Chapter 13 ob

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marshelej_6
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294487
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Chapter 13 ob
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2015-02-01 01:59:39
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maternity lpn lpneaster suffolk boces
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ob ch 13health problems complicating pregnancy
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  1. HELLP Syndrome
    -what does the acronym stand for
    -describe it
    HELLP: Hemolysis, Elevated Liver enzymes, Low Platelets

    HELLP is a variant chronic hypertension with superimposed eclampsia.Hematologic abnormalities exist withsever gestational hypertension

    • H( resulting in anemia or jaundice)
    • EL(resulting in ALT levels, epigastric pains, nausea and vomiting.
    • LP( resulting in thrombocytopenia, abnormal bleeding and clotting time, bleeding gums, petechiae and possibly DIC)
  2. Ectopic Pregnancy
    implantation of fertilized ovum outside the uterus
  3. Criteria for Preclampsia review pg 260 table 13-4
    epigastric pain, BP elevation, proteinuria,oliguria, vertebral or visual disturbances, impaired liver function, thrombocytopenina, pulmonary signs, Development of HELLP Sydrome
  4. causes of spontaneous abortion
    • genetic defects
    • defective implantation uterine fibroids
    • maternal factor or chronic conditions
    • deficiencies or abnormalities in reproductive system
  5. cervical clerage
    the use of sutures to close an incompetent cervix to prevent it from opening as growing fetus presses against it
  6. spontaneous abortion is called a ___.
    miscarriage
  7. what drug is givin to stop cell division in an ectopic pregnancy
    -precautions of drug
    • methotrexate
    • photosensitivity so limit sun exposure, and avoid alcohol use with it
  8. does DIC occur as a primary or secondary disorder
    secondary to a previous complication
  9. DIC occurs secondary to the the following conditions
    • abruption placentae
    • retained dead fetus
    • hemorrhagic  shock
    • septic abortion
    • gestational hypertension
  10. this drug is contradicted in DIC
    Heparin
  11. WHICH TYPE HYPERTENSION AM I?
    BP exceeding 140/90 without protein uria. this hypertension start after 20th week of pregnancy, BP usually returns to normal 6 weeks postpartum
    Gestational hypertension
  12. WHICH TYPE OF HYPERTENSION AMI I?
    GH without proteinuria, there is a gradual loss of angiotensin II resulting in vasospasms
    preeclampsia
  13. WHICH TYPE OF HYPERTENSON AM I?
    High BP before pregnancy or before 20th week of pregnancy, hypertension usually last more than 42 days postpartum
    chronic hypertension
  14. WHICH TYPE OF HYPERTENSION AM I?
    Occurrence of proteinuria or occurrence of thrombocytopenia and increased liver enzymes
    preeclampsia with superimposed chronic hypertension
  15. preganacy in women with H should not go beyond __ weeks gestation bc of risk of ___ insufficiency.
    • 40
    • placental
  16. nursing interventions for mild -moderate GH
    assess BP, restrict activity  frequent rest periods, weigh pt in morning with empty bladder, assess FHR and deep tendon reflex
  17. systolic increase of30 mm hg and a diastolic increase of __ mm Hg above baseline places woman in high risk category
    15
  18. this drug is given to parentally to prevent seizures to woman with GH and what s/s should u watch out for
    its antedote?
    • magnesium Sulfate- watch out for deep tendon reflex ad resp less than 12
    • calcium gluconate
  19. what is hyperemesis gravidarum and what is the fetus at risk for if condition persist
    interventions/
    • excessive vomiting during pregnancy
    • fetus at risk for IUGR replace fluid and electrolytes, weight monitoring PPI's and anti emetics with regards to pregnancy risk categories

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