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High-Risk Mother, Newborn, and Family with Special Needs


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[Front]


An incomplete separation of the embryonic disk results in _______ _______.
[Back]


Conjoined twins

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High-Risk Mother, Newborn, and Family with Special Needs - Details

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151 questions
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What does morbidity mean?
State of having disease
Which women are at higher risk of developing hyperemesis gravidarum?
Experienced disorder in the past Primigravidas
Which condition are more common in women with twins?
Spontaneous abortion Maternal anemia Gestational hypertension Hydramnios Bleeding from placenta previa Abruptio placentae
What does a complete mole result from?
Fertilization of an egg whose nucleus has been lost or inactivated
What are some risk factors for the development of an ectopic pregnancy?
Pelvic inflammatory disease Endometriosis Tubal structure defects Surgery to reproductive organs Smoking Low progesterone
What do HCG levels look like in an ectopic pregnancy?
Lower than normal for gestational age
What does methotrexate do?
Destroys rapidly dividing cells
What are the 8 classifications of abortion?
Threatened Spontaneous Inevitable Complete Incomplete Missed Septic Habitual
What is the main presenting symptom of placenta previa?
Painless, bright red, vaginal bleeding that occurs after 20 weeks of gestation
What is the common birthing practice of a woman with placenta previa?
Cesarean birth is scheduled at 36 weeks gestation
What are the major symptoms of abruptio placentae?
Sudden severe pain accompanied by uterine rigidity
Which factors should be assessed when any bleeding occurs during pregnancy?
Duration, amount, color, characteristic Vital signs Pain FHR Emotional response
What does DIC result from?
Alterations in normal clotting mechanism
DIC is usually a secondary diagnosis, and seen in which conditions?
Abruptio placentae Incomplete abortion Hypertensive disease Infectious process
What is the body attempting to do in DIC?
Prevent excessive blood loss
What are the clinical manifestations of DIC?
Chest pain Restless and cyanotic Frothy blood-tinged mucus
What are the most common causes of early hemorrhage?
Atony Retained placental fragments Perineal lacerations
What are the causes of uterine atony?
Excessive distention of uterus (from multiple pregnancies) Hydramnios Large infant
How should the uterus feel for the first 24 hours after childbirth?
Firmly contracted ball, the size of a grapefruit
What is considered a large amount of lochia?
Soaking more than one peripad per hour
What is considered an excessive amount of lochia?
Soaking more than one peripad in 15 minutes
The hypertension of preeclampsia and eclampsia are accompanied by which symptoms?
Albuminuria Edema Headache Visual disturbances Epigastric pain
List some risk factors for preeclampsia and eclampsia
First pregnancy African American race Chronic or gestational hypertension Obesity Family history Diabetes Gestational trophoblastic disease
What kind of blood pressure reading indicates a problem (mild preeclampisa?
Increase of 30 mmHg systolic, and 15mmHg diastolic Or a reading of 140/90
What are the blood pressure findings of a woman with severe preeclampsia?
160/110 mm Hg or higher on two separate readings 6 hours apart
What can epigastric or upset stomach in a patient with preeclampsia or eclampsia be indicative of?
Distention of hepatic capsule; can warn that a convulsion is approaching
List the nurse's responsibilities to protect the woman and fetus during convulsion
Remain with the woman, call for help Turn woman to left side Note time and sequence Insert and airway after convulsion Observe fetal monitor patterns Notify physician
List 5 eclamptic seizure precautions & interventions
1. Keep environment quiet 2. Keep call button nearby 3. Have calcium gluconate ready 4. Move carefully and calmly 5. Emergency birth pack accessible
What does HELLP syndrome stand for?
Hemolysis, Elevated liver enzymes, Low platelet count
What is the prominent symptom of HELLP syndrome?
Pain in right upper quadrant, lower chest, or epigastric area