Chapter 28: Care of the High-Risk Mother‚ Newborn‚ and Family with Special Needs High-risk pregnancy One in which the life or health of the mother or the infant is jeopardized by a d/o that is associated with or exists at the same Morbidity State of being diseased Mortality Quality or state of being subject to death Classifications of high-risk factors of pregnancy Biophysical‚ Psychosocial‚ Sociodemographic‚ Environmental Biophysical Genetic considerations‚ nutritional status‚ medical
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1. What nursing action is required b4 you measure fundal height= empty bladder full bladder make the fundal height higher. 2. What should a nurse do to prevent heat loss from evaporation= dry them up and remove the wet linen. 3. Child with cephalohematoma. What condition is associated with cephalohemetoma = jaundice 4. Why do we perform gestational age in a baby= to identify developmental level 5. What kind of exam do we perform to access for gestational age = ballot score 6. A baby has been
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DISEASE SPECIFIC INFORMATION DISEASE/DEFINITION Thrombocytopenia- a reduction of platelets below 150‚000/uL PATHOPHYSIOLOGY Thrombocytopenia can result from decreased production of platelets within the bone marrow or from increased destruction or consumption of platelets. Causes include: failure of production as a result of certain anemia’s‚ septicemia‚ and cytotoxic medications. Platelet disorders can be inherited (e.g.‚ Wiskott-Aldrich syndrome)‚ but the vast majority are acquired. A common
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Dengue Hemorrhagic Fever Those cases with gross hemorrhages. A severe illness characterized by abnormal vascular permeability‚ hypovolemia and abnormal blood clotting mechanism Causative Agent * 4 serotype of the dengue virus (1‚2‚3 and 4 Group B Arbovirus) * the 4 viruses are antigenically close to each other however‚ they only give partial cross protection after being infected by any of them Aedes Aegypti Bite of the Female Aedes Aegypti (day biting‚ low flying‚ breeds in stagnant water
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in association with the syndrome of pre-eclampsia. (Duley‚ L. (2008). Eclampsia‚ which is considered a complication of severe preeclampsia‚ is commonly defined as new onset of grand mal seizure activity and/or unexplained coma during pregnancy or postpartum in a woman with signs or symptoms of preeclampsia.
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The placenta separates from the wall and natural removal occurs by uterine contractions. The birth of the placenta takes place 5 – 30 minutes after the birth of the baby. The placental stage is crucial because of the possibility of maternal hemorrhage. Signs of the placental separation are as follows: a. The uterus becomes globular in shape and firmer. b. The fundus rises in the abdomen. c. Lengthening of the cord. d. Sudden gush of blood. There are two different placental mechanisms which
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Postpartum Endometritis Evidence Based Paper March 13‚ 2012 Endometritis is the inflammation or irritation of the uterus‚ which is a common post partum complication that occurs in more than 15% of all pregnancies and is currently the leading cause of maternal mortality (Scott & Hasik‚ 2001). When endometritis is not related to pregnancy‚ it is referred to as pelvic inflammatory disease (PID). The Centers for Disease Control and Prevention (CDC) 2010 sexually transmitted diseases treatment
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screened even during and after pregnancy. Thyroid hormone plays a critical role during pregnancy both in the development of a healthy baby and maintaining the health of the mother. With proper management‚ hypothyroidism‚ subclinical hypothyroidism and postpartum thyroiditis during pregnancy can prevent fetal birth defects and health complications to the mother by mandatory screening‚ education‚ diet‚ and medication treatment. Health care providers diagnose hypothyroidism in pregnancy through a careful
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her prepregnant state without complications to hemorrhage. 1. Assess and teach pt to palpate uterus for height and firmness and location - Following birth the fundus has to be firm and should decrease one finger breath a day or more if breastfeeding from the umbilicus. A fundus that is hard tells you the uterus is contracting. If the fundus is above the umbilicus‚ boggy‚ blood may be collecting in the
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EXAM II Learning Objectives L/O - Alterations of Renal and Urinary Tract Function – By Tabitha Beck 1. Describe the causes and effects of obstruction in various locations within the urinary tract. a. Urinary tract obstruction is an interference with the flow of urine at any site along the urinary tract. i. Can be caused by an anatomic or functional defect i. Obstructive uropathy - Anatomic changes in the urinary system caused by an obstruction. a. Upper Urinary
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