DDx for first trimester bleeding non-viable IUP: spontaneous abortion, molar pregnancy viable IUP: physiologic implantation bleeding, subchorionic hemorrhage ectopic pregnancy evaluation of first trimester bleeding TVUS hCG H&H risk factors for an ectopic pregnancy fallopian tube scarring history of ectopic pregnancy (#1 risk factor) tubal ligation chlamydial infections PID smoking - slows cilia in fallopian tubes diagnostic protocols for ectopic pregnancy should increase by 50% ...

Pregnancy Complications Hemorrhagic conditions Hyperemesis gravidarum Hypertensive disorders Gestational diabetes Infection Early Hemorrhagic Conditions Three most common in 1st half of pregnancy. 1. Abortion ▪ Spontaneous or induced 2. Ectopic Pregnancy 3. Hydatidiform Mole Spontaneous Abortion Miscarriage ▪ Loss of pregnancy before viability - Spontaneous or induced - 1 st 12 weeks▪ Risks increase with parental age ▪ Etiology of spontaneous abortions - Severe conge...

what is involution? - uterus going back to PRE-PREGNANT STATE at what time does the uterus reach the umbilicus? - within 24 hours at what time should the uterus NOT be felt externally? - 2 weeks what does BUBBLEEE stand for? - Breast Uterus Bladder Bowel Lochia Episiotomy Epidural site Emotional state how many additional calories should breast feeding moms consume? - an additional 300 calories what activity is important during the post-partum period? - early/frequent ambulation ho...

first stage of labor - Latent Phase ( 0 to 3cm) Active Phase ( 4 to 7cm) Transition Phase ( 8 to 10cm NURSING CARE DURING LABORAND BIRTH-Admission - • Establish a therapeutic relationship • Assess mother and fetuso Maternal assessment-VS and focused OB H&P o Labor status o Fetal Assessment we need mom and baby to be stable. fetal station - negative means above the ischial spine and positive means below the spine station is where baby's head is. below head is positive. Above head...

HIPAA - Health Insurance Portability and Accountability Act; protects patient privacy Midwives - Healthcare professionals who provide comprehensive care to pregnant women Cultural Competence - The ability to provide care that is sensitive to and respectful of cultural differences Puberty - The stage of development when a female begins to develop breasts Testes - Male reproductive organs that manufacture sperm Sperm Production - The process by which the body creates sperm; can be decreas...

Maternal Child Nursing Chapter 5- Nursing Care of Women with Complications During Pregnancy

Bleeding during pregnancy -first trimester ---spontaneous abortion (loss) ---ectopic pregnancy Second trimester -gestational trophoblastic disease -Third Trimester (placenta problems) ---placenta previa ---placenta abruptio -vasa previa Other causes of bleeding -recurrent premature dilation of the cervix -painless bleeding -cervical dilation -premature expulsion of the fetus preterm labor: -bloody vaginal discharge -uterine contractions tha cause cervical dilation and effacement...

- What is preconception care? - Preconception care is the promotion of the health and well-being of a woman and her partner before pregnancy. It aims to identify and modify risks to a woman's health or pregnancy outcome through prevention and management interventions. - When should couples schedule visits for preconception counseling? - Couples thinking about having children should ideally schedule visits with a healthcare provider for preconception counseling to ensure they are in the be...

What are the phases of menstrual cycle? - menstruation, follicular phase, ovulation, luteal phase, and ischemic phase. How many hours does an ovum need to be capable of fertilization? - 24 hours. (48 hours the most). Total critical span during sex must occur for fertilization to be successful is - 72 hours or 48 hours before ovulation, plus 24 hours afterward. Eggs are propelled into fallopian tubes (ampulla) by: - fimbriae, peristalsis of tube, and cilia of tube. What is the zona pelluc...