NURS 3610 Lecture Notes - Lecture 17: Cerebral Palsy, Transplacental, Heart Failure
Document Summary
Trauma from an accident: trauma is the leading cause of non-ob maternal death during pregnancy, mother: Most common cause is head trauma, abdominal injury is 2nd: primary maternal assessment. Neurological: obtain history (rapid and brief, secondary maternal assessment (brief, but thorough) Head-to-toe assessment to determine injuries: fetus: Most common cause of fetal death is maternal death; abruptio placentae is 2nd. Continuous monitoring for at least 2-4 hrs after the trauma. Look at placenta, uterus, amniotic fluid vol (using ultrasound) Mother may have to receive rhogam: fetal assessment. Trauma in pregnancy involves two patients-mother and fetus. Fetus will show signs of distress before the mother (seen through fetal monitor: cpr in pregnant woman. Slightly higher on the sternum to adjust for the gravid shift. Manual right uterine displacement in the supine position first. Vaccines in pregnancy: no live virus = no smallpox, no rubella, recommended:
