NURS 3334 Lecture Notes - Lecture 23: Placental Abruption, Molar Pregnancy, Placenta Praevia

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Objectives: hyperemesis gravidarum, hemorrhagic conditions, abortions, types/categories, ectopic pregnancy, hydatidiform mole (molar pregnancy, types/classifications, placenta previa, types/classifications, abruptio placenta (abruption, types/classifications, placenta and umbilical cord variations, types/classifications, hypertensive disorders, types/classifications, cervical insufficiency. In extreme cases: hospitalization, npo, iv therapy, feeding tube or tpn, monitor maternal and fetal well-being, progress diet slowly, decrease stress. Hemorrhagic conditions: abortion, def: pregnancy loss before 20 wks. gestation (less than 500 grams) Induced: spontaneous: (cid:498)miscarriage(cid:499) pregnancy termination without action by woman or (cid:498)elective(cid:499) at woman"s request (cid:498)therapeutic(cid:499) for woman"s or fetus health or disease (cid:498)early(cid:499) miscarriage before (cid:883)(cid:884) wks. gest. / (cid:891)(cid:882)% before (cid:890) wks. gest: 15-20% of recognized pregnancies another, common causes: Stim. of ctx: oxytocin or prostaglandin used if >14 wks, complete spontaneous abortion, all products of conception passed without intervention, mild cramping, cervix closes, uterus contracts, bleeding minimal, confirmed with negative pregnancy blood tests, ultrasound.

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