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22 Cards in this Set
- Front
- Back
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S/S of hydatidiform moles are extremely high levels of ? compared to a normal gestational age with a fetus, the ? is larger than normal, there may be ? bleeding, pregnancy induced ?, Hyperemesis that may be r/t the high levels of ? Vesicles and abscence of fetal sac and no FHR can be seen with an ?
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HCG, Uterus,
vaginal, hypertension, HCG, Ultrasound |
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Tx for hydatidiform moles includes two phases: #1- remove the mole with ? extraction then ?. #2- follow up to detect ? with serial HCG levels for ? year, use Chest ?, ? scan, MRI to rule out mets. If there is mets the ? levels may still be elevated.
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vacuum, curettage,
metastisis, 1yr, x-ray, CT-scan, HCG |
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There are 3 classifications of placenta previa: #1- low lying 3cm away from OS is ? #2-lower border than #1 that is withing 3cm of OS but does not copletely cover the OS is ?
#3- the placenta completely covers the cervical OS is ? |
marginal,
partial, total |
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There is no ? with placenta previa.
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pain
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Risk factors for placenta previa include previous ?, previous ?, previous pregnancy ?, older ?, multi-?, people of ? and ? ethnicity, bad habits like ?, ? use.
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placenta previa,
C/S, termination, women, -paras, african american and asian, smoking, cocaine |
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Clinical manifestations of placenta previa include: Sudden onset of ? uterine bleeding in last half of pregnancy that can be scant or profuse that spontaneously ceases only to recur ? The bleeding may not occur until labor ?'s We must differentiate this bleeding from ? show.
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painless,
later, starts, bloody |
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Interventions for placenta previa include: Never perform a ? exam!!! Do not administer meds such as ? Conservative management includes home or hospital ?, ? rest, no ? activity. A ? may be required to deliver the baby.
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vaginal,
Oxytocin, care, bed, sexual, C/S |
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Seperation of the normally implanted placenta before the fetus is born is known as ? This is dangerous to the ? and ?
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Abruptio placenta,
mom, fetus |
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If abruptio placenta occurs dangers to the mom include ?, ? shock, ? abnormalities. Dangers to the fetus include ? excessive ? loss and ? if abruptio placenta occurs before appropriate gestational age.
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hemorrhage, hypovolemic, clotting,
ashpyxia, blood, prematurity |
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Risk factors that increase abruptio placenta incude the #1 drug cause which is the use of ?, maternal ?, smoking, multi-? , short ? cord, abdominal ?, hx of previous ?
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cocaine,
hypertension, paras, umbiical, TRAUMA, abruption |
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Abruptio placenta usually occurs in the ? trimester unless there is ? trauma.
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3rd,
abdominal |
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Clinical manifestation of abruptio placenta- bleeding may be evident or ?, there may be ? tenderness or ? pain, the abdomen may be hard/ ?-like, increased ? height, excess uterine ?
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concealed,
abdominal, uterine, board, fundal, activity |
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The placenta previa that is common in early US exams, and often appears to move upward and away fro the internal cervical OS is ? placenta previa, this is known as placental ?
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marginal,
migration |
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S/S of hypovolemic shock from abruptio placenta are: ?, ↓ ?, ↓ output, and ? other S/S we may see on a FHRM are ? decels, decreasing ?, and no ?cells a high uterine ? and fetal ? the worst case scenario is fetal ?
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tachycardia,
↓BP, ↓ urine, restlessness, late decels, decreasing variability, No Acells, resting baseline, distress, death |
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Interventions for abruptio placenta, in order to dx AP we base its severity on the amount of ? if it is low we may see ? rest ordered along with ? meds to decrease contractions along with ? monitoring. ? is not reliable to dx AP.
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bleeding,
bed, tocolytic, FHRM, Ultrasound |
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If the abruptio placenta turns into an emergent situation we will see immediate ?, ? product may be administered, and prevention/tx of ? will take place.
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C/S,
blood, shock |
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Nursing dx: maternal ? r/t threat to self and fetus
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anxiety
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Persistant, uncontrollabel vomiting that begin prior to the 20th week of gestation is ?
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Hyperemesis Gravidarum
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Factors that increase risk of HEG include ? pregnancy, hx of ? with previous pregnancy, intolerance for ? contraceptives, ? bladder disease.
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1st,
N/V, oral, gall |
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Some etiological theories for HEG include elevated ? levels, more common in ?'s, ? pregnancies, The fetus may be considered an ? by the body causing a reaction, deficiency of vitamin ? Lower ? funtion to metabolize pregnancy hormones.
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HCG,
twins, molar, antigen, B6, liver |
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Tx for HEG is usually provided at home based upon ? we will monitor ?,?, urine for ?, vitamin ? Meds that may be used include antiemetics ?,? and ? to reduce allergy reaction, ?, ?, ? to reduce stomach acid.
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severity,
I&O's, weight, ketones, B6, Phenergine, Zofran, Benadryl, Pepcic, Zantac, Prilosec |
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Tx for HEG could also include ? and ? changes. Small ? meals, avoid high ? foods, remain ? after eating, to replace chloride lost from vomiting lightly ? food. Check ?'s for tonicity.
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dietary, lifstyle,
frequent, fat, upright, salt, reflexes |
