Maternal & Pediatric Nursing. Galen
College
**1. Placenta Previa** ANS Implantation of the placenta over the
cervical opening or in the lower region of the uterus. Painless, bright red
bleeding. No vaginal exams.
**2. Folic Acid Anemia** ANS Dark green leafy veggies, black-eyed
peas, fortified cereals, rice, pasta, asparagus, Brussels sprouts.
**3. Nonstress Test (NST)** ANS Evaluation of fetal response (fetal
heart rate) to natural contractile uterine activity. Increase in fetal
activity. Increase FHR by 15 bpm for 15 seconds in 20-minute period
twice.
**4. Maternal Nutritional Anemia** ANS Increase fatigue, dizziness.
Pale skin. Cool hands or feet. Increased restless leg. Tachycardia,
palpitations, tachypnea.
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,**5. Pregnancy over 35 years old** ANS Preexisting conditions. Lower
birth weight, chromosomal abnormalities, preterm labor, gestational
diabetes, preeclampsia, vaginal bleeding.
**6. Biophysical Profile** ANS A test that assesses five variables: fetal
breathing, fetal movement, fetal tone, amniotic fluid volume, and fetal
reaction. 8-10: normal. 4-6: suspect chronic asphyxia. 0-2: strongly
suspect chronic asphyxia. Anything <4: delivery.
**7. Hormones of Pregnancy** ANS Progesterone and estrogen.
Relaxin.
**8. Glucose Tolerance Test** ANS 1 hr if >130-140 retest. 3 hr if
>140 diagnosis GDM.
**9. Second Trimester** ANS Increase maternal blood volume 40-50%.
Increase maternal RBC 20-30%. 1500 ml. Normal pregnancy hematocrit
33-46%. Hemoglobin 10.5-11.
**10. Amniotic Fluid Embolism** ANS An extremely rare, life-
threatening condition where amniotic fluid and fetal cells enter the
pregnant woman’s pulmonary and circulatory system through the
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, placenta via the umbilical veins, causing an exaggerated allergic
response from the woman’s body. High mortality rate for maternal &
neonate.
**11. Musculoskeletal Changes** ANS Lordosis. Diastasis recti
abdominis.
**12. Ectopic Pregnancy** ANS Implantation of the fertilized egg
outside the uterus, 95% in fallopian tube. Avoid analgesic stronger than
acetaminophen to prevent possible masking of tubal rupture.
**13. Preterm Labor & Birth** ANS Labor/birth occurring between 20
& 37 completed weeks of gestation. Low birth weight 2500g or less.
**14. Fundal Height** ANS Measurement begins at 18-30 weeks.
**15. Iron Deficiency Anemia** ANS Take on empty stomach. Vitamin
C encourages absorption. Diet: meats, legumes, chicken, green leafy
veggies, dried fruits.
**16. Oxytocin** ANS Stimulates uterine contractions. High alert:
1ml/hr.
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