Class 24 CURRENT TRENDS IN MATERNITY
Family Planning & Reproductive
Factors Affecting Maternal and Child Health: Family
Family structure- Changes are due to divore, single parenting, blended familes and
Organization of the family unit
Case Studies, Nursing Management of the Newborn at Risk: Acquired and Congenital Newborn
1. You are a nurse in the special care nursery and are paged to delivery room 5. The labor nurse
tells you that the baby has been stuck in the
-[l;./Hypertensive Disorder in Pregnancy Preeclampsia
1. What are the major differences between gestational hypertension,
eclampsia? What is the pathophysiology that leads to these conditions? Page
335 AND PAGE 338 FOR 2ND
The major diffe
Can be caused by physical and chemical irritants such as foods (nuts, milk/dairy
products), pollens, dust mites, cockroaches, smoke, animal dander, temperature changes,
respiratory infection, activity and stress
VOCABULARY (to look up)
Mortality: The state of being subject to death
Morbidity: Indication of Disease
Sentinel Event: Unexpected event involving death or serious injury (physical/psychological) Ex.
Loss of a limb
Acculturation: Changes that oc
Class 15 Medications
Class: Mineral and electrolyte
Use: Treatment and prevention of hypomagnesemia and resolution of eclampsia.
Side Effects: Diarrhea, drowsy, decreased respiratory rate.
Hydralazine Hydrochloride (Apresoline)
-Difficult labor that
is prolonged or
-Fetus may be large,
malposition or in an
-Can be caused by
or the bones and
tissues of the uterine
Signs and symptoms
Teaching/ Problems in Birth
vulvar itching and a
Usually before week 20 of gestation. Stillbirth is fetus born after 20 th week
The most common cause for first-trimester abortions is fetal genetic abnormalities,
usually unrelated to the mother.
Maternal disease in the second trimest
Diabetes is a chronic disease characterized by a relative lack of insulin or absence of
hormone that is necessary for glucose metabolism.
Associated with the long-term damage and failure of the eyes, kidneys, nerves, heart, and
(Thickening & scarring of connective tissue)
- A chronic multisystem disorder characterized by exocrine gland dysfunction.
- It is passed down through genetics (autosomal recessive trait disorder.)
- It is a build up of thick,
Class 17 Medications:
Use: Treatment of CHF, tachyarrhythmias: A FIB and atrial flutter (slows ventricular
rate). Increased cardiac output and slowing of the heart rate.
Class: Antiarrhythmics, digitalis glycosides.
Side Effects: Fatigue
LABOR AND DELIVERY: Beginning of true contractions and effacement through the
Tocolysis: Relaxation of the Uterus.
Amnioinfusion: Infusion of room temperature isotonic fluid (usually normal
saline or Lactated R
Class 18 Meds
Therapeutic Class: Hormones
Pharmacologic Class: Oxytocics
Use: (IV) Induction of labor at term. Facilitation of uterine contractions at term.
Facilitation of threatened abortion. Postpartum control of bleeding after expul
Nursing Management: Postpartum Period: Assessment
Temperature: slight elevation during 1st 24 hours; normal afterwards
220.127.116.11.1.1.1 - Usually caused by DEHYDRATION and may rise to 100.4F. The best
intervention is to administer flu
Class 20 Meds
Used: Decrease the incidence and severity of seizures.
Caution: In patiens with devere hepatic or renal disease.
Divalproex Sodium (Depakene)
Therapeutic: anticonvulsants, vascular headache suppressants
Use: Used f
CLASS 20 NEURO DEFECTS
Neural Tube Defects
* Myelodysplasia/Spina Bifida
Growth and Development
* Continues to progress until 2 yrs
* First head and neck control befor
An infection of
-Burning and pain
- Increased urinary
Prenatal: Before birth.
Perinatal: Period between the 28th week of pregnancy ending at 28 days after birth.
Hyperemesis Gravidarum: Extreme, persistent nausea and vomiting during
Class 16 Respiratory
*Be able to distinguish Asthma Meds by chronic or rescue meds
Be able to Identify names too *
*Make a chart for Croup*
*Signs and Symptoms* Only put defining characteristics
Respiratory Issues are t
Class 19 Meds
Therapeutic: Vitamin/ Antidote
Pharmacologic: Fat-soluble vitamin
Use: Used to treat and prevent bleeding caused by hypoprthrombinemia.
Side Effects: gastric upset, flushing, rash, utricaria, hyperbilirubinemia.