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What are the main risk factors for complicated pregnancy and childbirth?
Biophysical (e.g., diabetes, hypertension), psychosocial (stress, anxiety), sociodemographic (age, socioeconomic status), and environmental factors can all increase risk.
What antepartum tests are used to monitor high-risk pregnancies?
Daily fetal movement counts, ultrasounds, amniotic fluid index, biophysical profile, non-stress test (NST), and contraction stress test (CST).
How can nurses prevent complications and support coping in women on bedrest?
Provide education, emotional support, promote safe activity within limits, monitor for complications, and coordinate interprofessional care.
What are common risks, signs, and fetal/maternal implications in at-risk pregnancies?
Risks include diabetes, hypertension, preeclampsia, bleeding, and infections. Signs include high BP, edema, abnormal labs. Complications affect both maternal organs and fetal oxygenation/growth.
What are priority nursing actions for managing at-risk pregnancies?
Frequent monitoring (maternal and fetal), early recognition of changes, patient education, medication administration (e.g., magnesium sulfate), and ensuring safety.
Why is early calling for assistance critical when fetal or maternal concerns arise?
Prompt intervention reduces risk of severe complications or death by ensuring rapid evaluation, treatment, and coordination of emergency care.
What education should nurses provide to women with at-risk pregnancies?
Signs to report (e.g., bleeding, decreased fetal movement), medication adherence, lifestyle modifications, coping strategies, and birth planning.