antidepressants
-usually show improvement within 3 months after treatment
provide physical and emotional support; move from OB unit; follow protocol
What nursing interventions should be utilized when a newborn dies?
__ __ is a condition of bleeding or cramping exists within the first 20 weeks of gestation without major cervical dilation
-may administer hormones or muscle relaxants
__ __ occurs when the woman spontaneously expels all the products of conception
-uterus contracts to normal size and cervix closes
__ __ is when the contents of the uterus become infected before or during abortion
-can also occur when the uterus becomes infected later
recurrent spontaneous abortion
__ __ __ is when a woman has spontaneously lost three or more successive pregnancies
__ __ is when the loss of the products of conception cannot be prevented
-is characterized by: cramping; blood loss; cervical dilation
__ __ is when the uterus expels some of the products of conception but retains others
-extensive bleeding may occur
-treatment is D&C
__ __ is when the fetus has died but remains in the uterus
-if not expelled within 1 month, D&C is performed
hypertension, edema, proteinuria
What conditions characterize pregnancy-induced hypertension?
spontaneous and rapid drop in blood pressure
What can be a possible sign of maternal hemorrhage?
THIS SET IS OFTEN IN FOLDERS WITH...
Ch 69 OB
Ch.66 based on in-class review
YOU MIGHT ALSO LIKE...
Maternal Newborn 1
VT 8 Pathology
OB ATI: Chapter 7 - Bleeding During Pregnancy
OTHER SETS BY THIS CREATOR
Ear Exams and Disorders
Peripheral nervous system disorders
CNS disorders-part 1