NUR 230 Unit 3/NUR 230 Unit 3 Exam Review/Guaranteed A+ Score Guide Solution

Change in vaginal discharge or increase, pelvic or lower pressure, dull backache, abdominal cramps with or w/o diarrhea, regular or frequent contractions, uterine tightness, rupture membranes. • Gestation between 20-36.6wks • Cervical change • Contractions • FFN (fetal fibronectin) • Cervical length If it occurs: Stop activity, lie down on your side, drink water, wait an hour. Bed rest, limit activity, pelvic rest. Magnesium Sulfate Glucocorticoids Terbutaline Nifedipine Indomethacin (MINT) Possible fetal loss: grief management Preterm Premature Rupture of Membranes Gush or leakage of fluid before 37 weeks of gestation before labor begins. • History of PPROM • Short cervical length • 2nd or 3rd trimester bleeding • low socioeconomic status • low BMI • cigarette smoking • illicit drug use • STI • Infections Chorio is most common complication. Placental abruption Retained placenta Hemorrhage Sepsis Death Umbilical cord compression Antibiotics Magnesium Sulfate Glucocorticoids Terbutaline Nifedipine Patient TemperaturePost term Pregnancy Pregnancy that lasts past 42 weeks of gestation. Maternal weight loss, decreased uterine size, meconium-stained fluid, and advanced bone maturation. • • The causes are unknown. Risks: first pregnancy, hx of post term pregnancy, male fetus, obesity, genetic predisposition Increases risk of perineal injury, chorioamnionitis, PPH, and cesarean birth. Risk: abnormal fetal growth, macrosomia, placenta insufficiency, shoulder dystocia, oligohydramnios, mec stain and dry peeling skin. Induce patient. NST BPP Chorioamnionitis A bacterial infection of the amniotic cavity. • • • • • More common in preterm births Foul, purulent amniotic fluid. Maternal fever Fetal tachycardia Uterine tenderness More at risk for postpartum infections, monitor. Antibiotics Tylenol