High Risk Pregnancy

High Risk Pregnancy
Presentation By:Susan Sienkiewicz

Adolescent Pregnancy: Contributing Factors
Implications of Adolescent Pregnancy
Socioeconomic:
* reliance on welfare
* cycle repeats itself

Maternal health:
* CPD
* PIH
* anemia
* nut deficits
* mortality

Fetal Health:
* LBW
* prematurity
* resp complications
* cp
* cognitive deficits
* death

Adolescent Pregnancy: Assessment
* Risks
* fundal height
* # of sexual partners
* knowledge of infant care/needs
* family unit/support system
* baseline VS/weight

IMPLICATIONS OF DELAYED PREGNANCY
* Pre-existing conditions
* Preterm labor SGA/LBW
* IUGR
* PIH Abruption
* C-section
* Uterine fibroids PP hemorrhage
* Chromosomal abnormalities


DELAYED PREGNANCY: ASSESSMENT
* Pre-existing conditions
* Fundal height
* Anxiety
* Psychosocial issues

TYPES OF SPONTANEOUS ABORTIONS
Spontaneous Abortion Management
Threatened
Inevitable
Incomplete
Missed
Post Abortion Education
SITES OF ECTOPIC PREGNANCY
S & S Ectopic Pregnancy
Surgical Management of Ectopic Pregnancy
Med Mgmt of Ectopic PG
MTX
S & S Hydatiform Mole
Therap. Mgmt: vacuum aspiration & curettage
Spontaneous Abortion Matching – Choose all that apply.
Medical Mgmt of Placenta Previa
Mom stable,fetus immature
Fetus > 36 wks
S&S Abruptio Placentae
Med Mgmt of Placental Abruption
Placental Bleeding
Thromboplastin release
Clot formation (systemic response)
clotting factors (fibrinogen, plts, PTT, FDP)
inability to form clots
profuse bleeding
Hemorrhagic Conditions: Abruption & DIC
ASSESSMENT
The Pathological Processes of Pre-eclampsia
S&S Pre-eclampsia
Treatment of Pre-eclampsia
Mild: diastolic
Severe: diastolic
S&S Eclampsia/HELLP Syndrome
* Eclampsia
* HELLP Syndrome
Treatment of Eclampsia/HELLP Syndrome
* Bedrest
* Meds
* Delivery
Assessment: Hypertensive Disorders of Pregnancy
Risk Control Strategies for Hypertensive Disorders of Pregnancy
Incompetent Cervix
Treatment
Premature Labor/Rupture of Membranes
Nursing Care for PTL/PROM
Postterm Pregnancy
Disorders of Amniotic Fluid
Risks of Multifetal Gestation
(Fetal) S&S Rh Incompatibility
Sequence of Assessments for Rh Sensitization
Blood Test for Type & Rh Factor
Management of Rh Incompatibility
Prenatal
Hyperemesis Gravidarum
Glucose Tolerance Test
Gestational Diabetes is diagnosed with FBS > 105 or with 2 of the following BS results:
Effects of Pre-Existing DM
* Maternal
* Fetal
Treatment of Pre-existing DM
Effects of Gestational Diabetes
Diabetes: Patient Education
PPCM: Manifestations
PPCM: Energy Management
PPCM: Cardiac Care
PPCM: Patient Education
Sickle Cell Disease
Systemic Lupus Erythematosis
AIDS
Treatment:
CASE STUDY

High Risk Pregnancy.ppt