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27 Cards in this Set

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Define a high risk pregnancy.
A pregnancy where fetal or maternal life, or quality of life, is in jeopardy.
List some high risk factors in pregnancy.
*Under 17, over 35
*Multiparity
*Heart disease, diabetes, renal disease, hypertension
*Previous premature births, fetal death, c-sections, congenital malformations
*Multiple gestation
*Failure to obtain antepartal care
*Rh incompatibility
*Premature rupture of membranes
*Maternal vaginal bleeding
*Emotional and socioeconomic factors
What is the difference between complete and incomplete abortion?
In a complete abortion all related tissues and the fetus are expelled whereas in incomplete leaves some products of conception behind.
What is the difference between threatened and inevitable loss of pregnancy?
Threatened is when there is a possible loss of pregnancy and this become inevitable when there cervix dilates.
What is an ectopic pregnancy?
The implantation of the fertilized ovum outside the uterus, generally in the fallopian tube.
What is some evident signs of an ectopic pregnancy?
The woman is walking hunched over with extreme abdominal pain.
What increases the risk of an ectopic pregnancy?
Anything that leaves scars in the abdomin.
What is an incompotent cervix?
A cervix that becomes effaced and dilated painlessly in mid-pregnancy.
Are ectopic pregnancies a medical emergency?
Yes.
What is gestational trophoblastic disease?
An abnormal pregnancy with chorionic villi changing into clear cystic vesicles resembling clusters of grapes.
What are some s/s of gestational trophoblastic disease?
*Signs of pregnancy
*Brownish to dark black vaginal bleeding
*Anemia
*Hyperemesis gravidarum
*Edema
What is a complete hydatidiform mole?
An ovum that has maternal genetic material but does not join with a normal sperm.
What is a partial hydatidiform mole?
There are 69 chromosomes instead of 46.
What is an invasive mole?
A mole that involves uterine myomytrium.
What 3 things must be present to have hyperemeis gravidarum?
1.Severe nausea and vomiting
2.A weight loss of 5% or more
3.Electrolyte imbalances
In what position do you place a pregnant woman with an increased BP?
On the left side.
What are the signs of mild pre-eclampsia?
*Increase BP
*Edema of the ankles, hands, or face
*1 or 2+ urine albumin
What are some signs of severe pre-eclampsia?
*BP 160/110
*Edema of sacral area and abdomen
*3+ urine albumin
*Headaches
*Blurred vision
*Hyperreflexia
*Pulmonary edema
*HELLP
What is HELLP?
*Hemolytic anemia
*Elevated liver enzymes
*Low platelet count
What is the drug of choice for gestational hypertension?
Magnesium sulfate.
At what point would there be screening for gestational diabetes?
Between 24-28 weeks gestation.
What is placenta previa?
When the palacenta is implanted near or on the maternal cervical os.
What is abruptio placenta?
The premature separation of the placenta from the uterine wall.
How may chlamydia affect a child during birth?
Causes eye infections.
How may gonorrhea affect a child during birth?
Can cause blindness.
Can herpes be transferred from the mother to the child?
Yes, after ROM and during vaginal birth.
How is HIV transmitted to a fetus?
Through the placenta, during birth, or through the breast milk.