MCN 109: NURSING CARE OF THE FAMILY EXPERIENCING A SUDDEN PREGNANCY COMPLICATIONS (MS. MATE) Part 1

MCN 109: NURSING CARE OF THE
FAMILY EXPERIENCING A SUDDEN
PREGNANCY COMPLICATIONS MATE)
exam




● Hypertensive
● Diabetic
● Age (less than 30 & above 35 years old)
● Parity (multiple pregnancies already)
A woman who is pregnant suffer complications because of predisposing factors
wherein, she is:
yea
How about for a normal pregnancy and then it will develop into complication? Is it
possible?
● Thromboembolism
● Hemorrhage
● Infection
● Hypertension of Pregnancy
● Ectopic Pregnancy
LEADING COMPLICATIONS RELATED DIRECTLY TO PREGNANCY
BLEEDING DURING PREGNANCY
A deviation from the normal
BLEEDING DURING PREGNANCY
May occur at any point in pregnancy and is always frightening
potential emergency
Although vaginal bleeding may be innocent, any degree of this during pregnancy
is a ___
- Blood loss
- Decreased intravascular volume
- Decreased venous return, decreased cardiac output, and lowered blood
pressure

, - Body compensating by increasing heart rate to circulate the decreased volume
faster, vasoconstriction of peripheral vessels (to save blood for vital organs).
Increased respiratory rate and a feeling of apprehension at body changes also
occur
- Cold, clammy skin, decreased uterine perfusion. In the face of continued blood
loss, although the body shifts fluid from interstitial spaces into intravascular
spaces, blood pressure will continue to fall
- Reduced renal, uterine, and brain perfusion
- Lethargy, coma, decreased renal output
- Renal failure
- Maternal and fetal death
Process of Shock
hypovolemic shock
Signs of __ occur when 10% of blood volume, or approximately 2 units of blood,
have been lost; fetal distress occurs when 25% of blood volume is lost.
10%
2 units
25%
Signs of hypovolemic shock occur when __ of blood volume, or approximately __
units of blood, have been lost; fetal distress occurs when __ of blood volume is
lost
It is important to know the baseline blood pressure for a pregnant woman when
evaluating for shock.
It is important to know the baseline blood pressure for a pregnant woman when
evaluating for shock.
hypovolemic shock
If the client will have a continuous vaginal bleeding or internal bleeding, it may
lead to
hypovolemic shock
If ___ happens, the compensatory mechanism that happens is that there will be a
decrease in venous return, a decrease in cardiac output, and hypotension.
1. increased heart rate tachycardia
2. Vasoconstriction
3. and tachypnea.
Hypovolemic shock
This will lead to:
● Peripheries (if it's cold)
● Pulse rate
● Respiratory rate
● Blood pressure (if it's continuously decreasing)