Nursing Care for Pregnancy Complications Quiz

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

Why is bed rest important for a woman experiencing a sudden pregnancy complication?

To enforce observation and support close monitoring (correct)

To prevent visitors

To encourage social interactions

To encourage exercise

What is a key symptom of overdose mentioned in the text?

Increased tendon reflexes

Increased consciousness

Decreased tendon reflexes (correct)

Increased urine output

What is the purpose of raising side rails (padded) for a woman with a sudden pregnancy complication?

To allow easy access to the room

To prevent injury (correct)

To restrict bed rest

To prevent visitors

Which medication is administered to reduce hypertension in cases of pregnancy-induced hypotension?

Hydralazine (Apresoline) Signup and view all the answers

Why is it necessary to maintain a dimly lit room for a woman with a sudden pregnancy complication?

To enhance observation Signup and view all the answers

What is the recommended diastolic blood pressure range to avoid inadequate placental perfusion in pregnant women?

<80 mmHg Signup and view all the answers

What is a common symptom of mild preeclampsia?

Weight gain of 2 lbs per week in the 3rd trimester Signup and view all the answers

What is a severe complication associated with preeclampsia?

Shortness of breath due to pulmonary involvement Signup and view all the answers

How much weight gain is considered normal in the 3rd trimester of pregnancy?

1 lb per week Signup and view all the answers

What intervention is recommended for preventing or delaying preeclampsia?

Monitoring antiplatelet therapy Signup and view all the answers

Which symptom is associated with severe preeclampsia?

Epigastric pain due to ischemia in the pancreas and liver Signup and view all the answers

Which condition is indicative of severe preeclampsia?

+3 to +4 proteinuria on a random sample Signup and view all the answers

What is the purpose of a central venous pressure catheter inserted after bleeding is halted?

Measures the blood pressure in the right atrium Signup and view all the answers

What is a common nursing diagnosis associated with bleeding during pregnancy?

Risk for impaired tissue perfusion related to hemorrhage Signup and view all the answers

What is a potential outcome evaluation related to managing bleeding during pregnancy?

Minimal bleeding is apparent Signup and view all the answers

Which condition during the 2nd trimester can be associated with bleeding during pregnancy?

Premature cervical dilatation Signup and view all the answers

What are the goals of therapy for hypovolemic shock?

Restoring blood volume and halting hemorrhage Signup and view all the answers

What can result if the blood deficit continues and blood cannot reach other major organs?

Multi organ failure Signup and view all the answers

Study Notes

Nursing Care of a Family Experiencing a Sudden Pregnancy Complication

Symptoms of overdose include reduced consciousness, decreased urine output, decreased tendon reflexes, and depressed RR.

Supportive Care

Support bed rest to enforce hospitalization and close observation.
Restrict visitors to support people, such as the husband.
Raise padded side rails to prevent injury.
Dimly lit room is necessary.

Monitoring Maternal Well-being

Monitor blood pressure.
Obtain blood studies as ordered.
Obtain daily hematocrit levels as ordered, which will rise (>40%) if increased fluid is leaving the bloodstream for interstitial tissue (edema).
Assess weight daily at the same time.
Indwelling catheter may be inserted.

Monitoring Fetal Well-being

External fetal monitor is attached.
O2 administration may be necessary to maintain adequate fetal oxygenation.

Nutritional Support

Moderate to high protein diet.
Moderate sodium in the diet.
IVF line should be initiated and maintained to serve as an emergency route for drug administration.

Medication Administration

Hydralazine (Apresoline) to reduce hypertension, administered via IV infusion pump (5-10 mg/IV).
Hydralazine lowers blood pressure by peripheral dilatation.
Assess pulse and BP before and after administration.
Diastolic should not be lowered below 80-90 mmHg to prevent inadequate placental perfusion.

Mild Preeclampsia

Symptoms include:
- Systolic BP > 30 mmHg above pregnancy level.
- Diastolic > 15 mmHg above pregnancy level.
- Proteinuria +1 to +2.
- Weight gain: 2 lbs/wk in 2nd trimester, 1 lb/wk in 3rd trimester.

Severe Preeclampsia

Symptoms include:
- BP > 140/90 mmHg.
- Mild edema in upper extremities or face.
- Cerebral edema.
- Proteinuria: 3+ to 4+ on a random sample.
- Oliguria: 500 ml or less in 24 hrs.
- Pulmonary involvement: shortness of breath.
- Hepatic dysfunction.
- Epigastric pain due to ischemia in the pancreas and liver.
- Visual disturbances: blurred vision or seeing spots.

Antiplatelet Therapy

Mild antiplatelet agent, such as low-dose aspirin (81 mg), may prevent or delay the development of preeclampsia.

Bleeding Complications

Common causes of bleeding according to trimester:
- 1st Trimester: Spontaneous miscarriage, ectopic pregnancy.
- 2nd Trimester: Gestational trophoblastic disease, premature cervical dilatation.
- 3rd Trimester: Placenta previa, abruptio placentae, preterm labor, disseminated intravascular coagulation (DIC), abdominal pregnancy.

Nursing Diagnosis and Interventions

Nursing Diagnosis: Risk for deficient fluid volume related to bleeding during pregnancy.
Outcome Evaluation: Patient's blood pressure is maintained at above 100/60 mmHg, pulse rate is below 100 beats/min, minimal bleeding is apparent, fetal heart rate (FHR) is maintained at 120-160 beats/min with adequate short and long-term variability, and maternal urine output is greater than 30 ml/hr.

Goals of Therapy for Hypovolemic Shock

Restoring blood volume.
Halting the source of hemorrhage as quickly as possible.

Studying That Suits You

Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

Description

Test your knowledge on providing nursing care for families experiencing sudden pregnancy complications like mild and severe preeclampsia. Topics include monitoring hCG levels, blood pressure changes, proteinuria, and weight gain during different trimesters.