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30 Cards in this Set
- Front
- Back
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Mild Preeclampsia
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140/90
proteinuria of 1-2+ weigt gain over 2 pounds per week in 2nd trimester and 1 pound per week in 3rd trimester Mild edema in upper extremities or face |
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Severe Preeclampsia
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160/110
Proteinuria 3-4+ oliguria (500 mL or under in 24 hours) elevated serum creatinine cerebral or visual disturbances |
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Eclampsia
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Convulsion or coma accompanied by s/s of preeclamsia
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HELLP
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Hemolysis, elevated liver enzymes, and low platelets
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Newborn Apnea...respiratory stuff
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Neonatal Assessment...
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Apgar
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Gestational age stuff
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focus on pharmocolgy
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Cardiovascular system disorders
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* Postpartal pregnancy induced hypertension
* Mild preexisting HTN may become more severe after birth * Sx are proteinuria, edema, HTN * Treatment * Bedrest, quiet atmosphere, frequent monitoring of vs & urine output, administration of magnesium sulfate or antihypertensive * Usually occurs because some placenta is still present * may have d&c, bp usually falls dramatically * Seizures develop 6-24 hrs after birth |
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Left side results in edema...
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all over
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What are the basics of PID?
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Most common cause...chlamydia and gonorrhea
Infection is high amongst teens Chrnic PID leads to scarring and stricture of fallopian tubes |
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Huntingtons is what type of inherited disorder?
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autosomal dominant disorder
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Cystic fibrosis is what type of inherited disorder?
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autosomal recessive
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Hemorrhage and lochia flow
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What might cold stress do in a newborn?
(heat regulation) |
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Urinary problems during pregnancy...
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?
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Which trimester is ectopic pregnancy identified?
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first.
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S/S of ectopic pregnancy
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Sharp, stabbing pain in one of the lower abd. quadrants at the time of rupture, followed by scant vaginal spotting.
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Preterm Rupture of Membranes
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* Rupture of fetal membranes w/loss of amniotic fluid during pregnancy
* Cause is unknown, associated w/infection of the membranes * Occurs in 2-18% of all pregnancies * Complications: Uterine, fetal infection Inc pressure on umbilical cord, inhibits fetal nutrition Cord prolapse, can interfere w/fetal circulation Distorted facial features & pulmonary hypoplasia Preterm labor may follow |
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Placenta Previa
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Painless, bright red, and sudden bleeding
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Abruptio placentae
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Sudden, abrupt bleeding
Late in pregnancy First or second sate of labor |
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Predisposing factors to abruptio placentae
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High parity
Short umbilical cord Chronic hypertensive disease hyperteniosn of pregnancy direct trauma cocane use/vsoconstriction |
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S/S of preterm ROM
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sudden gusth of clear fluid with continued minimal leakage
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Explain Rh factor...
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When a Rh pos fetus grows inside a Rh neg mother who is sensitized, it is like her body is being invaded by a foreign agent. Her body reacts as it would for any such foreign substance by forming antibodies to the substance. The substance to be destroyed is the red blood cell. Maternal antibodies cross the placenta and destroy fetal red blood cells (hemolysis). Sufficient O2 transport cannot be maintained. This condition is called hemolytic disease of the newborn or erythroblastosis fetalis
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Prolonged labor increases risk of _____ _____, hemorrhage & infant mortality
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postpartal infection
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S/S of Postpartal hemorrhage
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* Assessment
* Palpate fundus frequently to make sure uterus remains contracted * Well contracted uterus is firm & easily palpated; if you cant locate it is probably relaxed * Frequent assessment of lochia, bp, & pulse are important |
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* Signs of shock
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* Increased, thready , weak pulse
* Decreased blood pressure * Increased, shallow respirations * Pale, clammy skin * Increased anxiety |
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Postpartal hemorrhage
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* One of most important causes of maternal mortality
* Defined as any blood loss from the uterus > 500 ml w/in a 24 hr period * May occur early (in 1st 24 hrs) or late (anytime after 1st 24 hrs during 6wk puerperium * Greatest danger w/in 1st 24 hrs |
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4 main causes of postpartal hemorrhage
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* Uterine atony
* Lacerations * Retained placental fragments * Disseminated intravascular coagulation |
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Medications of labor...
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terbutaline, oxytocin, tocolytic drugs
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