1230 Unit 2 Part 2
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| painless cervical dilation with bulging of fetal membranes and parts through the external os in the second trimester; pregnancy loss is frequently inevitable | show 🗑
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| show | cervical cerclage (stitch the cervix)
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| hydatidiform mole or molar pregancy (benign), and gestational trophoblastic neoplasia (malignant) | show 🗑
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| two types of molar pregnancies; both involve errors in chromosomal duplicationd uring fertilization; some features of a malignancy | show 🗑
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| show | history of previous gestational trophoblastic disease; extremees of age; young women in early teens and older women near the end of reproductive lives are at highest risk
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| show | most common signe - vaginal bleeding; hCG level is usually higher than expected for gestational age; transvaginal ultrasound to confirm
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| treatment of molar pregnancy | show 🗑
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| show | woman at risk for several complications; monitor frequently for vag bleeding; check condition of uterine fundus; administer oxytocin as ordered; DIC (no clotting from any vessels); trophoblastic embolus or pulmonary edema secondary to fluid overload
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| show | placenta previa
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| things that increase risk for placenta previa | show 🗑
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| Placenta previa is classified according to the degree to which the placenta covers the cervix. | show 🗑
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| show | painless, bright red bleeding (1st episode usually between 27 and 32 weeks gestation); transvaginal ultrasound
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| Total placenta previa is associated with: | show 🗑
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| treatment for placenta previa | show 🗑
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| show | cesarean
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| nursing care for placenta previa | show 🗑
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| Postpartum care for placenta previa | show 🗑
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| show | abruptio placentae
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| risk factors for abruptio placentae | show 🗑
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| show | whether bleeding is concealed (more dangerous) or apparent; whether degree of abruption is partial or complete
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| show | hemorrhagic shock, DIC, uterine rupture, renal failure, death
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| show | relate to the degree of placental separation and maturity of fetus; hypoxia, anemia, growth retardation, death
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| clinical manifestations of abruptio placentea | show 🗑
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| show | vaginal delivery is preferred for small abruptions
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| nursing care for abruptio placentea | show 🗑
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| show | though OB history; acut bleeding episode; obtain fetal heart rate and apply the EFM; evaluate the woman's pain
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| show | hypertensive disorders in pregnancy (gestational HTN, preeclampsia/eclampsia; chronic HTN; preeclampsia superimposed on chronic HTN)
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| term used to describe elevated blood pressure (>140/90) that develops for the first time during pregnancy; can be transient or chronic | show 🗑
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| serious condition in which the blood pressure rises to 140/90 or higher accompanied by proteinuria; may develop into eclampsia; may have presence of seizure activity or coma; exposure to trophoblastic tissue appears to be the triggering factor | show 🗑
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| tests for preeclampsia | show 🗑
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| show | African-American women
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| show | vasospasm
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| show | preeclampsia
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| show | HELLP syndrome (Hemolysis, Elevated Liver enzymes, and Low Platelets)
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| show | primary goal - to deliver baby and restore the woman to a healthy state; preventing maternal seizures; magnesium sulfate (ther. level is 4-8 mg/dL)
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| When giving magnesium sulfate, monitor the reflexes and respiratory rate of the woman receiving it at frequent intervals; high risk for antepartum complications 24-48 hours after deliver; antidote for magnesium sulfate: | show 🗑
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| nursing care for HELLP | show 🗑
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| high blood pressure present before the woman becomes pregnant | show 🗑
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| chronic hypertension and experiencing proteinuria | show 🗑
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| treatment and nursing care with preeclampsia superimposed with chronic hypertension | show 🗑
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| show | multiple gestation
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| twins are at risk for: | show 🗑
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| woman's risk with multifetal pregnancy | show 🗑
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| show | increased emphasis on woman's diet, multivitamin and iron supplements, rest; teach symptoms of preterm labor; perform fetal movement counts daily after 32 weeks gestation
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| incompatibilities between the woman's blood and the fetus' blood can cause problems for the fetus - the two types are: | show 🗑
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| show | isoimmunization; fetus develops hemolytic anemia; anti-D immunoglobulin (RhoGam); woman will have no symptoms; fetus may be severely affected (miscarriage); treatment is RhoGam
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| show | Rh negative; must not have anti-D antibodies; infant must be Rh-positive; direct Coomb's test must be weakly reactie or negative
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| show | another cause of hemolytic disease of newborn; most frequently arises when the woman's blood type is O and the baby's is A, B, or AB; much less severe form than Rh incompatibility; fetus rarely requires exchange transfusion
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