NSG124: CARE OF MOTHER AND CHILD AT RISK OR WITH PROBLEM (MCN ABNORMAL)
HIGH-RISK PRENATAL CLIENT: Gestational Conditions
2nd SEMESTER | S.Y. 2021-2022 TRANSCRIBED BY: ABDUL AZIS G. CAMID
INSTRUCTOR: PROF. AZNIDA A. ALAUYA-DICA
HYPEREMESIS GRAVIDARUM - Any gestation located outside of the uterine cavity.
- severe and excessive nausea and vomiting during - MOST FREQUENT SITE: middle portion of fallopian
pregnancy which lead to electrolyte, metabolic and tube (tubal pregnancy)
nutritional imbalances in the absence of medical - OTHER SITES: abdomen, ovaries, or cervix
problems. - Mostly detected during the first trimester of
- Etiology: pregnancy
o High levels of hCG (human chorionic - Etiology:
gonadotropin) in early pregnancy
o Metabolic or nutritional deficiencies
o Ambivalence toward pregnancy or family-
related stress
o Thyroid dysfunction
- Assessment:
o Signs & symptoms occur during first 16
weeks of pregnancy
o Clinical manifestations: o Results from conditions that hinder ovum
Unremitting nausea & vomiting passage through the fallopian tube and into
Vomitus initially containing the uterine cavity such as
undigested food, bile, and Salpingitis (inflammation of
mucus; later containing blood fallopian tubes)
and material that resembles Diverticula
coffee grounds Tumors
o Other signs & symptoms: Adhesions from previous
Pale, dry skin surgery
Rapid pulse Transmigration of the ovum from
Fetid, fruity breath odor (acetone one ovary to the opposite
breath) fallopian tube
CNS effects: Congenital anomalies
Confusion History of PID
Delirium Endometriosis
Headache - Assessment:
Lethargy
Stupor or coma
- Nursing Interventions:
o NPO until cessation of vomiting. (Rest
stomach)
o IV and electrolyte replacement as
prescribed. May be given on an ambulatory
basis if dehydration is mild.
o Measure and record I&O
o Gradually re-introduce intake, monitor intake
and amount tolerated.
o Encourage small frequent feedings. Provide o Signs & symptoms
bland solid foods. Vaginal bleeding
o Avoid greasy, gassy and spicy foods. Pain in your lower abdomen,
o Keep emesis pan handy but out of sight. pelvis or lower back
Dizziness or weakness
o Provide mouth care.
, NSG124: CARE OF MOTHER AND CHILD AT RISK OR WITH PROBLEM (MCN ABNORMAL)
HIGH-RISK PRENATAL CLIENT: Gestational Conditions
2nd SEMESTER | S.Y. 2021-2022 TRANSCRIBED BY: ABDUL AZIS G. CAMID
INSTRUCTOR: PROF. AZNIDA A. ALAUYA-DICA
Previous ectopic o Administer blood transfusion if ordered for
pregnancy excessive blood loss
History of multiple o Administer analgesics as ordered for pain
induced abortions o Provide emotional support
Spotting or bleeding o Administer RhoGAM to Rh negative client
Use of IUD
Tubal surgery
o Common clinical manifestations
May or may have no symptoms
of pregnancy
Dizziness and syncope
(faintness) HYDATIDIFORM MOLE
Sharp abdominal pain and
referred shoulder pain
Vaginal bleeding (scanty and
dark in color)
Pelvic exam reveals adnexal
mass/pelvic mass, posterior to
the uterus and cervical pain on
movement
o Complications
Hemorrhage
Shock - also called gestational trophoblastic disease
Peritonitis - an alteration of early embryonic growth
o Diagnostic Evaluation - an abnormal pregnancy in which there is a benign
growth of the chorion
CULDOCENTESIS
- spontaneous eruption occurs between 16th and 18th
aspiration of fluid from the
week
cul-de-sac of Douglas
- Types of H-Mole
(+) presence of bloody
o COMPLETE MOLE
fluid indicates peritoneal
bleeding 1 empty egg cell fertilized by 1 or 2
CULDOSCOPY sperms
visualization of the pelvic chromosomes are either 46XX or
organs thru the punctured 46XY but are contributed by only
posterior fornix one parent and the chromosome
ULTRASOUND material duplicated.
Confirm extrauterine this type usually leads to
pregnancy choriocarcinoma
Radioimmunoassay of elevated o PARTIAL MOLE
serum quantitative Beta-hCG 1 egg fertilized by 2 sperms
Blood samples for Hgb and Hct; 3 chromosome x 23 pairs
blood type and group chromosome = 69 chromosomes
- Therapeutic Interventions there are 3 chromosomes for
o Diagnosis confirmed by: every pair instead of 2
ultrasound examination this type rarely leads to
laparoscopy choriocarcinoma
culdocentesis - Etiology
HIGH-RISK PRENATAL CLIENT: Gestational Conditions
2nd SEMESTER | S.Y. 2021-2022 TRANSCRIBED BY: ABDUL AZIS G. CAMID
INSTRUCTOR: PROF. AZNIDA A. ALAUYA-DICA
HYPEREMESIS GRAVIDARUM - Any gestation located outside of the uterine cavity.
