Summary
Summary Maternal Newborn study guide
- Course
- NUR 284
- Institution
- Bergen Community College
Maternal Newborn study guide.
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AVOID the following: Yoga poses that require lying on the back for long periods
“Hot” yoga or Pilates which could cause overheating
Contact sports, scuba diving, skydiving, or activities that could result in injury or a fall, such as horseback riding
or downhill snow skiing
Exercise may be contraindicated in certain conditions such as:
women w/significant pulmonary or cardiovascular disease
pregnancy complications: preeclampsia, placenta previa, anemia, morbid obesity, fetal growth restriction,
poorly controlled diabetes
high risk for preterm labor: multifetal gestation, premature rupture of membranes, cerclage.
STOP exercising and call HCP if patient experiences:
Abdominal pain with or without nausea
Calf pain or swelling
Chest pain
Dizziness, syncope
Headache
Muscle weakness affecting balance
New dyspnea before exercising
Regular, painful uterine contractions
Vaginal bleeding or leaking
Fundal height measurements should equal weeks of gestation.
ANTEPARTUM COMPLICATIONS
Preterm labor (PTL) is defined as regular contractions of the uterus resulting in changes in the cervix before 37
weeks of gestation. Events that trigger PTL include:
decidual hemorrhage (abruption)
uterine overdistention or cervical incompetence
o Prostaglandins can be produced, stimulating the uterus to contract when overdistended from
multiple gestation, polyhydramnios, or uterine abnormalities
hormonal changes indicated by fetal or maternal stress
Inflammation and infection in the decidua, fetal membranes, and amniotic fluid
A preterm or premature infant is born before 37 weeks of gestations. Risk factors include:
• Prior PTB (single most important factor, w/reoccurrence rates of up to 40%)
• Multiple gestation (50% of twins delivered preterm, 90% or more higher multiples delivered preterm)
• Uterine/cervical abnormalities, shortened cervical length, history of diethylstilbestrol (DES) exposure
• Fetal anomalies
• History of 2nd trimester loss, incompetent cervix, or cervical insufficiency
• IVF pregnancy
• Hydramnios or oligohydramnios
• Infection, especially genitourinary infections & periodontal disease
• Premature ROM (PROM)
• Short pregnancy interval (less than 9 months)
• Pregnancy-associated problems: hypertension, diabetes, vaginal bleeding
• Chronic health problems: hypertension, diabetes, abnormal lipid metabolism, or clotting disorders
• Inadequate nutrition, low BMI, low pre-pregnancy weight, or poor weight gain
• Age younger than 17 or older than 35
• Late or no prenatal care
• Obesity, high BMI, or excessive weight gain
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