Ch. 5 - Complications During Pregnancy - Chapter 5 Nursing...

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Chapter 5 Chapter 5 Nursing Care of Women with  Complications During Pregnancy
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Characteristic Causes of High-Risk  Characteristic Causes of High-Risk  Pregnancies Pregnancies Medical condition or injury - complicates  pregnancy Environmental hazards Maternal behaviors or lifestyles -  negative effect Slid e 2
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Assessment of Fetal Health Assessment of Fetal Health Nursing  Responsibilities Preparing   patient Explaining  reason for test Clarifying and  interpreting  results  Slid e 3
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Fetal Dx’c Tests Fetal Dx’c Tests Ultrasound/Doppler Amniocentesis Alphafetoprotein  Test (AFP) Chorionic Villus  Sampling MRI Non-stress Test Contraction Stress  Test Biophysical Profile Kick Count
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Danger Signs in Pregnancy Danger Signs in Pregnancy Sudden gush of fluid from the vagina Vaginal bleeding Abdominal pain Persistent vomiting Epigastric pain Edema of face and hands Severe, persistent headache Blurred vision or dizziness Chills with fever over 38.0° C (100.4° F) Painful urination or reduced urine output Slid e 5
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Pregnancy-Related  Pregnancy-Related  Complications Complications Slid e 6
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Hyperemesis Gravidarum Hyperemesis Gravidarum Manifestations: Excessive nausea and  vomiting Dehydration  Reduced delivery of  blood, oxygen, and  nutrients to the fetus Can affect fetal growth Treatment electrolyte or acid- base imbalance Antiemetics In extreme cases: TPN may be required Hospitalization Slid e 7
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Bleeding Disorders of Early  Bleeding Disorders of Early  Pregnancy Pregnancy Slid e 8
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Types of Abortions Types of Abortions Spontaneous  (nonnintentional) Threatened Inevitable Incomplete Complete Missed Recurrent  Induced Therapeutic Elective Slid e 9
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Slid 10
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Nursing Care of Early Pregnancy Bleeding  Nursing Care of Early Pregnancy Bleeding  Disorders Disorders Document amount and character of  bleeding Save anything that looks like clots or  tissue Perineal pad count with estimated  amount of blood per pad, such as 50% Monitor vital signs If actively bleeding,  woman kept NPO (surgical intervention) Slid 11
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Post-Abortion Teaching Post-Abortion Teaching Report increased bleeding Take temperature every 8 hours for 3 days Take an oral iron supplement if prescribed Resume sexual activity as recommended information Pregnancy can occur before the first menstrual  period returns after procedure Slid 12
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Ectopic Pregnancy Ectopic Pregnancy 95% in fallopian tube Scarring or tubal  deformity may result  Lower abdominal  pain,  Light vaginal  bleeding
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This note was uploaded on 11/10/2010 for the course PRACTICAL KSPN 124 taught by Professor Ljnelson during the Fall '10 term at Kansas City Kansas Community College.

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Ch. 5 - Complications During Pregnancy - Chapter 5 Nursing...

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