Maintain bed rest during procedure Observe client for 30 minutes afterward to

Maintain bed rest during procedure observe client for

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Maintain bed rest during procedure. Observe client for 30 minutes afterward to see contractions have ceased and preterm labor does not begin. o Interpretation of findings Negative (normal) Indicated if within a 10-minute period, with three uterine contractions, there are no late decelerations of the FHR. Positive (abnormal) Indicated with persistent and consistent late declarations with 50% or more of the contractions. This is suggestive of uteroplacental insufficiency. Variable decelerations can indicate cord compression, and early declarations can indicate fetal head compression . Based on these findings, provider may determine to induce labor or perform cesarean birth. Decelerations without normalizing or going back up o Complications Potential for preterm birth. Signs of preeclampsia Mild preeclampsia is gestational hypertension with addition of proteinuria of greater than or equal to 1+. Report of transient headaches might occur along with episodes of irritability. Edema can be present Severe preeclampsia consists of blood pressure that is 160/110mmHg or greater, proteinuria > 3+, oliguria, elevated serum creatinine >1.1mg/dL, cerebral or visual disturbances (headache and blurred vision), hyperreflexia with possible ankle clonus, pulmonary or cardiac involvement, extensive peripheral edema, hepatic dysfunction, epigastric and right upper- quadrant pain, and thrombocytopenia
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Headaches, blurred vision, protein, dip = 3+ Hydatiform mole Definition o Aka Gestational Trophoblastic Disease Molar pregnancy Benign prolific growth of trophoblasts o Cancerous or noncancerous Embryo fails to develop beyond primitive state Symptoms o Abnormal growth of uterus rapid o N/V o Bleeding o Preeclampsia o Vaginal bleeding o Hyperemesis o Dark brown “prune juice” or bright red bleeding o Anemia o Labs Anemia High hcG watch these levels MONITOR FOR CANCER o Ultrasound Dense growth but no fetus Treatment o Removal via suction dilation and curettage o Aspiration When is it oaky to try again to conceive? o In 6 months Risks of prolonged rupture of membranes Increased risk of infection to client and fetus. Once amniotic membranes have ruptured, micro-organisms can ascent from vagina into the amniotic sac. Infection often precedes PPROM. Chorioamnionitis is an infection of amniotic membrane o Increased risk of infection if there is lag period over the 24 hour period from when membranes rupture to delivery o History preterm birth
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o 2 nd & 3 rd trimester bleeding o Increased risk for prolapsed umbilical cord PROM (prolonged rupture of membranes): complications of, signs of complications Expected findings o Client reports gush or leakage of clear fluids from vagina o Physical assessment Temperature elevation Increased maternal HR or FHR Foul-smelling fluid or vaginal discharge Abdominal tenderness o Assess for prolapsed umbilical cord Abrupt FHR variable or prolonged deceleration
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