NU 404: Unit 7.2 Study Guide Solutions
Teenage pregnancies - Ans:--risk takers: smoking, drugs, alcohol, bad nutrition, trying to hide
pregnancy
-developmental task
-perinatal risks: little prenatal care
Cardiovascular disorders - Ans:--major non-obstetric cause of maternal death
-complicatio...
-inability to carry on any physical activity without discomfort, even at rest they may be symptomatic
(sitting in chair and have labored breathing)
Intrapartum care - Ans:✔✔--ABG's: assess oxygenation
-Swan-Ganz catheter: monitor hemodynamic status (measures pressure that goes into R atrium)
-avoid hypotension
-penicillin prophylaxis for non-allergic class 2 or higher to protect against bacterial endocarditis in labor
or early PP*
Subacute bacterial endocarditis - Ans:✔✔--all pts with cardiac dz are at risk
-prophylactic antibiotic therapy recommended*
-vaginal delivery preferred
-reduce cardiac strain: forceps, episiotomy (rather than pushing); meds: Fe supplements, anticoagulants,
antibiotics, thiazide diuretic, digoxin to inc cardiac output; relaxation therapy to dec anxiety
Congenital heart disease - Ans:✔✔--septal defects
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