Maternal Newborn ATI Study Guide

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What infection is common for pregnant women?

- Yeast infection

S/S of yeast infection

- Cottage cheese looking discharge

- Vulvar redness

- White patches on the vaginal wall

Incompetent cervix

- Recurrent premature dilation of the cervix

If woman has incompetent cervix, then what will she get?

- Cervical cerclage (keep cervix closed)

When is cervical cerclage removed?

- 37 wks. gestation or when spontaneous labor occurs

Hyperemesis gravidarum

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- Excessive n/v past the first 12 wks. of pregnancy

Interventions for hyperemesis gravidarum

- IV fluids

- Administration of B6

- Antiemetic medications (Reglan, Zofran) 

What should a client take with iron supplements?

- Food that is rich in vitamin C

Food’s high in vitamin C

- Orange juice

What is woman at higher risk for if she has gestational diabetes?

- Diabetes after pregnancy

Tests that will be done if mother is diagnosed with gestational diabetes

- Non stress test, biophysical profile

What will be used to control sugar levels during gestational diabetes

- Insulin (oral antidiabetics are contraindicated during pregnancy)

When does test to diagnosed gestational diabetes occur?

- 24-28 wks. gestation

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What is done to test for gestational diabetes

- Start with 1 hour glucose tolerance test

- If blood sugar from tolerance test is above 130-140, then oral glucose

tolerance test is done.

True or false: fasting is not required for 1 hour glucose tolerance test

- True

How is 1 hour glucose tolerance test done?

- Woman given 50 grams of oral glucose and blood sugar is tested 1 hour later 

Does oral glucose tolerance test require fasting?

- Yes. Must fast overnight, no caffeine or smoking

Oral glucose tolerance test procedure

- Test fasting blood sugar

- Give 100 grams of glucose

- Test blood sugar at 1 hr., 2, hr., and 3 hr.

What is gestational HTN caused by?

- Vasospasm, which causes poor tissue perfusion

S/S gestational HTN

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- BP over 140/90 after 28 wks. of pregnancy recorded at least twice 4-6 hours

apart within 1 week period.

True or false: there is no protein in the urine with gestational HTN

- True

S/S mild pre-eclampsia

- BP over 140/90 after 28 wks. of pregnancy recorded at least twice 4-6 hours

apart within 1 week period, protein in urine at level of 1+

Severe pre-eclampsia s/s

- BP over 160/100

- Protein in urine at level of 3+

- Creatinine level greater than 1.2

- Headache

- Blurred vision

- Hyperreflexia

- Peripheral edema

- Epigastric pain

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