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Summary Nursing Care for Women with Complications during pregnancy fully solved graded A+ 2023/2024 $12.99
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Summary Nursing Care for Women with Complications during pregnancy fully solved graded A+ 2023/2024

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Nursing Care for Women with Complications during pregnancy fully solved graded A+ 2023/2024

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  • April 16, 2024
  • 44
  • 2023/2024
  • Summary
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By: Fordenken • 5 months ago

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Complications During Pregnancy


Early Pregnancy Complications




Now you can......

name 3 signs and symptoms associated with spontaneous abortion, ectopic pregnancy,

and gestational trophoblastic disease? - Perinatal loss

Ectopic pregnancy

Gestational trophoblastic disease

Gestational trophoblastic disease (GTD) is a term used for a group of pregnancy-

related tumours. These tumours are rare, and they appear when cells in the womb start

to proliferate uncontrollably. The cells that form gestational trophoblastic tumours are

called trophoblasts and come from tissue that grows to form the placenta during

pregnancy.

S/S : vaginal bleeding, excessive N/V, abdomianl pain, size/date discrpancy

Management: remove uterin contents




Spontaneous abortion

,Now you can......

name 3 signs and symptoms associate with spontanous abortion, epctopci pregnancy,

and gestational trophoblastic disease? - Before 20 weeks gestation

S/S: bleeding, cramping, abdomial pain, decreased symptoms of pregngncy

Management: D&C




Cervical Insufficiency/Incompetence - Painless dilation and cercical effacement

2nd trimester

Management:

Transvaginal ultrasound cervical lenth assessment

Cerclage (sewing shut)

Bedrest




Ectopic Pregnancy - In fallopian tube

On fallopian tube

On ovary

On cervix

On the abdomial wall

,On the bowel




Factors implicated in ectopic pregnancy - Tubal pathology-problem inside the tube

Previous tubal surgery-endometriosis? Ashermans?

abortion? ALL because of scar tissue

Infertility

Genital or pelvic inflammatory disease

Use of some reproductive technologies

Previous miscarriage

Previous induced abortion

Use of an intrauterine contraceptive device

Previous ectopic pregnancy

Sterilisation

Smoking

Douching

Exposure to diethylstilboestrol : terrible drug that has since

been withdrawn




Diagnostic procedures for suspected ectopic pregnancy - Urine pregnancy test

, Beta-human chorionic gonadotrophin concentrations:

(hCG) is a hormone produced by the embryo after

implantation

Transvaginal ultrasound

Serum progesterone concentrations:

Serum progesterone is a test to measure the amount

of progesterone in the blood. Progesterone is a

hormone produced mainly in the ovaries.

Progesterone plays a key role in pregnancy. It helps

make a woman's uterus ready for a fertilized egg to

be implanted

Dilatation and curettage

Dilation (or dilatation) and curettage (D&C) refers to

the dilation (widening/opening) of the cervix and

surgical removal of part of the lining of the uterus

and/or contents of the uterus by scraping and

scooping (curettage). It is a therapeutic

gynecological procedure as well as the most often

used method of first trimester abortion

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