- severe and excessive nausea and vomiting during - MOST FREQUENT SITE: middle portion of fallopian
pregnancy which lead to electrolyte, metabolic and tube (tubal pregnancy)
nutritional imbalances in the absence of medical - OTHER SITES: abdomen, ovaries, or cervix
problems. - Mostly detected during the first trimester of
- Etiology: pregnancy
o High levels of hCG (human chorionic - Etiology:
gonadotropin) in early pregnancy
o Metabolic or nutritional deficiencies
o Ambivalence toward pregnancy or family-
related stress
o Thyroid dysfunction
- Assessment:
o Signs & symptoms occur during first 16
weeks of pregnancy
o Clinical manifestations: o Results from conditions that hinder ovum
Unremitting nausea & vomiting passage through the fallopian tube and into
Vomitus initially containing the uterine cavity such as
undigested food, bile, and Salpingitis (inflammation of
mucus; later containing blood fallopian tubes)
and material that resembles Diverticula
coffee grounds Tumors
o Other signs & symptoms: Adhesions from previous
Pale, dry skin surgery
Rapid pulse Transmigration of the ovum from
Fetid, fruity breath odor (acetone one ovary to the opposite
breath) fallopian tube
CNS effects: Congenital anomalies
Confusion History of PID
Delirium Endometriosis
Headache - Assessment:
Lethargy
Stupor or coma
- Nursing Interventions:
o NPO until cessation of vomiting. (Rest
stomach)
o IV and electrolyte replacement as
prescribed. May be given on an ambulatory
basis if dehydration is mild.
o Measure and record I&O
o Gradually re-introduce intake, monitor intake
and amount tolerated.
o Encourage small frequent feedings. Provide o Signs & symptoms
bland solid foods. Vaginal bleeding
o Avoid greasy, gassy and spicy foods. Pain in your lower abdomen,
o Keep emesis pan handy but out of sight. pelvis or lower back
Dizziness or weakness
o Provide mouth care.
, NSG124: CARE OF MOTHER AND CHILD AT RISK OR WITH PROBLEM (MCN ABNORMAL)
HIGH-RISK PRENATAL CLIENT: Gestational Conditions
2nd SEMESTER | S.Y. 2021-2022 TRANSCRIBED BY: ABDUL AZIS G. CAMID
INSTRUCTOR: PROF. AZNIDA A. ALAUYA-DICA
Previous ectopic o Administer blood transfusion if ordered for
pregnancy excessive blood loss
History of multiple o Administer analgesics as ordered for pain
induced abortions o Provide emotional support
Spotting or bleeding o Administer RhoGAM to Rh negative client
Use of IUD
Tubal surgery
o Common clinical manifestations
May or may have no symptoms
of pregnancy
Dizziness and syncope
(faintness) HYDATIDIFORM MOLE
Sharp abdominal pain and
referred shoulder pain
Vaginal bleeding (scanty and
dark in color)
Pelvic exam reveals adnexal
mass/pelvic mass, posterior to
the uterus and cervical pain on
movement
o Complications
Hemorrhage
Shock - also called gestational trophoblastic disease
Peritonitis - an alteration of early embryonic growth
o Diagnostic Evaluation - an abnormal pregnancy in which there is a benign
growth of the chorion
CULDOCENTESIS
- spontaneous eruption occurs between 16th and 18th
aspiration of fluid from the
week
cul-de-sac of Douglas
- Types of H-Mole
(+) presence of bloody
o COMPLETE MOLE
fluid indicates peritoneal
bleeding 1 empty egg cell fertilized by 1 or 2
CULDOSCOPY sperms
visualization of the pelvic chromosomes are either 46XX or
organs thru the punctured 46XY but are contributed by only
posterior fornix one parent and the chromosome
ULTRASOUND material duplicated.
Confirm extrauterine this type usually leads to
pregnancy choriocarcinoma
Radioimmunoassay of elevated o PARTIAL MOLE
serum quantitative Beta-hCG 1 egg fertilized by 2 sperms
Blood samples for Hgb and Hct; 3 chromosome x 23 pairs
blood type and group chromosome = 69 chromosomes
- Therapeutic Interventions there are 3 chromosomes for
o Diagnosis confirmed by: every pair instead of 2
ultrasound examination this type rarely leads to
laparoscopy choriocarcinoma
culdocentesis - Etiology
