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45 Cards in this Set
- Front
- Back
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What is PIH?
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hypertensive disorder characterized by hypertension, generalized edema, and proteinuria
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When counseling a client with PIH, the nurse instructs her to follow a diet that includes...
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normal sodium, adequate calories, and increased protein
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PIH is treated with what medication?
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Magnesium sulfate
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What is the serum level of magnesium sulfate?
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4-8
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What should the nurse educate a mother on that is about to receive mag sulfate?
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May feel hot, flushed, burning at the IV site
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What reversed Mag sulfate?
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Calcium gluconate
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What are the side effects of Mag sulfate?
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absent DTR, decreased RR
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Pitocin is given in what kind of ratio?
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3-1
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When giving pitocin, you never go over what amount?
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20
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When comparing abruptio placentae and placenta previa, which manifestation would be most typical of abruptio placentae?
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abdominal pain
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If a patient with PIH has right upper quadrant pain, what should the nurse expect?
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Liver involvement
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What does HELLP stand for?
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Hemolysis, elevated liver enzymes, low platelets
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What are S&S of HELLP?
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Right upper quad pain, n/v, severe edema, pain in lower chest, pain in epigastic area
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What are the nursing interventions for HELLP?
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Mag sulfate, Hydralazine (Apresoline), C-section if necessary
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After giving Hydralazine (Apresoline) how long do you wait to give the second dose?
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20 minutes
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What is DIC?
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overactivation of the clotting cascade, resulting in depletion of platelets and clotting factors
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What are S&S of DIC?
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spontaneous bleeding, hematuria, GI bleeding, tachycardia
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What is the medical management of DIC?
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correction of underlying cause, volume replacement, vitamin K administration, give oxygen 8-10L
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What are the S&S of gest, diabetes?
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polyuria, polydipia, wt loss, polyphagia
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What are the complications of gest diabetes?
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PIH, UTI, hydraminos, macrosomia, hyperbilirubinemia, hypoglycemia
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For a mother with gest diabetes, what should her fetus LS ratio be and PG?
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3.5-1 LS ratio
Positive PG |
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What are you concerned with a mother with Lupus?
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Renal problems
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What constitutes as an abortion?
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Less than 500 grams or less than 20 weeds
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What are the S&S of H mole?
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brownish spotting, uterus is much bigger,
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If a patient has an H mole then what is important to monitor for a year after?
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HCG levels must be down to prevent cancer and pregnancy for a year
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What is a placenta previa?
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implantation of the placenta near of over the internal os of the cervix
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What is the most common cause of bleeding in the last half of pregnancy?
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placenta previa
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What is the biggest S&S of placenta previa?
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PAINLESS BLEEDING
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What are the nursing interventions for placenta previa?
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monitor type and amount of bleeding, check for signs of shock, encourage minimal activity, no sex, fetal kick counts,
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How many kicks should there be for a healthy fetal kick count?
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10 movements in 2 hour period
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What is an abruptio placentae?
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condition where part of the placenta pulls away from the endometrium
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What is the biggest risk factor for abruptio placentae?
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hypertension
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What is the biggest clue to a abruptio placentae?
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Board like uterus and rising fundal height
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Risk factors for tubal/ectopic pregnant.
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increasing age, scarring of Fallopian tubes, STDs, multiple induced abortions, failed tubal ligation
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What is typically the first sign of ectopic pregnancy?
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shoulder pain and abd pain
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When are women screened for gest diabetes?
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28 weeks
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What is the most common result of CMV for a fetus?
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deafness
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What is the most common reason for premature contractions
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UTI
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Polyhydramnios
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too much fluid 1500-2000
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Oligohydramnios
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not enough fluid <500
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What does BPP test for?
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measures the amount of fluid and respiratory movement
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What is Bishops scoring/
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how ripable the cervix is
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How is pitocin given?
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diluted in an isotonic solution, it is piggybacked into the port
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What do you give for a patient that is hemorrhagic?
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pitocin, synthetic prostaglandidns, methergin
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What type of people shouldn't get cervadil?
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astmatics of hypotensive patients
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