ATI MATERNAL NEWBORN

ATI Rationales

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Carboprost tromethamine

- prostaglandin used in management of postpartum hemorrhage

- PGF2alpha analog

• given IM

-if bleeding is present first massage fundus, use this as a last resort

Polyhydramnios

- excessive amniotic fluid; can be detected when measuring the fundus

Placenta previa

- the abnormal implantation of the placenta in the lower portion of the uterus

Placenta previa signs and symptoms

- Bright red vaginal bleeding without pain during the second half of pregnancy

is the main sign of placenta previa. Some women also have contractions. In

many women diagnosed with placenta previa early in their pregnancies, the

placenta previa resolves. 

Abruptio placentae pathophysiology

- premature partial or complete separation of the placenta from the uterus.

Abruptio placentae signs and symptoms

- . Classic manifestations include

vaginal bleeding

abdominal pain

and uterine contractions.

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Risk factors for abruptio placentae

- -maternal hypertension

-cocaine use

-smoking can cause placenta to separate from uterine walls

-advanced maternal age

-cigarette smoking

Maternal supine hypotensive syndrome

- compression of inferior vena cava decreases venous return and this will

result in a decreased stroke volume and hypotension.

Further compression will decrease uterine perfusion and may result in fetal

distress. The maternal response is tachycardia and vasoconstriction of the

lower extremities. How do you treat this? - ask patient to lie lateral

Probable vs presumptive vs positive signs of pregnancy

- probable= patient findings

presumptive= health professional finding but not sure ie" Goodell sign or

pregnancy test

positive = finding the fetus through hearing or touch or seeing to confirm

viability 

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