Medical/Bleeding Disorders
Risk increases with molar pregnancies or multiple gestations.
What is hyperemesis gravidarum?
Blood pressure elevated 140/90 after 20 weeks without proteinuria on two separate occasions at least 6 hours apart.
What is gestational hypertension?
Used to treat Group B streptococcus.
What is Penicillin G (or ampicillin)?
This test is used to assess fetal lung maturity.
What is an amniocentesis?
Cervical swab test used to detect PTL
What is fetal fibronectin?
This hormone is associated with nausea and vomiting, especially in the morning
What is HCG?
Used to diagnose placenta previa and validate placental position.
What is an ultrasound?
Prior to pregnancy, or before 20 weeks, or lasts longer than 12 weeks postpartum.
What is chronic hypertension?
Respiratory rate less than 12, abscence of DTR's, decreased UOP, magnesium levels greater than 8 mEq/L.
What are signs of magnesium toxicity?
Usually acquired through contact with cat litter, gardening and undercooked meat
What is toxoplasmosis?
Increased vaginal discharge, low dull back pain, heaviness or achiness in thighs, contractions with or without pain
What is assessing for signs and symptoms of Preterm labor?
While performing a BPP, the provider is looking for which fetal variables?
Tone, Breathing, AFI, Movement, NST
Nutritional/Dietary management is cornerstone of therapy
What is gestational diabetes?
Hyperactive reflexes, 3+ proteinuria, Headache, blurred vision, oliguria, thrombocytopenia
What are symptoms of severe preeclampsia?
This medication promotes uterine relaxation by inhibiting calcium influx to uterine muscles--may cause hypotension, reflex tachycardia, or facial flusing
What is Procardia/Nifedipine?
Requires long term follow up due to cancer risk
What is Trophoblastic disease?
Late or no prenatal care, UTI, gestational hypertension, cigarette smoking
What are risk factors?
This hormone, may be required in injectable form if diet and exercise do not control blood glucose levels during pregnancy.
What is Insulin?
Insulin is a key hormone for managing blood sugar and may be necessary for women with diabetes during pregnancy if lifestyle modifications are insufficient. Insulin does not cross the placenta, making it safe for managing maternal blood glucose without directly affecting the fetus.
Condition where the women experiences painful dark red bleeding
What is placenta abruption?
Vasoconstriction of spiral arteries contributes to intrauterine growth restriction, premature separation of placenta, and persistant fetal hypoxia.
What is decreased placental perfusion?
This reduces risk of respiratory distress and is usually prescribed how?
What is betamethasone - 2 doses of 12 mg of betamethasone intramuscularly 24 hours apart ?
Two conditions where bleeding is normal in pregnancy
What is bloody show and implantation bleeding?
The women would not be treated with this in cases of severe preeclampsia, intrauterine infection, non-viable fetus
What is tocolytic therapy?
The fetal heart rate tracing baseline has been within normal range, but nonreactive for 40 minutes, these are actions to take
What is use vibroacoustic stimulator, have patient drink liquids-- Juice or ice water, make sure they are on a left tilt
Bedrest, pelvic rest, avoid heavy lifting, progesterone supplementation
What are treatments for preterm labor?
Requires hospitalization of the mother
What is non-compliance or severe preeclampsia?
This PTL medication is prescribed how and is prescribed for shortterm use only
What is terbutaline? SQ 0.25mg up to 3 doses 20 minutes apart
Endothelial damage and fibrin deposits in the liver may lead to liver damage; low platelets result from vascular damage
What is the pathophysiology of HELLP syndrome?
Palpating contractions, recognizing signs and symptoms, explaining plan of care, reducing harmful lifestyles.
What is education for preterm labor?
A small biopsy of placental tissue is removed and then tested for chromosomal, metabolic, or DNA abnormalities.
What is CVS test?