NUR 323 Lecture Notes - Lecture 8: Substance Abuse, Pyelonephritis, Hydralazine
Document Summary
Perinatal loss: death of fetus or newborn or birth of less than perfect child. Listen: offer support group information, call fetus by name. Fertilized egg implants outside uterus (99% fallopian tube) Always evaluate for ectopic pregnancy if patient presents with missed period, vaginal bleeding or abdominal pain/tenderness: active bleeding is associated with rupture (emergency! ); other symptoms include hypotension, tachycardia, vertigo and shoulder pain. Risk factors: hx of sti, ectopic pregnancy, or gyn/abd surgery; endometriosis; in vitro fertilization; iud. Diagnosis: hx, pe, labs ( -hcg, wbc), transvaginal u/s. Abnormal placental development that results in production of fluid-filled grapes (instead of normal placental tissue) I(cid:374)(cid:272)ludes h(cid:455)datidifor(cid:373) (cid:373)ole (cid:894)(cid:862)(cid:373)olar preg(cid:374)a(cid:374)(cid:272)(cid:455)(cid:863)(cid:895), locally invasive mole, metastatic mole, and choriocarcinoma. Risk factors: increased maternal age; prior molar pregnancy. S&s: vaginal bleeding, excessive nausea/vomiting, abdominal pain, size/date discrepancy, high levels hcg. Spontaneous abortion (=miscarriage) preg(cid:374)a(cid:374)(cid:272)(cid:455) that e(cid:374)ds (cid:271)efore (cid:1006)(cid:1004) (cid:449)eeks" gestatio(cid:374)
