Nursing Care of High Risk Pregnant Clients

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Questions and Answers

Which of the following is NOT considered a demographic risk factor for maternal issues?

Age under 16 years

Ethnicity

Age over 35 years

Being a first-time mother (correct)

Which complication during pregnancy is described as a risk factor when there are concurrent disorders?

Sepsis

Shoulder Dystocia

High Risk Pregnancy (correct)

Abortion

What is the most common cause of maternal death related to pregnancy?

Labor and Delivery Problems

Hemorrhage (correct)

Sepsis

Hypertension

What is a normal range of blood loss for a Cesarean delivery?

800-1000 mL Signup and view all the answers

Which statement accurately describes the significance of preventing maternal sepsis?

It starts from gastrointestinal issues. Signup and view all the answers

What is a common treatment for shoulder dystocia during delivery?

Oxytocin Signup and view all the answers

What defines a complication related to abortion during high-risk pregnancy?

Certain medications can increase risk. Signup and view all the answers

Which of the following best defines high-risk pregnancy?

A pregnancy with a significant chance of complications. Signup and view all the answers

What is a potential consequence of inadequate prenatal care?

Increased likelihood of maternal anemia Signup and view all the answers

Which of the following factors can negatively impact maternal health during pregnancy?

Poor housing standards Signup and view all the answers

Which maternal medical history factor increases pregnancy risks?

Previous cesarean section Signup and view all the answers

What is a common effect of maternal obesity during pregnancy?

Increased likelihood of fetal macrosomia Signup and view all the answers

What is a risk associated with grand-multiparity?

Higher incidence of pregnancy complications Signup and view all the answers

What can excessive amniotic fluid during pregnancy indicate?

PROM (premature rupture of membranes) Signup and view all the answers

What is a potential impact of psychosocial stressors during pregnancy?

Lower rates of prenatal visits Signup and view all the answers

Which of the following can lead to premature birth?

History of multiple gestation Signup and view all the answers

What is a consequence of maternal anemia during pregnancy?

Higher risk of birth injuries Signup and view all the answers

Which complication is associated with placenta previa?

Increased likelihood of ante-partal bleeding Signup and view all the answers

Study Notes

Nursing Care of the High-Risk Pregnant Client

Maternal Death Causes: Major preventable causes that contribute to maternal deaths include:
- Hemorrhage: Life-threatening bleeding post-childbirth, with 200-500 mL considered normal for normal spontaneous delivery (NSD) and 800-1000 mL for cesarean section.
- Hypertension: A significant risk factor in pregnancy.
- Sepsis: Can arise from gastrointestinal infections during and after pregnancy; it remains a major cause of preventable maternal mortality.
- Labor and Delivery Problems: May include shoulder dystocia and slow dilation typically treated with oxytocin.
- Complications from Abortion: Factors such as methotrexate and misoprostol may elevate risk levels.
High-Risk Pregnancy Definition: Refers to pregnancies where the mother or fetus faces a significantly increased chance of morbidity or mortality due to various health complications.

Risk Factors for High-Risk Pregnancy

Demographic Factors:
- Age: Increased risks for mothers under 16 and over 35 years; correlation with delayed prenatal care noted.
- Weight: Both underweight (< 18.5) and overweight (> 25) can lead to issues for both mother and baby.
- Height: Women under 5 feet may struggle with full-term deliveries, leading to increased risks like premature birth.
Current Obstetric Status:
- Prenatal Care: Late or absence thereof can lead to complications, including maternal anemia and pregnancy-induced hypertension.
- Ante-partal Bleeding: Issues like placenta previa and abruptio placenta might arise.
- Multiple Gestation: Leads to unique complications in pregnancy.
Socioeconomic Status:
- Financial Issues: Inadequate finances and poor hygiene conditions can exacerbate pregnancy complications.
- Nutritional Deprivation: Poor nutrition significantly impacts both maternal and fetal health.
- Unplanned Pregnancies: Often linked to mental and emotional health challenges.
Obstetric History:
- History of Infertility or Multiple Gestations: Increases the likelihood of complications.
- Previous Pregnancy Issues: Including stillbirths, fetal death, and operative deliveries (e.g., cesarean sections) should be recorded for better risk management.

Additional Risk Factors

Maternal Medical History:
- Previous conditions such as cardiac or pulmonary diseases, diabetes, and chronic renal issues can elevate risk.
- Infectious Diseases: Ongoing venereal infections or past history of major congenital anomalies in the reproductive tract can significantly impact pregnancy outcomes.

These concise notes encapsulate critical aspects of nursing care for high-risk pregnant clients, emphasizing the importance of understanding and managing various risk factors to improve maternal and fetal health outcomes.

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Description

This quiz focuses on the nursing care required for high-risk pregnant clients, including maternal deaths, kidney failure, and perinatal conditions. It covers essential topics and screening measures necessary for the care of both mothers and children at risk. Ideal for nursing students at St. Luke's College of Nursing.