The Nursing Role During Complication of Pregnancy

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THE NURSING ROLE DURING COMPLICATION OF PREGNANCY, BIRTH OR THE POSTPARTAL PERIOD WOMAN W/ THALASSEMIA Thalassemia Folic acid supplementation and blood transfusion Malaria

12-14 days Fever, malaise, and headache Thrombocytopenia, anemia, and renal failure Wearing clothes, insect repellant, mosquito nets, keeping windows closed Chloroquine Sulfadoxine pyremethamine Quinine, malarone, tetracycline Anti-malarial therapy  A WOMAN WITH UTI Pyelonephritis(infection of the pelvis of the kidney) Vesicoureteral reflux(backflow of urine into the uterus) E. CHOLI Genital tract Nausea, vomiting, malaise, pain, frequency of urination 100,000 organisms /ml of urine Amoxicillin, ampicillin, cephalosporin Sulfonamides Tetracycline  A WOMAN WITH CHRONIC RENAL DISEASE

Are group of autosomal recessively inherited blood disorders that lead to poor hemoglobin formation and severe anemia. *Occur most frequently in Mediterranean, African, and Asian populations. *symptoms first appear on childhood Treatment for causes on combating anemia such as_.

-It is a protozoan infection transmitted to people by Anopheles mosquitos. -The infection causes red blood cells to stick to the surfaces of the capillaries causing obstruction to the vessels. -This can result in organ anoxia when blood cannot reach to t o the organs.  Incubation period for most occurring type. Most noticeable symptoms in malaria. If not treated,_ may occur.

Prevention of malaria.

Drug of choice during pregnancy for treatment t reatment of malaria. It may be administered during the last trimester. tr imester. Should not be used at any point of pregnancy pre gnancy or with woman who are breastfeeding. May reduce the incidence of low birth weight and preterm birth. Manifested by frequent and pain on urination. Asymptomatic infection are potentially dangerous because they can progress to_

Woman with_ tend to develop UTI OR PYELONEPHRITIS.

The organism most commonly responsible for UTI. If the infectious organism is determined to be Streptococcus B. B. vaginal culture should be obtained because_ associated with pneumonia. A woman may have accompanying_.

A level of diagnostic of infection These are effective against most organism causing. It can be used early in pregnancy but not near term because they can interfere with protein-binding It is contraindicated in pregnancy because they can cause retardation of bone growth and staining of fetal teeth. Females with chronic renal disease did not reach childbearing age or were advised not to have children because of high risk- pregnancy. pre gnancy.

 

Severe anemia Elevated BP corticosteroid Heparin  A WOMAN WITH ACUTE NASOPHARYNGITIS Aspirin  A WOMAN WITH INFLUENZA High fever, extreme prostration, aching pain in the back and extremities, and a sore, raw throat  A WOMAN WITH PNEUMONIA WOMAN W/ SEVERE  ACUTE RESPIRATORY RESPIRATORY SYNDROME (SARS) Decreased lymphocytes and platelet count Coronavirus Droplet transmission 2-10 days Intravenous antibiotics Spontaneous miscarriage, preterm birth, intrauterine growth restriction.  A WOMAN WITH  ASTHMA inhaled allergen, such as pollen and cigarette Asthma Inhaled corticosteroid beclomethasone and budesonide Terbutaline, albuterol  A WOMAN WITH TUBERCULOSIS Mycobacterium tuberculosis Mantoux test Chronic cough Weight loss Hemoptysis Night sweats

Women with this disease may develop_, because their diseased kidneys do not produce erythropoietin. Necessary for RBC formation. Many women with this disease have_. Woman with this disease may take_ for maintenance. It is safe during pregnancy. Tends to be more severe during pregnancy than that other times because during pregnancy, estrogen stimulation normally causes some degree of nasal congestion. It should be avoided as cold remedy because of possible interference with blood clotting in both mother and fetus. It is causes by a virus, identified as type A, B, or C The disease spread in epidemic form is accompanied by_

It is a bacterial or viral invasion of the lung tissue by pathogens such as S. as S. pneumonia, Haemophilus influenza, and Mycoplasma pneumonia. It is a newly emerged emerge d infectious disease with the clinical symptoms of persistent chills, muscle aches, malaise, dry cough, headache, and dyspnea. Common laboratory findings for SARS. It has been identified as the pathogen responsible r esponsible for the illness, which appears to be originated from CHINA. SARS spreads by close person-to-person contact via_. Incubation period of SARS. Therapy is vigorous with_. SARS during pregnancy creates such an illness that is associated with high incidence of_.

it is a disorder marked by reversible airflow obstruction, airway hyperreactivity, and airway inflammation. Symptoms of asthma. Potential of reducing the oxygen supply to a fetus leading to preterm birth or fetal growth restriction. Are commonly used by woman with persistent asthma

Beta-adrenergic agonists may be taken safely during pregnancy. pre gnancy. It is a disease that should have been eradicated in view of the effective tre treatment atment available. It is one of the leading le ading causes of death. Lung tissue is invaded by_, an acid fast bacillus. Positive response to_ Symptoms of TB.

