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History of missed periods and spotting, Check for slight abdominal pain Evaluate uterus for size etc., Assess for sudden excruciating pain in lower abdomen indicating ruptured tube (often first indication of tubal pregnancy), Evaluate fainting, signs of shock resulting from hemorrhage into peritoneal cavity (usually little external bleeding), Ultrasound |
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Charecteristics of Preclampsia |
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Maternal vasospasm Decreased perfusion to virtually all organs Decrease in plasma volume Activation of the coagulation cascade Alterations in glomerular capillary endothelium Edema |
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Subcapsular hematoma of the liver |
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goal is not to have rupture membrane more than 24 hours- infection might develop. Try not to use the 24 hour rule on the premature woman because lungs are not developed. Need to assess gestational age and observe sign and symptoms of infection. Once determine need to make a decision Need to assess hydration status, the fetus status and how is it doing w/o the amniotic fluid (look at function of amniotic fluid), childhood preparation (emotional if mom is really Coping), encourage rest on left side, provide comfort measures and education. Denial will first experience (o my child will be fine), reeducate patient |
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Dark red bleed , premature separation of a normally implanted placenta from the uterine wall |
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C- section if complete or incomplete |
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bleed without contractions worse second time |
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Scotomata Blurred vision Epigastric pain Vomiting Persistent or severe headache Neurologic hyperactivity Cyanosis Pulmonary Edema |
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Poor nutrition and iron-deficiency anemia Preeclampsia-eclampsia Breech position Abnormal placental implantation Abruptio placentae Preterm labor |
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Decreased birth weight and head circumference Feeding difficulties Neonatal effects from breast milk: Extreme irritability Vomiting and diarrhea Dilated pupils and apnea |
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Maternal effects: Premature rupture of the membranes (PROM) Meconium staining Higher incidence of STIs and HIV Fetal effects: IUGR Withdrawal symptoms after birth |
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Definition
Decreased birth weight and head circumference Feeding difficulties Neonatal effects from breast milk: Extreme irritability Vomiting and diarrhea Dilated pupils and apnea |
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