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Fall2019antepartumcomplicationsSTUDENT.ppt - antepartum...

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antepartum complicationsGinny Kolter, RN, MSN,APRNFall 2019
OutcomesDelineate the bleeding problems associated with pregnancyContrast the etiology, medical therapy, and nursing interventions for variousbleeding problems associated with pregnancyDiscuss the medical therapy and nursing care of a woman withhyperemesis gravidarumDescribe the development and course of hypertensive disordersassociated with pregnancyDiscuss the pathology, treatment, and nursing care of pregnant womenwith diabetesCompare placenta previa and abruptio placenta, including implications formother and fetus, and their nursing careAnalyze the maternal and fetal-newborn implications and clinical therapy indetermining nursing care of the woman with multiple gestationIdentify the physical, psychologic, and sociologic risks faced by anadolescent who is pregnantDescribe factors that have contributed to the increased incidence ofpregnancy in women over age 35
OutcomesDiscuss AIDS, including care of the pregnantwoman with HIV, neonatal implications, andramifications for the childbearing familyIdentify the different STIs and review care of thepregnant woman and neonatal implications.Define TORCH and discuss each diseaseincluding fetal/neonatal implications and care ofthe pregnant womanDiscuss substance abuse in the pregnantwoman including risks to fetus.
High Risk PregnancyOne in which conditions exist that maythreaten the health or safety of the mother,fetus, or bothOne in four women is considered high riskBefore ConceptionRisk Assessment
Emotional SupportTherapeutic CommunicationHospitalizedAt home on work restriction, etcLoss of IncomeAway from FamilyIs the baby going to be ok?Is mommy going to be ok?Role changes
Bleeding during PregnancySpontaneous abortion (SAB)185Natural termination of a pregnancy before 20weeks or less than 500gChromosomal abnormalities, teratogenicdrugs, faulty implantation, weak cervix,placental abnormalities, infection, maternalconditions, endocrine imbalancesSymptoms- vaginal bleeding, abdominalcramping, passage of tissue
CategoryAssessmentFindingsDiagnosisTherapeuticManagementThreatenedAbortion-Vaginal Bleeding-No cervicaldilation-Mild abdominalcramping,backache-No passage oftissue-vaginal U/SSerial HcG testing-Conservative-pelvic rest-bed restImminent Abortion(inevitable)-Heavy vaginalbleeding-ROM-Cervical dilation-Strong abdominalcramping-Possible passageOf tissue?U/S & HcG levels-D&C(before 12 wk)-CytotecIncompleteAbortion-Intense cramping-Heavy bleeding-cervical dilation-some POCsretainedU/S--D&C-Cytotec
CategoryAssessmentFindingsDiagnosisTherapeuticManagementComplete Abortion-Hx of abdominalpain & vaginalbleeding-passage of tissueU/SNone necessaryMissed Abortion-absent uterinecontractions-irregular spotting-cervix closedU/S-D&C-CytotecHabitual Abortion(Recurrent)-Hx of 3 or moreconsecutiveabortions-unable to carrythe pregnancy toviability or termClient history-ID & treatunderlying cause-hormone level-reproductive tractabnormality-Cervicalincompetency

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Term
Fall
Professor
NoProfessor
Tags
Obstetrics, Hypertensive disorders

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