Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
13 Cards in this Set
- Front
- Back
- 3rd side (hint)
|
S/S of placenta previa?
|
painless bleeding (no warning/stops spontaneously)
27 - 32 weeks |
First bleeding episode doesn't harm fetus (unless profuse)
|
|
|
Placenta Previa --> NO DIGITAL EXAM
|
Until possiblity of previa excluded
can cause bleeding |
|
|
|
Diagnostic procedure of choice for placenta previa?
|
Transvag
|
|
|
|
If fetus hypoxic, anemic or in shock? What's going on?
|
Severe bleeding
|
Total Placenta Previa = transvers/breech |
|
|
Why would a kleihaiuer-berke test be done?
|
To check if fetal blood cells are in maternal circulation
(maternal hemorrahge) |
Give Rhogam
|
|
|
What does an NST do?
|
moniter fetal wellbeing
|
|
|
|
TREATMENT
|
Rhogam
Kleihaier-betke (circulation) NSTs (well-being) EFM (acute bleding) |
|
|
|
Cesarean is ALWAYS necessary for __________
|
Total Previa
|
Women with marginal previas can deliver vaginally.
(if bleeding doesn't occur during hemorrhage) |
|
|
When does the doctor schedule delivery?
|
When fetal lungs are mature
|
|
|
|
If initial bleeding episode does not stop?
If initial bleeging episode does stop? |
Immediate ceserean
hospitalization w/best rest. IV maintained. 2 U of blood |
|
|
|
NURSING CARE
|
FHR every 4 hours
Assist with NST's and perform kick counts |
|
|
|
The patient with Previa is R/F
|
Hemorrhage and infection
|
|
|
|
FAMILY TEACHING
|
<10 in 2 kick counts? CALL DOC
Bedrest. No housework or lifting. Vaginal rest |
|
