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30 Cards in this Set

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Mild Preeclampsia
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
Severe Preeclampsia
160/110
Proteinuria 3-4+
oliguria (500 mL or under in 24 hours)
elevated serum creatinine
cerebral or visual disturbances
Eclampsia
Convulsion or coma accompanied by s/s of preeclamsia
HELLP
Hemolysis, elevated liver enzymes, and low platelets
Newborn Apnea...respiratory stuff
...
Neonatal Assessment...
Apgar
Gestational age stuff
...
focus on pharmocolgy
...
Cardiovascular system disorders
* 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
Left side results in edema...
all over
What are the basics of PID?
Most common cause...chlamydia and gonorrhea

Infection is high amongst teens

Chrnic PID leads to scarring and stricture of fallopian tubes
Huntingtons is what type of inherited disorder?
autosomal dominant disorder
Cystic fibrosis is what type of inherited disorder?
autosomal recessive
Hemorrhage and lochia flow
...
What might cold stress do in a newborn?
(heat regulation)
...
Urinary problems during pregnancy...
?
Which trimester is ectopic pregnancy identified?
first.
S/S of ectopic pregnancy
Sharp, stabbing pain in one of the lower abd. quadrants at the time of rupture, followed by scant vaginal spotting.
Preterm Rupture of Membranes
* 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
Placenta Previa
Painless, bright red, and sudden bleeding
Abruptio placentae
Sudden, abrupt bleeding
Late in pregnancy
First or second sate of labor
Predisposing factors to abruptio placentae
High parity
Short umbilical cord
Chronic hypertensive disease
hyperteniosn of pregnancy
direct trauma
cocane use/vsoconstriction
S/S of preterm ROM
sudden gusth of clear fluid with continued minimal leakage
Explain Rh factor...
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
Prolonged labor increases risk of _____ _____, hemorrhage & infant mortality
postpartal infection
S/S of Postpartal hemorrhage
* Assessment
* Palpate fundus frequently to make sure uterus remains contracted
* Well contracted uterus is firm & easily palpated; if you can’t locate it is probably relaxed
* Frequent assessment of lochia, bp, & pulse are important
* Signs of shock
* Increased, thready , weak pulse
* Decreased blood pressure
* Increased, shallow respirations
* Pale, clammy skin
* Increased anxiety
Postpartal hemorrhage
* 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
4 main causes of postpartal hemorrhage
* Uterine atony
* Lacerations
* Retained placental fragments
* Disseminated intravascular coagulation
Medications of labor...
terbutaline, oxytocin, tocolytic drugs