Ch 19 Nursing management of pregnancy at risk pregnancy related complications Flashcards
(22 cards)
Abortion
The loss of an early pregnancy, usually before week 20 of gestation period can be spontaneous or induced 
Eclampsia
Hallmark, neurologic complication of preeclampsia, the onset of seizure activity
Etopic pregnancy
Any pregnancy in which the fertilized ovum implants outside the uterine cavity
Gestational, hypertension
A new onset blood pressure elevation 140/90 identified after 20 weeks gestation without proteinuria ; blood pressure returns to normal by 12 weeks postpartum 
Gestational, trophoblastic disease, GTD
Development of Hydatidiform,mole, and neoplasms of the trophoblast
High risk pregnancy
Why did what your condition exist that jeopardizes the health of the mother, her fetus, or both
Hyperemesis gravdarum 
A severe form of nausea and vomiting of pregnancy associated with significant cost and psychological impact
Multiple gestation
A pregnancy with two or more fetuses
Oligohydramnios
A decreased amount of amniotic fluid between 32 and 36 weeks gestation that is associated with poor pregnancy outcomes
Placental abruption
The early separation of a normally implanted placenta after the 20th week of gestation prior to birth, which leads to hemorrhage
Placenta, accreta, spectrum
Includes three conditions Accreta, increta , pre-creta 
Accreta
Placenta attaches itself to deeply into the wall of the uterus, but does not penetrate the uterine muscle, most common placenta, accreta spectrum
Increta
Occurs when the placenta invades the the Myometrium 
Precreta
When the placenta has extended through the myometrium and uterine serosa and adjacent tissue
Placenta previa
Means after birth first, exists when the placenta is inserted, wholly or partly into the lower, uterine segment of the uterus, partially or completely covering the internal cervical opening
Polyhydramnios 
Also called Hydramnios, a condition in which there is too much amniotic fluid, more than 2000 mL, surrounding the fetus between 32 and 36 weeks
Preeclampsia
New onset, hypertension, accompanied by protein urea, and/or maternal organ dysfunction that targets, the cardiovascular, hepatic, renal, and CNS
Pre-labor rupture of membranes PROM
The spontaneous rupture of the amniotic sac, sometimes called the bag of waters, before the onset of true labor
Pre-term pre-labor rupture of membranes PPROM
The rupture of membranes prior to the onset of labor in a woman who is less than 37 weeks gestation
Misoprostol (cytotec)
Stimulates uterine contractions to terminate a pregnancy, and to evacuate the uterus after abortion to ensure passage of all products of conception
Cervidil
Stimulates, uterine contractions, causing expulsion of uterine contents; expels, uterine contents, in fetal death or missed abortion during second trimester; effaces and dilates the cervix in pregnancy at term
Magnesium sulfate
Blockage of neuromuscular transmission, vasodilation
Prevention and treatment of eclampic seizures