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HPL (human placental lactogen)
a hormone, produced by the placenta. It is an insulin antagonist thereby decreasing the metabolism of glucose.
Presumptive signs of pregnancy
amenorrhea/ breast changes/ nausea/ urinary freq./fatigue/abdominal enlargement/quickening
"Color of Cervix" -a bluish/purplish color of cervix/vagina d/t increased blood supply (estrogen)
method that measures gestational age between 18 & 30 wks. Measure in cm from symphosis pubis to top of fundus.
supine hypotensive syndrome
aka vena cava syndrome/Baby and placenta put pressure on vena cava and abdominal aorta which causes decreased blood flow to heart and dramatically decreases bp (causes light headedness)
pregnancy effects on renal system
urinary frequency/ nocturia/ stress incontinence/ uti/ GFI & Tubular absorption increases
pregancy effects on GI
n&v up to 12 wks/ gerd (d/t progesterone) /constipation (decreased peristalsis)
intervention for vaginal discharge
clean front to back DAILY/apply corstarch to keep dry/ only cotton panties/ watch for foul smelling, colored discharge
inverventions for constipation
increase fluids/ increase fiber/ avoid lg. amts of cheese/ exercise/ bowel training
proliferation and degeneration of the chorion/ aka "molar pregcy." or "gestational trophablastic disease"/ CARCINOGENIC
premature separaton of placenta/ risks fetal death d/t massive maternal hemorrhage/ can be related to direct trauma
notes on multiple pregnancies
at risk for: preeclampsia,gestational diabetes,preterm labor/ delivery depends on presentation of fetus's
TX for Rh negative/given at 28 wks gestation & within 72 hrs of delivery./usually effects 2nd pregnancy
mother is type O blood and fetus is A, B, or AB/causes jaundice in newborn w/i 24 hrs.
risks for Gestational diabetes mother
placental abruption/hypoglycemia, respiratory distress/macrosomia (large baby)/preeclampsia/ketoacidosis/polyhydramnios (too much amniotic fluid)/ stillbirth
preeclampsia with liver damage/ Stands for: Hemolysis, Elavated liver enzymes, and low platelet count (less than 100K)/ ** will NOT do epidural if low platelets!
caused by incompetent cervix/ mom has hx of spontaneous abortions/ dilates too soon
treatment for habitual abortion
CERCLAGE: drawstring procedure sews cervix shut at 16 weeks until 37 weeks.
group beta strep vaginal culture
done at 36 weeks to determine presence of group b strep/ If positive, 2 series of antibiotics given.
needle aspiration of amniotic fluid to check for anomolies/ must for mothers 35 yrs. old and older/ (L/S ratio should be 2:1)
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