NURS 461 Lecture Notes - Lecture 12: Cervical Canal, Fetus, Chorionic Villus Sampling
Document Summary
Conditions which develop with the onset of pregnancy. Not an expectation at any time during pregnancy! If keep bleeding, without tx will go into shock (clammy skin, pallor, perspiration, dyspnea, restlessness). Spotting- intermittent small amt. darker in color. Bleeding- bright red: vs of mom and baby. Doppler fht if 12+ weeks: no vaginal exam if bleeding, call md, npo diet, iv access, type and cross, bedrest, if pitocin, stop. First trimester bleeding: abortion/miscarriage: termination of pregnancy before age of viability (20 weeks), it is classified as an abortion if the fetus weighs < 600 grams or measures < 16. 5 cm. Increased risk- chronic disease, ama, infection, endocrine imbalances: if> 600 grams and > 16. 5 cm, classified as stillborn. Increased risk if frequent hot tub usage: abortion types: Major reason is defect in fetus or the support structure (placenta). Incomplete abortion: part of the products have been expelled, but some have been contained, usually placenta.
