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MTB MNN chapter19+20
Term 1 Maternal Newborn Nursing chapters 19 and 20
| Question | Answer |
|---|---|
| List 6 commonly abused substances in pregnancy | Alcohol (FAS) Cocaine/Crack (IUGR) Marijuana PCP MDMA Heroin (IUGR) |
| Diabetes Mellitus | Endocrine disorder of carbohydrate metabolism; results from inadequate production or utilization of insulin |
| Gestational Diabetes Mellitus (GDM) | Carbohydrate intolerance of variable severity with onset of first recognition during pregnancy |
| What are three things GDM may result from | Unidentified preexisting disease Unmasking of a compensated metabolic abnormality by the added stress of pregnancy A direct consequence of the altered maternal metabolism stemming from changing hormones |
| Why is Diabetes Melitis difficult to control during pregnancy | Insulin requirements are changeable |
| What are the maternal risks of Diabetes Melitis? (5) | Hydramnios Ketoacidosis Dystocia Retinopathy Preeclampsia/eclampsia |
| What are the neonatal risks of Diabetes Melitis? (5) | Congenital anomolies Macrosomia IUGR Respiratory distress syndrome Hyperbilirubinemia |
| How is GDM detected and diagnosed? | 1hr glucose test followed by 3hr glucose tolerance test |
| Cardiac disease complicates what percent of pregnancies? | 1% |
| Ketoacidosis | Increase in ketone bodies |
| Hydramnios | Increase in volume of amniotic fluid |
| Macrosomia | Excessive growth |
| Spontaneous Abortion | Miscarriage |
| What causes a spontaneous abortion? | Majority are related to chromosomal abnormalities |
| List the 7 types f spontaneous abortions | Threatened Imminent Incomplete Complete Missed Recurrent Septic |
| Ectopic Pregnancy | Implantation of a fertilized ovum in a site other than the endometrial lining of the uterus |
| List 6 clinical signs of ectopic pregnancy | Internal hemorrage Fluctuation of hormone levels Vaginal bleeding One sided lower abdominal pain Referred right shoulder pain |
| What is the most common site of an ectopic pregnancy? | Fallopian tube |
| What is a hydatidiform mole? | (Molar Pregnancy) condition in which a proliferation of a trophablastic cells tesults in the formation of a placenta characterized by hydropic grape-like clusters Causes loss of pregnancy and possibility of choriocarcinoma (cancer) |
| Placenta Previa | Placenta is improperly implanted in the lower uterine segment. Sometimes over the internal os |
| Abruptio Placenta | premature separation of a normally implanted placenta from the uterine wall |
| List the three catigories for an incompetent cervix | Congenital factors Acquired factors Biochemical factors |
| Incompetent Cervix | A cervix that dilates prematurely |
| List three conservative measures to manage an incompetent cervix | Bed rest Avoid heavy lifting No coitus (intercourse) |
| Hyperemesis Gravidarum | Nausea and vomiting so severe they affect hydration and nutritional status. |
| PROM | Premature rupture of membranes: spontaneous rupture prior to the onset of labor |
| What are the maternal risks of PROM | Infection (Chorioamnionitis) |
| Chorioamnionitis | intra amniotic infection resulting from bacterial invasion and inflammation of membranes before birth |
| What are the fetal-neonatal risks of PROM | Prematurity and associated risks |
| Nitrazine paper | color changing paper (blue or green) used to suggest rupture of membranes |
| PTL | Preterm Labor occurring between 20 and 37 weeks |
| List 4 fetal-neonatal risks for preterm labor | Fat storage Heat regulation Immaturity of organ systems *Underdeveloped respiratory system |
| List symptoms of preterm labor (9) | Abdominal Pain Backpain Pelvic pain Menstrual-like cramps Vaginal bleeding Increased vaginal discharge Pelvic pressure Urinary frequency Diarrhea |
| For what conditions would no attempts be made to stop PTL | Fetal Demise Lethal fetal anomaly Severe preeclampsia/eclampsia Hemorrhage/abrupto placenta Chorioamnionitis Severe fetal growth restriction Fetal maturity Acute fetal distress |
| 4 classifications of Hypertensive Disorder | Preeclampsia-eclampsia Chronic hypertension Chronic hypertension with superimposed preeclampsia Gestational hypertension |
| Define Preeclampsia | an increase in blood pressure after 20 weeks gestation accompanied by protienuria |
| Define HELLP | Hemolysis Elevated Liver enzymes Low platelet count it is sometimes associated with preeclampsia |
| Maternal risks for preeclampsia | can impact most organ systems causing serious complications |
| SGA | small for gestational age |
| Chronic hypertension | BP is 140/90 or higher before pregnancy or before the 20th week of gestation OR persists 42 days following childbirth |
| Gestational hypertension | When transient elevation of BP occurs for the first time after midpregnancy w/o protienuria |
| RH sensation | results from antigen-antibody immumologic reaction within the body |
| What is the goal when a pregnant woman suffers from an accident trauma? | stabilize the injury and promote well being for both mother and fetus |
| List 3 things that may occur when a pregnant woman suffers a trauma | Pain, Constipation, Fear |
| List the perinatal infections that affect the fetus (6) | Cytomegalovirus (CMV) Toxoplasmosis Rubella Herpes Simplex Virus Group B Streptococcal Infection (GBS) Human B19 Parovirus |
Created by:
amandaknepper
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