MATERNAL NEWBORN ATI REMEDIATION

•Assessment of Fetal Well-Being: Interdisciplinary Care Conference: oBiophysical Profile: BPP assesses fetal well-being by measuring the following five variables with a score of 2 for each normal finding, and 0 for each abnormal finding for each variable. oNonstress Test: NST most widely used technique for antepartum evaluation of fetal well- being performed during the third trimester. It is a noninvasive procedure that monitors response of the FHR to fetal movement. •Preeclampsia: is a pregnancy-specific condition in which hypertension and proteinuria (protein in urine at or greater than 40 mg/dl concentration) develop after 20 weeks of gestation in a previously normotensive woman. It is a vasospastic, systemic disorder and is usually categorized as mild or sever for purposes of management. Usually with primiparous women or women having twins or more. Encourage use of antihypertensives (but can cause birth defects, and seizures). •What are the two conditions that need to present in preeclampsia? HTN and proteinuria. •HELLP: diagnosed when platelets drop below 100K (because bleeding risk). Considered severe pre-eclampsia that involves hepatic destruction •What are other symptoms we look for in preeclampsia? Sudden swelling of hands, face and feet, vomiting, increased deep tendon reflexes, proteinuria, decreased urine output (less than 30mL), HTN (over 140/90), Clonus, lates due to decreased placental perfusion. •What is our role in caring for patients hospitalized with severe preeclampsia? Through evaluation of maternal fetal status. Maternal assessments include monitoring of BP, urine output, cerebral status, and the presence of epigastric pain, abdominal tenderness, signs of labor, or placental abruption. Labs: platelet count, liver enzymes and serum creatinine.