1230 Unit 2 Part 2
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each of the black spaces below before clicking
on it to display the answer.
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show | cervical insufficiency
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standard treatment for cervical insufficiency; performed between 14 and 26 weeks gestation | show 🗑
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show | gestational trophoblastic disease
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show | partial and complete
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show | history of previous gestational trophoblastic disease; extremees of age; young women in early teens and older women near the end of reproductive lives are at highest risk
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clinical manifestations of molar pregnancy | show 🗑
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show | evacuation of the uterus; continued follow-up care for 1 year (may develop cancer)
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nursing care for molar pregnancy | show 🗑
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show | placenta previa
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things that increase risk for placenta previa | show 🗑
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Placenta previa is classified according to the degree to which the placenta covers the cervix. | show 🗑
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show | painless, bright red bleeding (1st episode usually between 27 and 32 weeks gestation); transvaginal ultrasound
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show | atypical fetal presentations (breech or transverse)
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show | imediate cesarean deliver is a life-saving measure for the woman and the baby (if massive bleeding occurs); Kleihauer-Betke test; RhoGam; NSTs
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A ____________ delivery is necessary in all cases of total placenta previa. | show 🗑
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nursing care for placenta previa | show 🗑
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show | normal postpartum care; assess for signs of infection and mehorrhage (pad count)
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show | abruptio placentae
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show | elevated blood pressure; preeclampsia and pre-existing chronic hypertension; advanced maternal age (>35); multiparity; history of cesarean delivery; trauma; smoking; alcohol; cocaine; preterm premature rupture of membranes
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show | whether bleeding is concealed (more dangerous) or apparent; whether degree of abruption is partial or complete
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maternal complications with abruptio placentea: | show 🗑
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fetal complications with abruptio placentea | show 🗑
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show | abdomen will harden and not release; based on s/s of patient; pain has sudden onset and is constant; ultrasound
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show | vaginal delivery is preferred for small abruptions
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show | careful monitoring; watch for signs of shock; continuous EFM; prepare for emergency cesarean if ordered; monitor for postpartum hemorrhage and condinue to observe for signs of DIC after the birth
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abrutpio placentea assessment | show 🗑
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second leading cuase of maternal morbidity and mortality; not only dangerous for the woman, but also puts the fetus at risk | show 🗑
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term used to describe elevated blood pressure (>140/90) that develops for the first time during pregnancy; can be transient or chronic | show 🗑
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show | preeclampsia
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tests for preeclampsia | show 🗑
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show | African-American women
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show | vasospasm
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show | preeclampsia
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show | HELLP syndrome (Hemolysis, Elevated Liver enzymes, and Low Platelets)
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treatment of preeclampsia | show 🗑
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show | Calcium gluconate
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nursing care for HELLP | show 🗑
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high blood pressure present before the woman becomes pregnant | show 🗑
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chronic hypertension and experiencing proteinuria | show 🗑
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treatment and nursing care with preeclampsia superimposed with chronic hypertension | show 🗑
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show | multiple gestation
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twins are at risk for: | show 🗑
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woman's risk with multifetal pregnancy | show 🗑
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nursing care with multifetal pregnancy | show 🗑
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show | Rh imcompatibility and ABO incompatibility
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show | isoimmunization; fetus develops hemolytic anemia; anti-D immunoglobulin (RhoGam); woman will have no symptoms; fetus may be severely affected (miscarriage); treatment is RhoGam
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show | Rh negative; must not have anti-D antibodies; infant must be Rh-positive; direct Coomb's test must be weakly reactie or negative
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ABO incompatibility | show 🗑
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