Identifying High Risk Pregnancy

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Questions and Answers

What risk is associated with small stature during pregnancy?

  • Shoulder dystocia (correct)
  • Placenta previa
  • Tachycardia
  • Fetal alcohol syndrome

How does smoking during pregnancy affect the fetus?

  • Anemia
  • Decreased prenatal care attendance
  • Risk of stillbirth and complication (correct)
  • Fetal distress

What effect can drug addiction, particularly heroin, have on the baby?

  • Meconium aspiration and fetal distress (correct)
  • Tachycardia
  • Preterm labor
  • Fetal alcohol syndrome

Why does low socio-economic status pose risks during pregnancy?

<p>Poor nutrition and inadequate prenatal care (C)</p> Signup and view all the answers

What is a common risk associated with unwed condition or marital status during pregnancy?

<p>Increased rate of preterm deliveries (D)</p> Signup and view all the answers

How does past history of infertility affect pregnancy?

<p>Risk of miscarriage and stillbirth (D)</p> Signup and view all the answers

What defines a high-risk pregnancy?

<p>A pregnancy that jeopardizes the health of the woman, fetus, or both. (D)</p> Signup and view all the answers

Which demographic factor can be a cause of a high-risk pregnancy?

<p>Maternal age over 35 years old. (C)</p> Signup and view all the answers

What are some risks associated with maternal age under 18 years old?

<p>Higher chance of nutritional deficiencies. (B)</p> Signup and view all the answers

How does pre-pregnant weight under 90 lbs. affect pregnancy?

<p>Puts the mother at an increased risk for high blood pressure. (C)</p> Signup and view all the answers

What are potential consequences for women above 35 years old in pregnancy?

<p>Higher risk of chromosomal abnormalities in the fetus. (C)</p> Signup and view all the answers

Flashcards

High-Risk Pregnancy

A pregnancy where the health of the woman, fetus, or both is at risk due to a concurrent disorder, complication, or external factor.

High-Risk Pregnancy Factors

Factors such as demographic factors, maternal habits, and maternal obstetric factors.

Maternal Age Risks

Being under 18 increases risks like low birth weight. Being over 35 increases risks like gestational diabetes.

Pre-Pregnant Weight Risks

Being underweight increases the risk of the baby also being underweight. Being overweight increase the risks of GDM and preeclampsia.

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Maternal Height Risk

Height of 5ft or less (1.5 meters) increases the risk of small pelvis and potentially preterm birth.

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Family History Risk

This increases the risk of inherited disorders for the mother or child.

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Smoking Risk During Pregnancy

Increases the risks of stillbirth, complications, behavioral problems, and intellectual disability.

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Alcohol Risk During Pregnancy

Increases the risk of retardation, intellectual disabilities, and fetal alcohol syndrome.

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Food Fads Risk

Poor diet may cause low birth weight for the baby due to inadequate nutrition.

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Low Socio-Economic Status Risk

Increases the risk of poor nutrition, low birth rate, and inadequate prenatal care attendance.

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Primigravidity/Grand Multiparity Risks

First pregnancy increases risks of worsening diseases, while multiple previous pregnancies increase risks like anemia and placenta previa.

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Study Notes

High-Risk Pregnancy

  • A pregnancy that jeopardizes the health of the woman, fetus, or both due to a concurrent disorder, complication, or external factor.

Factors that Categorize a Pregnancy as High-Risk

  • Demographic factors (physical)
  • Maternal habits (social)
  • Maternal obstetric factors

Demographic Factors (Physical)

Maternal Age

  • Under 18 years old: associated with socioeconomic factors, biological effects, and risks of low birth weight, anemia, and nutritional deficiencies.
  • Above 35 years old: risk of menopause, difficulty accepting pregnancy, failure to progress in labor, chromosomal abnormalities, GDM, and pregnancy-induced hypertension.

Pre-Pregnant Weight

  • Under 90 lbs: risk of underweight babies and small born babies.
  • 150 lbs and above: increased chance of developing GDM, high blood pressure, and preeclampsia.

Height

  • 5ft or less (1.5 meters): risk of small pelvis, resulting in shoulder dystocia, preterm and underweight babies.

Family History

  • Risk of severe inherited disorders affecting the mother or child.

Maternal Habits (Social)

Smoking

  • Risk of stillbirth, complications, behavioral problems, and intellectual disability.

Alcohol

  • Risk of retardation, intellectual disabilities, and fetal alcohol syndrome.

Drug Addiction

  • Heroin: meconium aspiration and fetal distress.
  • Marijuana: risk of tachycardia.
  • Methamphetamine: signs of jitteriness and poor feeding at birth.
  • Cocaine: causes preterm labor or fetal death.

Food Fads

  • Risk of low birth weight due to inadequate nutrition.

Low Socio-Economic Status

  • Risk of poor nutrition, low birth rate, and inadequate prenatal care attendance.

Unwed Condition/ Marital Status

  • Increased rate of preterm deliveries, low birth weight, and small for gestational age infants.

Poor Support System

  • Lack of support and guidance affecting the family's ability to cope with stress.

Maternal Obstetric Factors

Past and Present History of Infertility

  • Risk of miscarriage and stillbirth.

Primigravidity/ Grand Multiparity

  • Primigravidity: risk of elderly primigravidity, worsening diseases (e.g., diabetes, hypertension, heart disease).
  • Grand multiparity: risk of anemia, diabetes, placenta previa, and caesarean section.

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