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62 Cards in this Set
- Front
- Back
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SS of preterm labor
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uterine contractions
menstrual like cramps ROM dull backache vaginal discharge abdominal changes |
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criteria for diagnosis of preterm labor 2 of 4
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contractions q 5 min for 20 min OR 8 contractions in a 60 min period
cervical change or effacement OR dilation greater than 1 cm |
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tocolytic drugs
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beta adrenergic agonists
magnesium sulfate* |
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terbutaline
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beta adrenergic drug- not drug of choice, short term
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anticonvulsant wit a secondary effect of relaxing smooth muscle
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mag sulfate
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mag toxicity SE
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depression/no reflexes
oliguria- place catheter and assess q1hr confusion resp depression circulatory collapse |
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when taking mag sulfate look at what? how often?
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mg on blood work every 6-8 hours
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fetus can have what side effects from mag sulfate?
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respiratory
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nursing interventions from mag sulfate
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resp
reflexes urinary output fetus |
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antidote of mag sulfate
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ca gluconate
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preventing preterm labor..
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rest
empty bladder fluids dont life heavy objects |
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delivery of premie
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no analgesics
prepare for resuscitation transport in utero |
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diabetes in pregnancy
increase? accelerate? |
increase insulin requirements
accelerate vascular disease |
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fetus sized with maternal diabetes
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increase bc baby receives more glucose from mom and stores as fat
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glucose tolerance test
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50g of oral glucose- 1 hour
Indicator! |
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greater than 130 BG
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need for further intervention.. get 3 hour test
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if mom has pancreatic impairment..
When will she need testing? |
she will have gestational diabetes and needs testing at 24-28 weeks
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3 hour GTT diagnosis
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if exceeds in 2 different areas then mom will have diagnosis of gdm.
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3 hour gtt levels
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fasting >95
1 hour >180 2 hour >155 3 hour >140 |
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Rh antibodies enter fetal circulation and cause..4
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jaundice
edema CHF hemolysis |
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indirect coombs test
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measures number of rh antibodies in maternal blood
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negative coombs infant at risk?
positive? |
no risk
risk |
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direct coombs test
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tested infant blood to detect antibody coated rh+ blood cells
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positive direct coombs indicates..
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immune mechanism is attacking baby's own RBC
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when to give rhogam to mom
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28 wk, within 72 after birth or after abortion or amniocentesis
IM ONLY |
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if mom is Rh+ then give rhogam?
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no
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amount and where to give rhogam?
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300 mcg dorso gluteal if test is negative
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preg induced htn diagnosed if
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increase after 20 wk of gestation accompanied with proteinuria
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preeclampsia
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htn without seizures
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eclampsia
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htn with seizures
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preeclampsia ss 4!
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edema
bp >140/90 on 2 occasions six hours apart protein in urine hyperactive reflexes |
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meds for PIH
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anticonvulsant- Mag sulfate
corticosteroid- surfactant drug anti-htn |
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worsening PIH symptoms
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epigastric pain
visual disturbance decrease urine output bleeding gums |
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when mom is seizing baby is..
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not getting oxygen, prepare for delivery
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HELLP syndrome
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hemolysis
elevated liver enzymes low platelets |
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RBC become jagged and enter liver and damage liver- diminishing liver enzymes and platelets rush to fight so they decrease elsewhere
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HELLP
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NV, flu symptoms, epigastric pain- give birth immediately
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HELLP
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placenta previa
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placenta is covering cervical os or lower in the uterus
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rigid abdomen and pain is
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concealed bleeding from placenta abruptio
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class o abrupt placenta
class 1 class 2 class 3 |
0: no symptoms
1: mild- most common 2: moderate- mom/fetus in distress 3: severe- maternal shock and fetal death likely |
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tx of ectopic pregnancy
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methotrexate
surgery rhogam |
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methotrexate
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cancer drug cell that stops division of cell and stops pregnancy
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incompetent cervix
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painless dilation of cervix without labor contractions; wont know until abortion
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SS of molar preg/trophoblastic disease
elevated? body part? disease? |
brown vaginal discharge
anemia vesicles uterine enlargement absence of FHT Hcg elevation |
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tx of molar preg
medicines-2 advise...? |
methotrexate- high risk of cancer
rhogam no new preg for a year |
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tremors, prolonged startles, irritability
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marijuana
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htn, hallucinations, resp fail, abortion, placenta abruptio
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cocaine
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cns depression
poor nutrition PIH PROM preterm labor |
heroin
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eating raw or poorly cooked meat, uncleansed goat milk or feces of cats (garden work) may cause
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toxoplasmosis
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no symptoms, goes straight to baby brain
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toxoplasmosis
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titer less than what indicates rubella?
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1:8
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rubella effects on fetus
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deafness
heart defects mental retard cerebral palsy |
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most common viral cause of intrauterine infection
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cytomegalovirus
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cytomegalovirus symptoms and therapy...
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no symptom women across placenta or cervical route during birth- NO THERAPY
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cytomegalovirus can cause
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deafness
hydrocephaly cerebral palsy |
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tx for herpes
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PCN- given during labor and 1 dose before
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determines how much HIV has weakened the body
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CD4 test
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high CD4 denotes...
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strong immune system
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viral load test
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determines how much HIV is in the blood
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to prevent giving HIV to baby with a + woman give..
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zidovudine
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AZT given to baby when and how long?
when should mom start medicine? |
first 6 weeks of life- starting 8-12 hours after birth
mom gets 14-34 weeks start |
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labor for a mom with heart probelms
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vag delivery
o2 side lying early epidural |
