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Questions and Answers
What is the normal amount of bleeding after a Cesarean delivery considered to be?
Which of the following is considered a common cause of maternal death?
Which complication can start in the gastrointestinal tract and lead to maternal death?
What characterizes a high-risk pregnancy?
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Which of the following is a common treatment for labor and delivery problems related to shoulder dystocia?
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What demographic factors increase the risk of complications during pregnancy?
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Which medical treatment is commonly associated with complications related to abortion?
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Approximately how many women die from preventable causes related to pregnancy and childbirth?
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Which factor is NOT associated with complications during pregnancy?
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What condition may result from a patient's current obstetric status of multiple gestation?
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Which indicator suggests a risk for premature birth due to maternal height?
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Which situation does NOT contribute to a higher risk of adverse birth outcomes?
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What is a common maternal medical history factor that could lead to complications during pregnancy?
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What does not typically characterize socioeconomic status as a risk factor for pregnancy complications?
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Which prenatal condition is NOT associated with increased amniotic fluid?
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What factor is linked to late or no prenatal care and can affect pregnancy outcomes?
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Which of these indicates a birth injury risk during delivery?
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Which condition is indicative of Rh sensitization during pregnancy?
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Study Notes
Nursing Care of the High-Risk Pregnant Client
Maternal Deaths
- Hemorrhage is a leading cause of maternal death, with significant risk occurring hours post-childbirth.
- Normal blood loss: 200-500 mL for normal spontaneous delivery (NSD), 800-1000 mL for Cesarean delivery.
- Other common causes include hypertension and sepsis, which often starts in the gastrointestinal tract.
- Approximately 810 women die each year from preventable causes related to pregnancy and childbirth.
High-Risk Pregnancy
- Defined as pregnancy with significant increased chances of harm to mother or fetus including morbidity or mortality.
- High-risk conditions can arise from concurrent disorders, pregnancy complications, or external factors jeopardizing health.
Risk Factors
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Demographic Factors:
- Age: Risks increase for those under 16 or over 35 years.
- Weight: Overweight (BMI > 25) or underweight (BMI < 18.5) before pregnancy raises risk.
- Height: Women under 5 feet often face complications such as poor outcomes in labor.
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Socioeconomic Status:
- Inadequate finances can lead to delays in care.
- Overcrowded living conditions and poor hygiene negatively impact maternal health.
- Nutritional deprivation and severe social issues, including anxiety associated with unplanned pregnancies, contribute to risks.
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Obstetric History:
- Previous complications, such as infertility, multiple gestation, or prior miscarriages, increase risk.
- Grand-multiparity (having many children) can complicate future pregnancies.
- Previous surgeries (e.g., Cesarean sections) or labor complications heighten risks.
Current Obstetric Status
- Factors like late or no prenatal care, maternal anemia, Rh sensitization, and ante-partum bleeding (e.g., placenta previa or abruptio placenta) are red flags.
- Conditions such as pregnancy-induced hypertension and multiple gestation require close monitoring.
- Abnormalities like polyhydramnios (excess amniotic fluid) or PROM (premature rupture of membranes) affect fetal well-being.
Maternal Medical History/Status
- Comprehensive medical history is crucial, noting any past significant health issues.
- Chronic conditions (e.g., cardiac or pulmonary disease, diabetes) impact pregnancy.
- Previous infectious diseases can affect maternal and fetal health.
- Genetic factors, such as hemoglobinopathies, require attention for hereditary complications.
By identifying and understanding these factors, healthcare practitioners can better prepare and manage high-risk pregnancies effectively.
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Description
This quiz focuses on the nursing care required for high-risk pregnant clients, addressing topics such as maternal deaths, kidney failure, and perinatal conditions. Learn about the essential screening processes and interventions necessary to support both mother and child. Ideal for nursing students and professionals in maternal healthcare.
