OB Exam 3 nurs management of pregnancy at risk

What is preeclampsia?

vasospasm and hypoperfusion, 140/90 and high urine proteins with possible organ damage (give antihypertensives and MAG SULFATE)

What is eclampsia?

160/110, SEIZURES, coma, DEEP TENDON REFLEXES, severe headache, edema, RUQ pain, renal failure (MAG SULFATE)

What is ectopic pregnancy?

ovum implants outside the uterus usually in fallopian tube (signs= sudden/severe ABD pain, pain in lower back, pain in shoulders, dizziness)

What is oligohydraminos?

decreased amniotic fluid

What is placenta previa?

placenta implants in LOWER part of uterus (signs are painless bright red bleeding, FHR usually normal) ALWAYS C-SECTION

What is placental abruption?

placenta detaches from uterine lining (signs are dark red/port wine bleeding, knife like pain, rigid abd, fetal distress)

What is polyhydramnios?

increased amniotic fluid (can cause pre-term labor, cord prolapse, higher likelihood of breech and placental abruption)

What is gestational trophoblastic disease?

benign or malignant invasive moles classified by two types= hydatidiform mole and choriocarcinoma (signs are bleeding, pelvic pressure/pain, enlarged uterus, hyperemesis gravidarum)

What can cause early pregnancy bleeding?

miscarriage/abortion, ectopic pregnancy, cervical insufficiency and molar pregnancy

What are the types of miscarriages?

threatened- bleeding, closed cervical os and fetal cardiac activity

inevitable- bleeding, dilated cervical of, products of conception may be seen or felt above cervical os

incomplete- bleeding, dilated cervical os, some products of conception expelled

complete- bleeding, closed cervical os, products of conception completely expelled

What medications are given to help abortion?

misoprostol, mifepristone, PGE2/dinoprostone, rho immunoglobin

What does cervical insufficiency cause?

late miscarridge, pregnancy loss or preterm labor (treat with cerclage)

What causes bleeding in late pregnancy?

placental previa and placental abruption

What is hyper emesis gravidarum?

severe morning sickness with persistent and uncontrollable nausea/vomiting (peak 8-12 week)

What is HELLP syndrome?

variant of preeclampsia by abnormal vascular tones (hemolysis, elevated liver enzymes, Low platelet count)