Fetal movement HR RR activity Placental grading maturation Client is bleeding

Fetal movement hr rr activity placental grading

This preview shows page 5 - 8 out of 18 pages.

Fetal movement, HR, RR, activity Placental grading (maturation) Client is bleeding Questionable fundal height Decreased fetal movements Preterm labor Questionable ROM Nursing actions for a Abdominal Ultrasound: Drink 1-2 quarts prior (in order to fill the bladder) Place client in supine position with wedge under right hip (to displace uterus) Apply gel to abdomen (room temp or warmer) Empty bladder at the end of procedure Nursing actions for a transvaginal Ultrasound:
Image of page 5
Place client in lithotomy position, lubricate probe, insert (by client or examiner) Tilt table or probe to gain new image Inform client that pressure will be felt when probe is moved Point out what you are looking at 1A- Complications of Pregnancy (8 questions) o Gestational Diabetes (1 question) Maternal/Fetal Complications Normal BG is 70-110 during pregnancy Occurs in 50% of women Increases risk for spontaneous abortion, infections, hydramnios, ketoacidosis, hypoglycemia, and hyperglycemia Symptoms: Hypo/hyperglycemia Excessive weigh gain Vomiting Rapid pulse Labs: Routine UA with glycosuria Diagnostics: BPP Amniocentesis with alpha-fetoprotein NST Nursing: Insulin Blood glucose Daily kick counts o Complications (3 questions) Prenatal Complications Infections (TORCH) Toxoplasmosis Findings similar to influenza Other Infections Rubella Symptoms of joint and muscle pain Cytomegalovirus Asymptomatic or mononucleosis-like manifestation Herpes Virus Symptoms consisting of painful blisters and tinder lymph nodes Gonorrhea Women are frequently asymptomatic Can be transmitted to the newborn Administer erythromycin to infants following delivery Symptoms Dysuria Vaginal bleeding between periods and dysmenorrhea UTI Placental Abruption Premature separation of the placenta from the uterus
Image of page 6
Occurs after 20 weeks and has significant morbidity and mortality, leading cause of maternal death Best to do C-section Risk factors include HTN, trauma, cocaine, smoking, ROM, or multiple babies Symptoms: Intense pain Dark red vaginal bleeding Hypovolemic shock symptoms Fetal distress Labs: Hgb and Hct decreased Coag factors decreased Clotting defects (DIC) Cross type and match for blood Kleihauer-Betke test: detects fetal blood in maternal circulation Nursing: Administer oxygen 8-10L per minute Assess urinary output and monitor fluid balance Preterm Labor Uterine contraction & cervical changes that occur between 20-37 wks Risk factors: Infections of UT, vagina, chorioamnionitis (amniotic sac infection) Previous preterm birth Multifetal pregnancy Hydramnios (excessive amniotic fluid) Age below 17 or above 35 Low socioeconomic status Smoking Substance use Domestic violence History of multiple miscarriages or abortions Diabetes mellitus or hypertension
Image of page 7
Image of page 8

You've reached the end of your free preview.

Want to read all 18 pages?

  • Summer '18
  • Pitts
  • Obstetrics, Fetal heart rate, Fetal distress, FHR

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture