February 24, 2021

Nursing Tip of the Day! - Maternal Neonatal Nursing

Category: Maternal Neonatal Nursing 
Seizures and coma are the hallmarks of eclampsia, the ultimate consequence of preeclampsia. As in all seizure patients, hypoglycemia, drug overdose and other causes of seizures should be excluded with appropriate tests.

February 23, 2021

Nursing Tip of the Day! - Maternal Neonatal Nursing

Category: Maternal Neonatal Nursing 
The patient who has severe preeclampsia should have an IV line and fetal monitoring initiated. Blood testing should include complete blood cell count, renal function studies, liver function tests, platelet count and coagulation profile.

February 22, 2021

Nursing Tip of the Day! - Maternal Neonatal Nursing

Category: Maternal Neonatal Nursing 
The most dangerous complication is of preeclampsia is eclampsia - which is the occurrence of seizures or coma in the setting of preeclampsia. Warning signs for the development of eclampsia include headache, vomiting and visual disturbances.

February 21, 2021

Nursing Tip of the Day! - Maternal Neonatal Nursing

Category: Maternal Neonatal Nursing 
The HELLP syndrome, a particularly severe form of preeclampsia, is characterized by hemolysis, elevated liver enzyme levels (alanine transaminase [ALT] and aspartate transaminase [AST]) and low platelet count.

February 20, 2021

Nursing Tip of the Day! - Maternal Neonatal Nursing

Category: Maternal Neonatal Nursing 
Gestational hypertension or preeclampsia is a vasospastic disease of unknown cause unique to pregnant women. Vasospasm, ischemia and thrombosis are associated with preeclampsia and can cause injury.

February 19, 2021

Nursing Tip of the Day! - Maternal Neonatal Nursing

Category: Maternal Neonatal Nursing 
Patients who have significant abruptio placentae may require early delivery - vaginal or surgical, depending on fetal status. If placenta previa is diagnosed or if abruptio placentae is considered mild, the patient is admitted for close monitoring.

February 18, 2021

Nursing Tip of the Day! - Maternal Neonatal Nursing

Category: Maternal Neonatal Nursing 
Fetomaternal hemorrhage can occur with abruption. If the Rh-negative patient has not yet received her routine Rh immune globulin prophylaxis at 28 weeks, 300 µg of Rh immune globulin should be administered within 72 hours.

February 17, 2021

Nursing Tip of the Day! - Maternal Neonatal Nursing

Category: Maternal Neonatal Nursing 
Blood loss requiring transfusion can occur in patients with placenta previa or abruptio placentae. Fresh-frozen plasma or fresh whole blood may be needed because of the coagulopathy associated with significant abruptio placentae.

February 16, 2021

Nursing Tip of the Day! - Maternal Neonatal Nursing

Category: Maternal Neonatal Nursing 
Ultrasonography is the diagnostic procedure of choice for localization of the placenta and diagnosis of placenta previa. Accuracy is excellent, but visualization of the placenta and of the internal cervical os is required.

February 15, 2021

Nursing Tip of the Day! - Maternal Neonatal Nursing

Category: Maternal Neonatal Nursing 
Most cases of placenta previa identified during the midtrimester resolve by the time of delivery as the lower uterine segment elongates and the placenta no longer overlaps the cervical os.

February 14, 2021

Nursing Tip of the Day! - Maternal Neonatal Nursing

Category: Maternal Neonatal Nursing 
All patients with painless, second-trimester vaginal bleeding should be assumed to have placenta previa until proven otherwise. Digital or instrumental probing of the cervix should be avoided until the diagnosis is excluded via ultrasound.

February 13, 2021

Nursing Tip of the Day! - Maternal Neonatal Nursing

Category: Maternal Neonatal Nursing 
Painless, fresh vaginal bleeding is the most common symptom of placenta previa. In 20% of cases, some degree of uterine irritability is present, but this is generally minor. Vaginal examination usually reveals bright red blood from the cervical os.

February 12, 2021

Nursing Tip of the Day! - Maternal Neonatal Nursing

Category: Maternal Neonatal Nursing 
Placenta previa, or implantation of the placenta over the cervical os, is the other major cause of bleeding during pregnancy. The risk of placenta previa is increased with smoking, cesarean section, prior miscarriage and preterm labor.

February 11, 2021

Nursing Tip of the Day! - Maternal Neonatal Nursing

Category: Maternal Neonatal Nursing 
Fetal distress and death occur with abruptio placentae by interruption of placental blood and oxygen flow. Risk of fetal death increases in proportion to the percentage of the placental surface involved and rapidity of separation.

February 10, 2021

Nursing Tip of the Day! - Maternal Neonatal Nursing

Category: Maternal Neonatal Nursing 
Abruptio placentae is most clearly associated with maternal hypertension and preeclampsia. It is also more common with parity of three or more, unexplained infertility, history of smoking, thrombophilia, prior miscarriage and cocaine use.