Term
|
Definition
Ctx q 10 mins or more often
Change in vaginal discharge
Pelvic Pressure - feels like baby pushing down
Low, dull backache intermittent
Cramps, like period
ABD cramps w/or w/out diarrhea |
|
|
Term
| Diagnosing PTL b/w 20-37 wks |
|
Definition
Contractions fairly consistent
Cervical dilation > 1cm
Cervical change or effacement of 80% or > |
|
|
Term
| (+) Fetal Fibronectin Test |
|
Definition
| A (+) result can indicate PTL may occur soon or could go into labor weeks from now. |
|
|
Term
| Terbutaline(Brethine)Uses |
|
Definition
Bronchodialator
Relaxes Smooth Muscle
Stops or delays PTL |
|
|
Term
| Terbutaline(Brethine)AE's |
|
Definition
Monitor HR, BP, Tachycardia
DO NOT GIVE TO PTS w/ HEART DISEASE |
|
|
Term
| PTL Teaching if Discharged Hm. |
|
Definition
Pelvic rest: No Sex
Adequate Fluids
Keep Bladder Empty-Void q 2-3 hrs
Assess for Ctx regularly;
If Ctx occur: Stop Activity, Lie Down, Hydrate & Monitor
If continue after 1 hr, Call MD
Plan Activities; Conserve Energy (may need off work)
At Risk For - Anxiety/Depression
Maintain Good Periodontal Care |
|
|
Term
Magnesium Sulfate in PTL
(Actions & Uses) |
|
Definition
Relaxes Smooth Muscle
(decreases muscle reflexes)
CNS Depressant
Tx for Eclampsia
Neuro Protective
Max Daily Dose: 30 to 40 g |
|
|
Term
| Magnesium Sulfate in PTL AE's |
|
Definition
Decreased UO (< 30mL/hr)
Cardiovascular: Electrocardiogram abnormal, Heart block, Hypotension, Vasodilatation
Hematologic: Blood coagulation disorder with prolonged bleeding time
Musculoskeletal: Hyporeflexia
Neurologic: Central nervous system depression
Respiratory: Respiratory tract paralysis |
|
|
Term
|
Definition
Slow Onset
Painless External Bleeding (Bright Red)
Decrease in Hgb = Blood Loss
Shock = Blood Loss
Preeclampsia - Absent
Pain w/ Labor
Uterine Tenderness - Absent
Uterine Tone - Soft
Uterine Contour - Normal
FHT - Usually Present
Engagement - Absent
Presentation - May be Abnormal
Maternal Drug Screen - Usually (-)
ABD Trauma - Usually Not Present |
|
|
Term
|
Definition
Immediate Onset
Bleeding - External or Internal
Blood Color - Dark in Color if Present
Drop in Hgb > than Blood Loss
Preeclampsia - May be Present
Pain - Severe & Constant
Uterine Tenderness - Painful to Touch
Uterine Tone - Firm & Hard
Uterine Contour - May change shape w/ Uterine Enlargement
FHT - Present or Absent
Engagement - May be Present
Presentation - NO RELATIONSHIP
Maternal Drug Screen - May be (+)
ABD Trauma - May Have Occurred |
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