NURS 323 Lecture Notes - Lecture 21: Preterm Birth, Oliguria, Pubic Symphysis
9 Feb 2021
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Hyperemesis gravidarum can lead to dehydration, malnutrition and electrolyte imbalances risk factors: history, gestational trophoblastic disease, multiple futures, gi disease, thyroid disease, depression, anxiety, pregnant with girl treatment: zofran, acupuncture, ginger, vitamin b6, iv fluids and nutrition. Miscarriage: 15-20% end in spontaneous abortion, mostly due to chromosomal abnormalities. 140/90 or higher without protein and glucose in the urine or signs of end organ dysfunction diagnosed at 20 weeks gestation or later. 140/90 or higher blood pressure with signs of damage to other organ systems (often liver and kidneys) proteinuria water retention (more concentrated urine) and swelling s/s: severe headache, vision changes, upper abdominal pain, n/v, decreased urine output, Bp greater than 160/110 mmg (severe preeclampsia): antihypertensive medications (e. g. labetalol) Magnesium sulphate may be used to prevent eclampsia in women with severe preeclampsia laboratory tests and urine analysis education on s/s fetal well being assessments: bpp (biophysical profile), ultrasound, nst induction of labour in women with severe preeclampsia.
