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NURS215ExamIII Morri
Studyguide from Dr. Morrison
Question | Answer |
---|---|
What are maternal factors that contribute to spontaneous abortion? | endocrine imbalances (DM, hyperthyroidism), infections, genetic (most common), immunological (auto-antibodies-Rh) |
What are the differences between threatened and inevitable abortion? | threatened: no cervical dilation or rupture of membranes inevitable: dilation |
What are nursing interventions for managing spontaneous abortion? | restrict activity (threatened) for 24hrs, if bleeding stops may get up, avoid intercourse, pelvic rest for 2wks following last bleeding incident, fluid replacement, monitor VS, testing, prep for D & C if warranted, provide support |
What are the 2 categories of gestational hypertension (PIH)? | PIH BP 150/100, mild preeclampsia BP diastolic <100, severe preeclampsia BP 160/110 |
What is HELLP syndrome? | Hemolysis, Elevated Liver enzymes, Low Platelets, variation of preeclampsia, occurs <26-34wks, microemboli in liver->ischemia->hepatic distention->increase hepatic pressure->hepatic rupture |
What assessment findings would be present in a woman with HELLP syndrome? | epigastric pain or RUQ tenderness, N/V, headache |
What lab results would you expect to see in a woman with HELLP syndrome? | jaundice, hematuria, (S/S of hepatic impairment) |
S/S of magnesium toxicity include: | severe drop in BP, absence of patellar deep tendon reflexes, urine output <30ml/hr, RR <12, decreased LOC, |
Where are the top 4 sites of an ectopic pregnancy? | ampullary (middle), isthmic (lower end), fimbria (end/opening), cornual/interstitial (tube meets womb) |
What are postpartum complications that can develop with abruption placenta? | Grade1:mild, minimal separation, but enough to cause bleeding and changes in the maternal VS; no fetal distress or hemorrhagic shock, Grade2:moderate, Grade3extreme separation; w/o immediate interventions, maternal shock and fetal death will result |