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Nur 875 > Assesment For Risk Factors In Pregnancy FINAL > Flashcards

Assesment For Risk Factors In Pregnancy FINAL Flashcards

0
Q

50,000 of the 4 million births in the U.S. Are considered what

A

A high risk pregnancy

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1
Q

A pregnancy in which the life or the health of the mother of the fetus is jeopardized by a disorder coinciding with or unique to the pregnancy is known as what kind of pregnancy?

A

High Risk Pregnancy

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2
Q

Maternal complications usually resolve when?

A

Within 1 month of delivery

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3
Q

What are the three major causes of maternal morbidity

A
  • hypertensive disorders
  • infection
  • hemorrhage
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4
Q

What are 5 major causes if fetal and neonatal mortality

A
  1. Congenital anomalies
  2. Complications of prematurity and low birth weight
  3. Respiratory distress syndrome ( rds)
  4. Effects of maternal complications
  5. Black babies are twice as likely to die as white infants
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5
Q

What are biophysical risk factors

A

Risk factors that originate with the mother

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6
Q

What are two risk factors for high risk pregnancy

A

Genetic and nutritional

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7
Q

What are the 6 psychosocial risk factors of high risk pregnancy

A
  • smoking
  • caffeine consumption (1-2 servings per dy)
  • alcohol (fas)
  • drugs
  • mental status
  • stress
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8
Q

What are ABO incompatibilities

A
  • mom Is o

- baby is a,b,ab

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9
Q

Mixing blood may cause what

A

Jaundice

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10
Q

What is Rh incompatibility

A
  • mom is Rh-

- baby is Rh+

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11
Q

In which pregnancy does moms antibodies start to attack the baby’s blood supply

A

2nd pregnancy

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12
Q

What are the three times that mixing is likely to occur

A
  • trauma/procedure during pregnancy
  • 28 weeks gestation
  • postpartum (full term, preterm, miscarriage, abortion)
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13
Q

What are demographically risk factors of high risk pregnancy

A
  • low income
  • limited or no prenatal dare
  • age 35
  • parity
  • marital status
  • residence
  • ethnicity
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14
Q

What are some environment,a risk of high risk pregnancy

A
  • infection
  • radiation
  • chemicals
  • therapeutic and illicit drugs
  • paternal exposure to mutagenic agents
  • working conditions
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15
Q

Many pregnancy problems do not have what

A

Any specific cause

16
Q

When do you start teaching moms to notice fetal movement

A

Around 24 weeks

17
Q

What is a good indicator of fetal well being

A

Fetal movement assessment ( fetal kick counts)

18
Q

When is the fetus not active

A

When they are sleeping

19
Q

All women should be taught to do what

A

To report decreased or absent movement

20
Q

High risk women may be asked to do what

A

Perform fetal kick counts

21
Q

Fetal movement does not decrease with what

A

Increased gestational age

22
Q

What is perhaps the most versatile and useful assessment tool in obstetrics

A

An ultrasound

23
Q

What do you see in the first semester using an ultra sound

A
  • confirmation of pregnancy
  • cardiac activity
  • location
  • number of feti
  • gestational age
  • detect maternal abnormalities
24
Q

What are the four parts of gestational age assessment

A
  1. Determination of gestational sac dimension ( about 8 weeks)
  2. Measurement of crown to rump length ( between 7-12 weeks)
  3. Measurement of biparietal diameter after 12 weeks
  4. Measurement of femur length after 12 weeks
25
Q

What are some uses of an ultra sound for the second trimester

A
  • confirm dates
  • confirm viability
  • detect olgiohydramnios ( too little amniotic fluid)
  • detect congenital abnormalities
  • detect intrauterine growth
  • confirm placental placement
  • use for visual during amniocentesis
26
Q

What are uses of ultrasound on third trimester?

A
  • confirm gestational age
  • confirm viability
  • detect macrosomia
  • detect congenital abnormalities
  • determine fetal position
  • deftest placenta maturity
27
Q

Amniotic fluid volume is reported by measuring what

A

The four planes of the Gravid abdomen yielding the amniotic fluid index

28
Q

What is amniocentesis

A

Detects fetal cells and other components of the amniotic fluid

29
Q

When is amniocentesis done

A

After 14th week of pregnancy when the uterus is an abdominal organ and the AF level is sufficient

30
Q

When is fetal lung maturity

A

34-36 weeks

Nur 875 (6 decks)

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