 

Low grade  A WOMAN WITH COPD  A WOMAN WITH CYSTIC FIBROSIS Sterile Lessened

Is the constriction of airways associated most often with long-term long -term cigarette smoking. 35-40 years of age of pregnancy It is a recessively inherited disease in which there is generalized dysfunction of the exocrine glands. Dysfunction leads to mucous secretions, particularly in pancreas and lungs. Men with cystic fibrosis are_ because of their semen is so thick that sperm ccannot annot be motile. Fertility may be_ in women with the disorder because sperm cannot migrate through viscid cervical mucous. Person with disease may develop symptoms with_.

Chronic respiratory infection and overinflation Pancrelipase(pancrease) Therapy to illness consists of_, to supplement pancreatic enzymes. RHEUMATIC DISORDERS AND PREGNANCY (Juvenile rheumatoid arthritis), a disease of connective with joint inflammation of  A WOMAN WITH contracture, is most likely the result re sult of an auto immune response. RHEUMATOID Synovial membrane destruction.  ARTHRITIS DRUGS to prevent joint pain and loss of mobility. Corticosteroids and non-steroidal antiinflammatory drugs(NSAIDS) Salicylates Large amounts of_ may lead to increased bleeding blee ding at birth or prolonged pregnancy. (SLE) it is a multisystem chronic disease of connective tissue that can occur with woman of  A WOMAN childbearing age. WITHSYSTEMIC WITHSYSTEM IC LUPUS Widespread degeneration of connective tissue especially the heart, hear t, kidneys, blood vessels, ERYTHEMATOSUS spleen, skin, and retroperitoneal tissue) Corticosteroids The naturally increased circulation of_ during pregnancy may lessen symptoms in some woman. NSAIDs Heparin Salicylates 2 weeks Women are asked to decrease salicylate use about_ weeks prior to their anticipated birth to reduce the possibility of bleeding in newborn. GASTROINTESTINALL DISORDERS AND PREGNANCY GASTROINTESTINA  A WOMAN WITH It is the inflammation of the appendix.  APPENDICITIS  APPENDICITIS  A WOMAN WITH GASTROESOPHAGEAL REFLUX DISEASE OR HIATAL HERNIA Hiatal hernia

Heartburn Gastric regurgitation Dysphagia Possible weight loss Hematemesis(vomiting of blood Antacids  A WOMAN WITH CHOLECYSTISIS AND

Sharp, peristaltic lower right quadrant pain of acute appendicitis. (GERD) refers to the reflux re flux of the acid stomach secretions into the esophagus.

It is a condition in which portion of the stomach extends and protrudes up to the diaphragm into the chest cavity, trapping the stomach acid ac id and causing it to reflux into the esophagus. Symptoms include:

In most women, will relieve the pain Gall bladder inflammation(Cholecystisis) inflammation(Cholecystisis) gallstone formation(Cholelithiasis) formation(Cholelithiasis)

 

CHOLELITHIASIS constant aching and pressure in the right epigastrium, with  jaundice Cholesterol  A WOMAN WITH PANCREATITIS WOMAN WITH HEPATITIS Hepatitis A 2-6 weeks Prophylactic gamma globulin Hepatitis B and C Hepatitis D and E  A WOMAN WITH INFLAMMATORY VOWEL DISEASE Shallow ulcers Chronic diarrhea Weight loss Occult blood in stool And nausea and vomiting` Obstruction and fistula formation Malabsorption , particularly vitamin B

These are frequently associated with women older than 40, 4 0, obesity multiparity, and ingestion of high-fat diet. Symptoms are:

Gallstones are formed from_. Inflammation of the pancreas. It is a liver disease that may m ay occur from invasion of the A,B,C,D, and E virus. Spread mainly by fecal-oral contact. Incubation period. Prevent disease after exposure. These are spread by exposure to contaminated blood or blood products. Spread as the same as hepatitis B but rare in pregnant women. Crohn’s disease( inflammation of the terminal ileus) Ulcerative colitis(inflammation of the distal colon) These occur most often in young adults between ages 12and 30 years old and so are seen in pregnancy. Both diseases, the bowel develops _. Woman may experiences_

If extreme occurs,_may happen. With Crohn’s disease_occu disease_occur. r.  

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