NUR1210: Care of Mother and Child

What condition is characterized by the heart attempting to circulate decreased blood volume during hypovolemic shock?

Which of the following is NOT a type of bleeding disorder during pregnancy?

What complication involves the placenta detaching prematurely from the uterus?

Which term describes the condition when there is an abnormal growth of placental tissue?

In the context of hypovolemic shock, which sign indicates a critical assessment parameter that healthcare providers should monitor?

What is the general significance of vaginal bleeding during pregnancy?

Which condition may cause a woman to experience decreased urine output during pregnancy?

What physiological response occurs in the body during cold, clammy skin?

Which condition is described as the expulsion of the fetus before 20-24 weeks of gestation?

What does increased respiratory rate during pregnancy primarily facilitate?

What can potentially result from a loose placenta during pregnancy?

What is a potential effect of decreased blood volume on the central nervous system?

What degree of vaginal bleeding during pregnancy is classified as potentially serious?

Bleeding During Pregnancy

Vaginal bleeding is always abnormal during pregnancy and can occur at any time, potentially signaling serious complications.
Serious conditions often associated with bleeding include the detachment of the placenta, depriving the fetus of nourishment.
Causes of bleeding may originate from an undilated cervix and intact membranes that can retain blood within the uterus.

Types of Bleeding Conditions

Abortion: Expulsion of the fetus before 20-24 weeks.
Hydatidiform Mole: Abnormal tissue growth in the uterus that may cause bleeding.
Ectopic Pregnancy: Implantation of the embryo outside the uterus, often leading to hemorrhage.
Premature Dilatation of Cervix: Incompetent cervix leads to premature labor and risk of bleeding.
Placenta Previa: Placenta covers the cervix, causing bleeding as the pregnancy progresses.
Abruptio Placenta: Detachment of the placenta from the uterus before delivery, resulting in bleeding.
Disseminated Intravascular Coagulation (DIC): Serious disorder affecting blood clotting, leading to bleeding during pregnancy.

Signs and Symptoms of Hypovolemic Shock

Increased Pulse Rate: Compensatory response as the heart tries to circulate decreased blood volume.
Decreased Blood Pressure: Occurs due to reduced blood volume and lower peripheral resistance.
Increased Respiratory Rate: Body's response to enhance gas exchange for better oxygenation.
Cold, Clammy Skin: Result of vasoconstriction attempting to maintain blood volume in vital organs.
Decreased Urine Output: Indicates inadequate blood circulation to the kidneys because of volumetric loss.
Decreased Level of Consciousness: Potential indication of reduced blood flow to the brain resulting from hypovolemia.

Nursing Process for High Risk Pregnant Clients

Ongoing evaluations are necessary for pregnant women experiencing any degree of bleeding to assess for significant blood loss.
Prompt assessment and monitoring of vital signs like pulse, blood pressure, and respiratory rate are critical in managing hypovolemic shock.
Interventions should address underlying causes of bleeding and maintaining maternal and fetal well-being.

This quiz focuses on the care of mothers and children at risk or facing problems, including acute and chronic conditions. It emphasizes understanding hypovolemic shock and its implications in nursing practice. Test your knowledge on critical nursing concepts related to maternal and child healthcare.