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NURS215ExamIII Morri

Studyguide from Dr. Morrison

QuestionAnswer
What are maternal factors that contribute to spontaneous abortion? endocrine imbalances (DM, hyperthyroidism), infections, genetic (most common), immunological (auto-antibodies-Rh)
What are the differences between threatened and inevitable abortion? threatened: no cervical dilation or rupture of membranes inevitable: dilation
What are nursing interventions for managing spontaneous abortion? restrict activity (threatened) for 24hrs, if bleeding stops may get up, avoid intercourse, pelvic rest for 2wks following last bleeding incident, fluid replacement, monitor VS, testing, prep for D & C if warranted, provide support
What are the 2 categories of gestational hypertension (PIH)? PIH BP 150/100, mild preeclampsia BP diastolic <100, severe preeclampsia BP 160/110
What is HELLP syndrome? Hemolysis, Elevated Liver enzymes, Low Platelets, variation of preeclampsia, occurs <26-34wks, microemboli in liver->ischemia->hepatic distention->increase hepatic pressure->hepatic rupture
What assessment findings would be present in a woman with HELLP syndrome? epigastric pain or RUQ tenderness, N/V, headache
What lab results would you expect to see in a woman with HELLP syndrome? jaundice, hematuria, (S/S of hepatic impairment)
S/S of magnesium toxicity include: severe drop in BP, absence of patellar deep tendon reflexes, urine output <30ml/hr, RR <12, decreased LOC,
Where are the top 4 sites of an ectopic pregnancy? ampullary (middle), isthmic (lower end), fimbria (end/opening), cornual/interstitial (tube meets womb)
What are postpartum complications that can develop with abruption placenta? Grade1:mild, minimal separation, but enough to cause bleeding and changes in the maternal VS; no fetal distress or hemorrhagic shock, Grade2:moderate, Grade3extreme separation; w/o immediate interventions, maternal shock and fetal death will result
Created by: kgrabo99
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