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Health Promotion - Exam 1 > 9: High Risk Pregnancy > Flashcards

9: High Risk Pregnancy Flashcards

(44 cards)

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1
Q

What age is considered high risk pregnancy?

A

> 35

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2
Q

What preexisting medical conditions indicate a high risk pregnancy?

A

RA, MS, SCI

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3
Q

What is an incompetent cervix?

A

Condition in which a weak cervix opens prematurely

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4
Q

When is an incompetent cervix typically diagnosed?

A

After one miscarriage or premature labor

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5
Q

What are interventions for incompetent cervix?

A

Cerclage, pessary, bedrest

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6
Q

What is cerclage?

A

Suturing of the incompetent cervix

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7
Q

What are general risk factors for preterm labor?

A

Multiple gestations, alcohol consumption, drugs, inadequate weight gain, standing, heavy physical labor, intercourse, hormones, infections, mental illness, stress

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8
Q

What is PROM?

A

Premature rupture of membranes - amniotic sac

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9
Q

When is labor likely to begin after PROM, and what happens if it does not?

A

Within 12 hours - if not within 24 will induce due to infection risk

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10
Q

Describe bleeding that indicates an early miscarriage

A

Pain in center of lower abdomen, severe pain for one day and then staining for three days

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11
Q

Describe bleeding with an ectopic pregnancy

A

Brown spotting associated with colicky/cramping pain with tenderness in the lower abdomen

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12
Q

Describe bleeding with a late miscarriage

A

Pick discharge for a couple of days followed by scanty brown discharge for one week. Then will bleed heavily

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13
Q

Describe bleeding in the 9th month

A

Pink or streaked mucous after intercourse or vaginal exam is normal

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14
Q

What is placenta previa?

A

The placenta has implanted in the lower end of the uterus and may be covering the cervical opening

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15
Q

With placenta previa, what will happen as the cervix dilates?

A

Placental separation from the uterine wall

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16
Q

How is placenta previa diagnosed?

A

Ultrasound

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17
Q

What is shown in the image?

A

Low-lying placenta previa

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18
Q

What is shown in the image?

Study These Flashcards
A

Total placenta previa

19
Q

What is shown in the image?

Study These Flashcards
A

Partial placenta previa

20
Q

What is abruptio placentae?

Study These Flashcards
A

The placenta detaches from the uterine wall prematurely

21
Q

Why is abruptio placentae a medical emergency?

Study These Flashcards
A

Baby: no oxygen source
Mother: bleeding from separation

22
Q

What is shown in the image?

Study These Flashcards
A

Marginal separation of the abruptio placentae

23
Q

What is shown in the image?

Study These Flashcards
A

Partial separation of the abruptio placentae

24
Q

What is shown in the image?

Study These Flashcards
A

Complete separate and concealed hemorrhage of the abruptio placentae

25
What is PIH?
Pregnancy induced hypertension
26
What is gestational hypertension?
HTN develops > 20 weeks, will return to normal within 12 weeks post-partum
27
What BP indicated pre-eclampsia?
> 140/90 mmHg
28
What are the four key symptoms of pre-eclampisa?
1. Increase in BP over 140/90 2. Weight gain and edema 3. Protein in urine 4. Hyperreflexia
29
What is the leading cause of preterm birth?
Pre-eclampsia
30
What are symptoms of progressed pre-eclampsia?
Blurred vision, H/A, irritability, severe gastric pain
31
What are you more at risk for if you have a history of pre-eclampsia?
2x as likely to develop early onset CV disease
32
What is eclampsia?
Development of seizures or coma in women with pre-eclampsia
33
What is the mortality rate of eclampsia?
2%
34
What is HELLP Syndrome?
H: hemolysis EL: elevated liver enzymes LP: low platelets
35
Can HELLP syndrome occur without HTN?
Yes
36
What population is HELLP syndrome common in?
Pre-eclampsia or eclampsia
37
How do you manage HELLP syndrome?
Correction of coagulation abnormalities and delivery
38
What are four physical effects of bedrest?
1. Glucose intolerance 2. Sensory disturbances 3. Fatigue 4. Psychological effects
39
What are five antepartum training objectives for high risk pregnancy?
1. Muscle conditioning 2. Promote optimal circulation 3. Bed mobility and energy conservation 4. Comfort 5. Education
40
What is the importance of muscle conditioning with high risk pregnancy pt's?
Prevent decreased muscle tone and deconditioning
41
What is the safest position to exercise in for high risk pregnancy pt's?
Sidelying
42
Why should you work to promote optimal circulation in high risk antepartum patients?
DVT prevention, maintain uterine blood flow to avoid mechanical obstruction, avoid valsalva
43
Why should you train modified bed mobility and energy conservation?
Avoid increased in abdominal pressure
44
What education should you provide in relation to childbirth?
Safe positions to assume during labor and delivery to optimize comfort, prepare for rehab following delivery

Health Promotion - Exam 1 (12 decks)

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