Chapter 21- Nursing Care of a Family Experiencing a Sudden Pregnancy Complication 2023/2024

Chapter 21- Nursing Care of a Family Experiencing a Sudden Pregnancy Complication Leading Complications of Pregnancy - correct answer -All of these have potential to threaten the life of the mother and the fetus. -Postpartum Hemorrhage -Thromboembolism -Infection- c-section incision or retained placenta -Hypertension of pregnancy -Ectopic pregnancy Common Causes of Bleeding According to Trimester - correct answer First Trimester ·Spontaneous miscarriage ·Threatened ·Imminent ·Complete ·Missed ·Incomplete ·Ectopic pregnancy- immediate surgery oFetus dies, but is retained within the uterus: Missed abortion - must get DNC o In first trimester any bleeding with vaginal material such as "berry-like" blood clots needs to be evaluated o Possible sites can be cervix, intestines, ovary, fallopian tubes ·Abdominal pregnancy Second Trimester ·Gestational trophoblastic disease (hydatidiform mole) ·Premature cervical dilatation oTreatment is cervical cerclage: Temp sewing the cervix closed to decrease chance of premature birth. oRemoved around 37 weeks. oSometimes remains in place until birth ·Disseminated intravascular coagulation (DIC) Third Trimester ·Placenta previa- Low Placental Implantation ·Complete placenta previa: Always needs a delivery via C- section ·Abruption placentae- oSharp fundal pain and discomfort between contractions §Cocaine use causes Abruption Placentae §emergency c-section ·Preterm labor Preterm Labor - correct answer -Definition: labor that occurs before end of week 37 of gestation, occurs in approximately 9% to 11% of pregnancies, and accounts for up to 75% of neonatal deaths -Precursors: dehydration, urinary tract infection, periodontal disease, chorioamnionitis, being an adolescent and/or an African American, and lack of prenatal care