MATERNAL And PEDIA 2.pdf

MODULE 2: NURSING CARE OF Signs and symptoms of hypovolemic shock THE HIGH RISK PREGNANT Increased pulse rate - Heart attempts to circulate decreased blood CLIENT (BLEEDIN...

MODULE 2: NURSING CARE OF Signs and symptoms of hypovolemic shock THE HIGH RISK PREGNANT Increased pulse rate - Heart attempts to circulate decreased blood CLIENT (BLEEDING DISORDER volume IN PREGNANCY) Decreased blood pressure - Less peripheral resistance is present Unexpected deviations or complications from the because of decreased blood volume course of normal pregnancy may occur which will Increased respiratory rate place a severe burden on a woman and her family as - Respiratory system attempts to increase gas well as her care providers. The nurse needs to be exchange to better oxygenate decreased red knowledgeable to help these families work through blood cell volume the stages of pregnancy and prepare them to Cold, clammy skin become new parents. This module discusses the - Vasoconstriction occurs to maintain blood common complications during pregnancy and the volume in central body core application of the nursing process in the care of the Decreased urine output high-risk pregnant client and her family. - Inadequate blood is entering kidneys because of decreased blood volume First trimester (0-12 weeks) Dizziness or decreased level of consciousness - Threatened spontaneous miscarriage - Inadequate blood is reaching cerebrum - Imminent miscarriage because of decreased blood volume - Missed miscarriage Decreased central venous pressure - Incomplete spontaneous miscarriage - Decreased blood is returning to heart - Complete spontaneous miscarriage because of reduced blood volume - Ectopic pregnancy A ABORTION Second trimester (12-28 weeks) A pregnancy that ends before 20 weeks’ gestation, - Gestational trophoblastic disease spontaneously or electively. (hydatidiform mole) - Expulsion of the products of conception - Premature cervical dilatation before the age of viability - Products of conception: fetus, placenta, Third trimester (28-40 weeks) amniotic fluid - Placenta previa o