Placenta Previa and Placenta abruption Leave the first rating Students also studied Terms in this set (13) Science MedicineObstetrics Save Abruptio Placentae vs Placenta Pre...10 terms kiwe0410Preview Previa/Abruption Practice Question...20 terms LeMoyneFreeman Preview
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High risk for:
DIC Hypovolemic shock Renal Failure Infection Choose an answer 1Maternal risks of placental abruption?2What is Placenta Previa?3 WHat increases chances of placenta abruptio?4Special considerations for placenta previa Don't know?
What is Placenta Previa?Placenta implanted in lower uterine segment OR Over internal cervical os
MOTHER AT RISK FOR HEMORRHAGE
When is Placenta Previa dx?2nd or 3rd semester trimester Main S/S of placenta previa?PAINLESS UTERINE BLEEDING How is placenta previa diagnosed?NO vaginal examination (wil increase chance of separation of increase bleeding) ABD ultrasound to confirm. This to assess placenta and BPP for fetal health Special considerations for placenta previaIf preterm and bleeding mildly - may be on activity restriction Ultrasounds to asses Will need delivery by c-section Always have blood typed/crossed and available What is placenta abruptioDetachment of all or part of placenta before birth.WHat increases chances of placenta abruptio? Trauma (Battery, MVA), Cocaine use, genetics What are S/S of placental abruption?PAINFUL VAGINAL BLEEDING (PORT WINE colored)
HARD BOARD LIKE ABD
Internal bleeding (at risks for hypovolemic shock)
Maternal risks of placental abruption?High risk for:
DIC Hypovolemic shock Renal Failure Infection Fetal risks of placental abruption?Hypoxia Preterm Birth IUGR Collaborative care for Placental abruption?hospital tx depends on amount of bleeding and fetal maturity If abruption is minimal and FHR reassuring, vaginal delivery most desirable If FHR no Bueno, C-section needed.Nursing Interventions for Placental abruption?16ga IV, blood ready, VS, Foley for output, H&H and blotting labs Main differences between Placenta Previa VS abruption? Placenta Previa is characterized by PAINLESS UTERINE BLEEDING.Abruption is characterized by HARD "BOARDLIKE" ABD.