ATI Placenta Previa

ATI Placenta Previa Leave the first rating Students also studied Terms in this set (14) Science MedicineObstetrics Save ATI Chapter 7 - Abruptio Placenta

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melindabannPreview Previa/Abruption Practice Question...20 terms LeMoyneFreeman Preview RN online resource - placenta previ...10 terms StudyStudyStudyMan Preview Abrupt 10 terms kiw Practice questions for this set Learn1 / 7Study using Learn if early delivery is anticipated (c/s), what medication will promote fetal lung maturity?Causes of bleeding in the 3rd trimester of pregnancy placenta previa abruptio placentae placenta previawhen the placenta abnormally implants in the lower segment of the uterus near or over the cervical opening (cervical os) Choose an answer 1isotretinoin (accutane)2betamethasone (corticosteroid) 3minoxidil (rogaine)4vitamin d Don't know?

why does placenta previa result in bleeding during the third trimester of pregnancy?because the cervix is beginning to dilate and efface complete/total placenta previacervical os is completely covered by the placental attachment incomplete/partial placenta previacervical os is only partially covered by the placental attachment marginal placenta previaedge of the placenta meets the rim of cervical os Risk Factors for placenta previaprevious placenta previa uterine scarring (prior c/s, curettage, endometritis) maternal age greater than 35 years multifetal gestation (twins, trips) multiple gestations (multiple pregnancies) smoking Expected Findings of Placenta Previa-painless, bright red vaginal bleeding during the 2nd/3rd trimester -soft, relaxed uterus with normal tone -fundal height greater than expected for gestational age -fetus in a breech, oblique, or transverse lie -a reassuring FHR (FHR is within normal limits, baby is healthy and not in distress) -V/S within normal limits -decreasing UO lab tests for Placenta Previah/h for blood loss estimate CBC blood type & rh coag profile kleihauer-betke test (used to detect fetal blood in maternal circulation) diagnostic procedures for Placenta Previatransabdominal or transvaginal ultrasound for placement of the placenta fetal monitoring for fetal well-being assessment Nursing Care for Placenta Previa-assess for bleeding, leaking, or ctx -assess fundal height -avoid vaginal exams -admin IV fluids, blood prods, and meds as prx -have o2 available in case of fetal distress if early delivery is anticipated (c/s), what medication will promote fetal lung maturity?betamethasone (corticosteroid) Client Education for Placenta Previa-adhere to bed rest -do not insert anything into the vagina s/s of placenta previapainless, bright red vaginal bleeding