abortion exam 2 Flashcards
1
Q
before 12 weeks gestation. Approximately 90% of abortions •endocrine imbalance: cystic fibrosis •infection: STD •genetic factors •systemic disorders: lupus, thyroid
A
early abortion
2
Q
Ending of pregnancy before 20 weeks gestation
A
miscarriage
3
Q
between 12 and 20 weeks gestation •Result from maternal causes •increased maternal age: >35 •increased parity: number of pregnancy's over 20 weeks •chronic infections: diabetes, PID •incompetent cervix •nutrition •recreational drug use
A
Late spontaneous abortion
4
Q
bleeding
cervix closed
A
Threatened
5
Q
increased bleeding and cramping cervix dilating (once it does this, it is considered)
A
inevitable
6
Q
retention of some products of conception. May need D &
C.
(placenta stays in for 280, so may need DC when amniotic fluid and fetus comes out.)
A
Incomplete
7
Q
all products of conception expelled
A
Complete
8
Q
fetus dies, uterine growth ceases, brownish discharge, may
be weeks before contents fully expelled
Body thinks you’re still pregnant but no heart beat
A
Missed
9
Q
3 or more consecutive spontaneous abortions
• Incompetent cervix
• Diabetes, infections, genetic factors
A
Recurrent or habitual
10
Q
•Monitor all bleeding, save all clots or tissue, document blood loss •Monitor TPR, BP (hypovolemic show) •Teach client with threatened abortion S/S to report •increased bleeding •no intercourse, tampons, douching •report foul odor, discharge, malaise •monitor temp q 8 hours x 72 hours
A
Nursing care
11
Q
•Assist with resources--home care during bed rest, counseling, support groups •Emotional support--loss will be grieved whether spontaneous or elective
A
More nursing care
12
Q
- Dispel guilt
- Nothing patient did caused the miscarriage
- Acknowledge grief
- Feeling sad is appropriate in the death of their baby
- Recognize that each parent may express grief differently
- Anticipate anniversary grief in subsequent years
A
Caring for grieving family
13
Q
- Reassure about future pregnancies
- Do not recommend any lifestyle changes at this time
- Keep in contact for support
- Phone or office visit within a few days to week
- Listening and sharing your own sadness is helpful
- Encourage notifying others who knew about the pregnancy
- Consider designating a friend to tell others
- Children should be told if they knew about pregnancy
A
More caring for grieving family
