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35 Cards in this Set
- Front
- Back
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s/sxs of anemia |
-pallor of mucus membranes -fatigue/dizziness/fainting -dyspnea on exertion -palpitations -loss of appetite -pica |
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implications of anemia to mother & fetus |
-decreased oxygenation to mother and fetus -lower resistance to infection -postpartum hemorrhage -PPD |
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most common form of anemia |
Iron Deficiency Anemia |
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treatment for Iron Defiecieny Anemia |
-iron supplementation -iron rich foods (red meat, canned clams dark, beets, green leafy veggies, dried fruits) |
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screening for problems with anemia |
may treat based on blood work results or sxs |
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vitamin C ________ absorption of iron
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enhances |
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calcium, coffee, caffeine _________ with absorption of iron |
interfere |
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hypertensive disorders of pregnancy |
PIH Pre-Eclampsia HELLP Syndrome |
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PIH |
rise in blood pressure about 140/90 w/o other sxs indicative of pre-eclampsia that occurs >20wks gestation and returns to normal by 12wks pp |
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pre-eclampsia |
usually occurs >20wks gestation |
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w/ pre-eclampsia the BP would be > |
140/90 |
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sxs of pre-eclampsia |
HA blurred vision abdominal pain (RUQ) abnormal liver enzymes low platelets decreased urinary output |
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w/ pre-eclampsia proteinuria >___ on urine dipstock or >0.3g on 24 hour protein study |
+1 |
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HELLP |
Hemolysis (breaking down of RBCs) Elevated Liver enzymes Liver Platelets |
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suspicion for multiple gestation |
-LGA for dates/large FH, rapid uterine growth in 2nd trimester -severe n/v, extreme physical discomforts -familial hx of twins -fertility treatments -Leopold's maneuvers reveal multiple fetal parts/backs -Auscultation of multiple FHTs that are distinct |
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many complications associated with multiple gestation |
-pregnancy losses -twin-twin transfusion syndrome -GDM/Pre-eclampsia -pre-term labor/birth -malpresentation -dysfunctional labors |
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FGR possible sign |
uterine size
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Standard to offer Group Beta Strep testing between ___-____wks |
35-37 |
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What is the best method to test for GBS |
culture (vaginal and ano-rectal sample) |
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Appx. 20% population is colonized with GBS, but as adults we have no _______ or ______ |
sxs or illness |
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GBS can pose serious risks to fetus/newborn such as ___________, ____________, _____________ |
pnemonia sepsis death |
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results from a GBS test are considered predictive for approx. ___ wks |
5 |
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PROM is defined as the rupture of membranes prior to the ________ _ ______, regardless of gestational age |
onset of labor |
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PPROM is before ___wks |
37 |
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prg. people at great risk of PROM |
-incompetent cervix -polyhydramnios -fetal malpresentation -multiple gestation -vaginal infection |
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COAT assessment stands for? |
Color Odor Amount Time (What time did this happen?) |
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D/T for PROM |
-risk of infection -pelvic rest -good toileting hygiene -monitoring for s/sxs of infection are important |
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Anytime you have confirmed ROM before ___wks, you're going into the hospital |
37 |
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D/T |
due to |
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malposition |
occiput posterior positions esp. when fetus will not rotate |
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malpresentation |
breech, shoulder, face, brow |
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more common to see malpresentations w/ |
-pendulous abdomen -polyhydramnios -multiple gestation -prematurity -cephalo-pelvic disproportion -fetal anomalies |
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malpositions/presentations can cause the following |
-more challenging labor process -more likely to need pain medication -assisted delivery/c-section -increased risk of trauma to mother/fetus |
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For a late transfer into care the consultation is very important because you want to know |
why they are coming to care late |
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Things to consider to a client that is late to Transfer into Care |
-It's important to review records from a previous provider for this prg. -may need to adjust birth fees to accommodate later transfer -often requires additional visits/more freq. visits -how late it too late?? |
