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7 Cards in this Set
- Front
- Back
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What are the classifications of Placenta Previa?
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Low Lying - relationship between the placenta & the cervical os is unknown
Marginal - edge of the placenta is within 2-3 cm of the cervical os Partial - placenta covers part of the internal os Complete - placenta covers all of the internal os |
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What are the findings associated with placenta previa?
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Painless bright red bleeding usually occuring in the 2nd or 3rd trimester.
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How is placenta previa diagnosed?
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With a transvaginal ultrasound.
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What are the nursing interventions related to Placenta Previa?
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No vaginal exams
Symptomatic Tx: IV access w/ lab work (specifically H&H to determine if she is anemic or not or issues with clotting) & Bedrest w/ bathroom privileges Explain, Inform & Reassure Notification of the physician |
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What type of delivery occurs in placenta previa cases?
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Cesarean. In a vaginal delivery she would likely deliver the placenta first.
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What is the medical management of placenta previa?
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Depends on the status of the woman and her bleeding; however, in general - bed rest, hydration, blood work to determine if the clotting cascade has begun.
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If a woman with placenta previa is bleeding excessively, how do you determine output?
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Weigh the chucks. 1 g of excess weight of chuck = 1 ml of blood loss.
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