passenger complications
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fetal malposition (occiput posterior back of head is against mothers back is
the most difficult to deliver)
fetal malpresentation: shoulder, breech, face, or any other part other than
the vertex
fetal distress: late or variables
prolapsed cord: cord presents first (c-section required)
, multiple gestation: if all are cephalic or head down, then may deliver
vaginally otherwise c-section
Which medication is administered to reverse the depressant effects of opioids?
meperidine
nalbuphine
butorphanol
naloxone
Give this one a try later!
naloxone
A 14-year-old client and her parents have presented at the obstetrician's office in the
second trimester; the teen had been hiding the pregnancy. The nurse is helping them
develop a plan of care. What is the best thing the nurse can say to the clearly angry
parents?
“Your daughter needs to make decisions about this pregnancy for herself.”
“Anger won't help this situation at all. You'll only push your daughter away, and she'll
be less likely to make good choices.”
“I understand your anger, but if you had encouraged your daughter to use condoms
she would probably not be in this situation.”
“I know you must be very upset and angry about your daughter's pregnancy, but
because she's still an adolescent herself, she'll need your guidance in making
nutritional and health choices that will be good for the baby and for herself.”
Give this one a try later!
, "I know you must be very upset and angry about your daughter's
pregnancy, but because she's still an adolescent herself, she'll need your
guidance in making nutritional and health choices that will be good for the
baby and for herself."
Abruption placentae (placental abruption)
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Premature separation of the placenta before delivery
if placenta breaks away blood flow to the fetus is deminished
hidden hemmorhage happens when the bleeding is caught between the
placenta and the uterus
vaginal bleeding occurs when there blood flows freely from the detatched
placenta
symptoms: Sudden or severe abdominal pain, light-severe vaginal
bleeding, sore or painful uterus, hard or rigid uterus, contractions, shock
symptoms including nausea/vomiting, restlessness, weak, disoriented, fast
shallow breathing, abnormal fetal heart rate
complications: hemorrhagic shock, coagulopathy/disseminated
intravascular coagulation (DIC), uterine rupture, renal failure
can cause in fetus: hypoxia, anemia, growth retardation, CNS anomalies,
fetal death
Treatment: continuous maternal and fetal heart monitoring, high flow
oxygen, IV NS or LR, treatment for hemorrhagic shock if needed, possible
blood transfusion, immediate delivery of fetus by c-section if mother or
fetus becomes unstable, treatment of DIC
false pelvis
Give this one a try later!
Give this one a try later!
fetal malposition (occiput posterior back of head is against mothers back is
the most difficult to deliver)
fetal malpresentation: shoulder, breech, face, or any other part other than
the vertex
fetal distress: late or variables
prolapsed cord: cord presents first (c-section required)
, multiple gestation: if all are cephalic or head down, then may deliver
vaginally otherwise c-section
Which medication is administered to reverse the depressant effects of opioids?
meperidine
nalbuphine
butorphanol
naloxone
Give this one a try later!
naloxone
A 14-year-old client and her parents have presented at the obstetrician's office in the
second trimester; the teen had been hiding the pregnancy. The nurse is helping them
develop a plan of care. What is the best thing the nurse can say to the clearly angry
parents?
“Your daughter needs to make decisions about this pregnancy for herself.”
“Anger won't help this situation at all. You'll only push your daughter away, and she'll
be less likely to make good choices.”
“I understand your anger, but if you had encouraged your daughter to use condoms
she would probably not be in this situation.”
“I know you must be very upset and angry about your daughter's pregnancy, but
because she's still an adolescent herself, she'll need your guidance in making
nutritional and health choices that will be good for the baby and for herself.”
Give this one a try later!
, "I know you must be very upset and angry about your daughter's
pregnancy, but because she's still an adolescent herself, she'll need your
guidance in making nutritional and health choices that will be good for the
baby and for herself."
Abruption placentae (placental abruption)
Give this one a try later!
Premature separation of the placenta before delivery
if placenta breaks away blood flow to the fetus is deminished
hidden hemmorhage happens when the bleeding is caught between the
placenta and the uterus
vaginal bleeding occurs when there blood flows freely from the detatched
placenta
symptoms: Sudden or severe abdominal pain, light-severe vaginal
bleeding, sore or painful uterus, hard or rigid uterus, contractions, shock
symptoms including nausea/vomiting, restlessness, weak, disoriented, fast
shallow breathing, abnormal fetal heart rate
complications: hemorrhagic shock, coagulopathy/disseminated
intravascular coagulation (DIC), uterine rupture, renal failure
can cause in fetus: hypoxia, anemia, growth retardation, CNS anomalies,
fetal death
Treatment: continuous maternal and fetal heart monitoring, high flow
oxygen, IV NS or LR, treatment for hemorrhagic shock if needed, possible
blood transfusion, immediate delivery of fetus by c-section if mother or
fetus becomes unstable, treatment of DIC
false pelvis
Give this one a try later!
