Diabetes
What type of diabetes occurs only during pregnancy and resolves after delivery?
Gestational diabetes
What blood pressure elevation is significant during pregnancy?
Greater than 140/90
Delivery prior to 20 weeks gestation (age of viability)
Abortion
Placenta attaches to the lower uterus and partially or completely covers the cervix. PAINLESS.
Placenta Previa
Tested at 37 weeks gestation, mother needs antibiotics in labor if positive. High mortality rate for babies when mom is not treated.
Test performed at 28 weeks gestation in non-diabetic clients to screen for gestational diabetes.
Glucose tolerance test
Which medication is used in a client with preeclampsia to prevent seizures?
Magnesium Sulfate
Development of an embryo or fetus outside of the uterus, typically in the fallopian tube.
Ectopic Pregnancy
Premature separation of a normally implanted placenta. PAINFUL.
Placental abruption (abruptio placentae)
Deliver infant by cesarean if the woman has genital lesions when labor begins
HSV (Herpes Simplex Virus)
As the pregnancy continues, what happens to the insulin needs for the client?
Insulin needs increase
Antidote for Magnesium toxicity
Calcium gluconate
Bleeding and cramping with some passage of tissue
Incomplete spontaneous abortion
Should be avoided if a placenta previa is suspected
Vaginal exams
Immunize children to avoid infecting pregnant women; immunize nonimmune woman after birth
Rubella
The baby is at risk of this after birth if the glucose is not well managed during pregnancy
Hypoglycemia
What type of hypertension does the client have if her BP increases above 140/90 after 20 weeks gestation and her urine does NOT contain elevated protein?
Gestational Hypertension
Failure of the cervix to remain closed until the fetus is mature enough to survive outside the uterus
Incompetent cervix
Route of delivery with a placenta previa
Cesarean section
Mother is treated with zidovudine in pregnancy and labor, baby is treated after delivery. Mom should not breastfeed if she has this.
HIV
Congenital abnormalities can occur with this type of diabetes if not well controlled.
Pregestational diabetes
Respiratory depression, absent deep tendon reflexes, or urine output less than 30 mL/hr while being treated with magnesium sulfate with preeclampsia
Magnesium toxicity
Bleeding during early pregnancy without dilation of the cervix or passage of tissue.
Threatened abortion
Most often seen with an abruption, can occur with significant bleeding. A consumptive coagulopathy.
DIC
Wash hands and surfaces after handling raw meat, cook meat thoroughly, avoid cat litter
Toxoplasmosis