High-Risk Mother, Newborn, and Family with Special Needs
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High-Risk Mother, Newborn, and Family with Special Needs - Marcador
High-Risk Mother, Newborn, and Family with Special Needs - Detalles
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151 preguntas
| 🇬🇧 | 🇬🇧 |
| What is the infant mortality rate in the US? | 5.6 per 1000 live births |
| What does morbidity mean? | State of having disease |
| Although the cause of hyperemesis gravidarum is unknown, what is thought to be a factor? | Elevated levels of HCG |
| Which women are at higher risk of developing hyperemesis gravidarum? | Experienced disorder in the past Primigravidas |
| What should be obtained of the woman with hyperemesis gravidarum to determine the impact of the vomiting? | Electrolyte profile |
| What is the only medication approved by the FDA to treat vomiting during pregnancy? | Pyridoxine (Diclegis) |
| Which condition are more common in women with twins? | Spontaneous abortion Maternal anemia Gestational hypertension Hydramnios Bleeding from placenta previa Abruptio placentae |
| What are the two types of hydatidiform mole? | Complete or partial |
| How often does a pregnancy involving twins occur in the US? | 33.4 in 1000 live births |
| What does a complete mole result from? | Fertilization of an egg whose nucleus has been lost or inactivated |
| Any symptoms of GH (gestational hypertention) before 20 weeks can indicate which condition? | Hydatidiform mole |
| What are some risk factors for the development of an ectopic pregnancy? | Pelvic inflammatory disease Endometriosis Tubal structure defects Surgery to reproductive organs Smoking Low progesterone |
| What do HCG levels look like in an ectopic pregnancy? | Lower than normal for gestational age |
| What does methotrexate do? | Destroys rapidly dividing cells |
| What are the 8 classifications of abortion? | Threatened Spontaneous Inevitable Complete Incomplete Missed Septic Habitual |
| What length cervix is indicative of incompetent cervix? | Less than 20 mm long |
| What is the main presenting symptom of placenta previa? | Painless, bright red, vaginal bleeding that occurs after 20 weeks of gestation |
| What is the common birthing practice of a woman with placenta previa? | Cesarean birth is scheduled at 36 weeks gestation |
| ________ ________ is not allowed in the woman with placenta previa | Sexual intercourse |
| When does abruptio placentae usually occur? | Late in pregnancy |
| List the predisposing factors of abruptio placentae | Trauma Chronic hypertension GH |
| What are the major symptoms of abruptio placentae? | Sudden severe pain accompanied by uterine rigidity |
| Which factors should be assessed when any bleeding occurs during pregnancy? | Duration, amount, color, characteristic Vital signs Pain FHR Emotional response |
| Which laboratory tests determine the amount of blood loss? | Hemoglobin and hematocrit |
| What is the leading cause of maternal death? | Abruptio placentae |
| What does DIC result from? | Alterations in normal clotting mechanism |
| DIC is usually a secondary diagnosis, and seen in which conditions? | Abruptio placentae Incomplete abortion Hypertensive disease Infectious process |
| What is the body attempting to do in DIC? | Prevent excessive blood loss |
| What are the clinical manifestations of DIC? | Chest pain Restless and cyanotic Frothy blood-tinged mucus |
| Early post partum hemorrhage is blood loss greater than ____mL after vaginal birth, or ___ mL after C-section | 500 mL, 1000mL |
| What are the most common causes of early hemorrhage? | Atony Retained placental fragments Perineal lacerations |
| What are the causes of uterine atony? | Excessive distention of uterus (from multiple pregnancies) Hydramnios Large infant |
| What is the most common cause oflate postpartum hemorrhage? | Retained placental fragments |
| Which pharmacologic therapies are linked to postpartum hemorrhage? | Magnesium sulfate Nifedipine |
| How should the uterus feel for the first 24 hours after childbirth? | Firmly contracted ball, the size of a grapefruit |
| Where should the uterus be easily located in the first 24 hours after birth? | Level of the umbilicus |
| What is considered a large amount of lochia? | Soaking more than one peripad per hour |
| What is considered an excessive amount of lochia? | Soaking more than one peripad in 15 minutes |
| When do blood pressure levels return to pre pregnancy baseline? | 20 weeks gestation |
| When does the condition of gestational hypertension begin? | After 20 weeks gestation |
| The hypertension of preeclampsia and eclampsia are accompanied by which symptoms? | Albuminuria Edema Headache Visual disturbances Epigastric pain |
| List some risk factors for preeclampsia and eclampsia | First pregnancy African American race Chronic or gestational hypertension Obesity Family history Diabetes Gestational trophoblastic disease |
| Which ages are at higher risk for preeclampsia and eclampsia? | Under 18, and over 30 |
| What kind of blood pressure reading indicates a problem (mild preeclampisa? | Increase of 30 mmHg systolic, and 15mmHg diastolic Or a reading of 140/90 |
| What does urine testing show in a woman with mild preeclampsia? | 1+ to 2+ albumin readings |
| What is the urinary output of a woman with mild preeclampisa? | At least 500 mL/24 h |
| What are the blood pressure findings of a woman with severe preeclampsia? | 160/110 mm Hg or higher on two separate readings 6 hours apart |
| What is the urinary output of a woman with severe pre eclampsia? | Less than 500mL/24hr |
| What can epigastric or upset stomach in a patient with preeclampsia or eclampsia be indicative of? | Distention of hepatic capsule; can warn that a convulsion is approaching |
| What position of bed rest is recommended for a patient with preeclampsia? | Left lateral recumbent |
| When are antihypertensive medications prescribed to the woman with preeclampsia? | When blood pressure exceeds 160/100 |
| List the nurse's responsibilities to protect the woman and fetus during convulsion | Remain with the woman, call for help Turn woman to left side Note time and sequence Insert and airway after convulsion Observe fetal monitor patterns Notify physician |
| List 5 eclamptic seizure precautions & interventions | 1. Keep environment quiet 2. Keep call button nearby 3. Have calcium gluconate ready 4. Move carefully and calmly 5. Emergency birth pack accessible |
| Bed rest for the preeclamptic woman is vital because it slows ______ and relieves _______ | Metabolism, edema |
| What is the only cure for preeclampsia and GH? | Delivery of the baby |
| What does HELLP syndrome stand for? | Hemolysis, Elevated liver enzymes, Low platelet count |
| In order to be diagnosed with HELLP syndrome, what must the platelet count be? | Less than 100,000/mm3 |
| What is the prominent symptom of HELLP syndrome? | Pain in right upper quadrant, lower chest, or epigastric area |
| In addition to HELLP syndrome, what blood glucose level is associated with a high maternal mortality rate? | Less than 40 mg/dL |
| Pregnancy is regarded as what kind of condition? | Immunosuppressive |
| Mastitis is often caused by which bacteria? | Staphylococcus aureus |
| When should breast feeding from a breast infected with mastitis be discontinued? | If an abscess forms and ruptures into the milk ducts |