Lowdermilk And Perry Final Review - Nur313

Front 1

Why do we administer erythrocim opthalmic ointment?

Back 1

Precaution against opthalmia neonatorum (inflammation caused by gonorrhea/chlamydia infection)

Front 2

Hypertension

Back 2

Most common medical complication with pregnancy. A rise is stats is seen with pregnant woman due to diet, stress, and external factors.

Front 3

Gestational Hypertension

Back 3

Pregnancy induced hypertension. Woman can't have had previous dx of HTN. Diagnosed after 20 weeks gestation and returns by 12 weeks postpartum. NO PROTEINURIA.
Nursing Care includes using right size BP cuff, allowing patient to relax and wait before taking the pressure.

Front 4

Transient Hypertension

Back 4

Gestational HTN that is ONLY present at birth, during L&D. WITHOUT PROTEINURIA.

Front 5

Preeclampsia

Back 5

Gestational HTN with PROTEINURIA (>0.3gms but <2gm).

Front 6

Severe Preeclampsia

Back 6

Gestational HTN with PROTEINURIA (>2gms). Characterized by HA, vision problems, patholgical edema, epigastric pain. Increases risk for the fetus to have adult HTN or cardiac disease.
Nursing Care includes checking labs such as creatinine.

Front 7

Eclampsia

Back 7

Progression of preeclampsia with the onset of seizure activity.
Nursing care includes dimming lights, providing calm environment, education.

Front 8

Chronic HTN

Back 8

Hypertension present before or diagnosed before 20 weeks gestation and remaining after postpartum period.

Front 9

HELLP syndrome

Back 9

H: Hemolysis
EL: Elevated liver enzymes
LP: Low platelet count
Nursing care includes monitoring lab values, calm environment, education, edema assessment. Have Mag Sulfate and anti-seizure meds available.

Front 10

Gestational Diabetes in the first trimester

Back 10

insulin needs decrease due to persistent Nausea/Vomiting

Front 11

Gestational Diabetes in the second and third trimesters

Back 11

insulin needs increase and may lead to hyperglycemia

Front 12

Uncontrolled Diabetes

Back 12

Can lead to:
early pregnancy loss
polyhydramnios
Increased risk of infection
Congenital anomilies
Macrosomia

Front 13

Polyhydramnios

Back 13

amniotic fluid in excess of 1.5 Liters

Front 14

Macrosomia

Back 14

Large baby leading to prolonged labor, c section. Neonates at increased risk for fractured clavicles, liver or spleen lacerations, brachial plexus injury, facial palsy, subdural hemorrhage and phrenic nerve injury

Front 15

Hyperemesis Gravidarum

Back 15

Abnormal condition of pregnancy characterized by protracted vomiting, weight loss of at least 5%, and fluid and electrolyte imbalance.
Nursing care includes severity of problem, determination of ketonuria, maintain hydration, provide IV therapy and administer meds to help control.

Front 16

Pregnancy and the Heart

Back 16

The increased blood volume and decreased resistance accompanied with pregnancy can cause women to have heart symptoms or complications.
Heart shifted up and to the left.

Front 17

Ectopic pregnancy

Back 17

Most serious complication is hemorrhage due to rupture. Characterized by shock like symptoms, drop in hemoglobin, increased risk for infection, hypovolemia. Most ectopics occur in the fallopian tubes. Other sites include abdominal cavity, ovary and the cervix.

Front 18

Spontaneous Abortion: Miscarriage

Back 18

Occurs at less than 20 weeks gestation. Fetus is not viable. 10-15% of all pregnancies end in a miscarriage.

Front 19

Threatened Abortion

Back 19

Cervix is not open but bleeding is present. Some cramping may occur. Not all threatened abortions abort.
Nursing care includes bed rest, sedation, avoidance of stress or sexual stimulation and orgasm.

Front 20

Inevitable Abortion

Back 20

Cervix is open and fetus is detached. Moderate amount of bleeding with mild to severe uterine cramping.
Nursing care includes bed rest. If pain, ROM, bleeding or fever is present, prompt termination of pregnancy is accomplished.

Front 21

Incomplete Abortion

Back 21

No fetus present in the uterus, only fetal tissue and placenta present. Heavy, profuse bleeding with sever uterine cramping. May or may not require additional cervical dilation before curettage.

Front 22

Complete Abortion

Back 22

Both fetus and placenta are out. Slight bleeding with mild uterine cramping. No further intervention needed if uterine contractions are adequate to prevent hemorrhage and there is no infection.

Front 23

Missed Abortion

Back 23

Fetus is dead in the uterus. No bleeding or uterine cramping present, cervix is closed. D&C needed.
Major risk factor is DIC and hemorrhage.

Front 24

Dilation and curettage (D&C)

Back 24

surgical procedure in which the cervix is dilated and a curette is inserted to scrape the uterine walls and remove uterine contents. Commonly performed to treat inevitable and incomplete miscarriage.

Front 25

Cerclage

Back 25

band of homologous fascia or nonabsorbable ribbon may be placed around the cervix beneath the mucosa to constrict the internal os.

Front 26

Hydatidiform Mole (molar pregnancy)

Back 26

Body thinks its pregnant, but there is no fetus or amniotic fluid. Uterus becomes enlarged and filled with vesicles. D&C performed and patient watched closely for development of tumor. Pregnancy is avoided x 1 year for this reason.

Front 27

Placenta Previa

Back 27

the placenta is implanted in the lower uterine segment near or over the internal cervical os.
PAINLESS bleeding. Never do a vaginal exam if bleeding is present. Patient will need a C section.

Front 28

Placenta Previa: Total

Back 28

the internal os is completely covered by the placenta.

Front 29

Placenta Previa: Partial

Back 29

incomplete coverage of the internal os.

Front 30

Placenta Previa: Marginal

Back 30

only an edge of the placenta extends to the margin of the internal os.