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High Risk Pregnancy Assessment Guide

The document discusses factors that contribute to high risk pregnancies including medical conditions like diabetes, hypothyroidism, and cardiac disease. It outlines signs of potential issues like pain, vomiting, bleeding, and blurred vision. It also discusses anemia risks and treatments, gestational weight guidelines, and the importance of prenatal visits and birth spacing for high risk pregnancies.

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Eliza Shyne Mae Guinomma
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69 views2 pages

High Risk Pregnancy Assessment Guide

The document discusses factors that contribute to high risk pregnancies including medical conditions like diabetes, hypothyroidism, and cardiac disease. It outlines signs of potential issues like pain, vomiting, bleeding, and blurred vision. It also discusses anemia risks and treatments, gestational weight guidelines, and the importance of prenatal visits and birth spacing for high risk pregnancies.

Uploaded by

Eliza Shyne Mae Guinomma
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

Assessment of High Risk Pregnancy

-Chemodrugs administration First month= 3 pds

- genetic inheritance/disorders

12 pds in second and third trimester

What to do as a nurse? 12pds = 1 pd per week

-Encourage frequent prenatal visit Glucose= use by newborn; hyperglycemia inside


the uterus
18 years old
After delivery: baby is hypoglycemic

Cephalopelvic disproportion= size of pelvis not Cervical insufficiency= open before late labor;
adequate for the fetal head of macrosomic baby 2nd trimester

Existing medical conditions


35 years old

-placenta previa= planted in lower segment of Diabetes Mellitus- caudal regression syndrome
the uterus (ectopic pregnancy) “mermaid like”

-large abdomen= large vesicles -> cyst Hypothyroidism- prevent ovulation

Cardiac disease- decrease amt of blood


Poverty
Hypotonic contraction- multipara

- LBW & preterm


Birth spacing interval= 3-5 years to replace
blood losss
Multipara= more than 4

Danger Sign
- Hemorrhage, CS, abortion
- Pain should not be felt (heart Disease)
- Vomiting >1 per day and could last
beyond first trimester (hyperemesis
gravidarum)
Personal-Social Factors - No leakage of amniotic fluid= infection
1. Weight= <100 lbs, LBW - No bleeding = abortion, abruption
placenta, threatened abortion (First
trimester)
(Third trimester= problems of placenta)
- Blurred vision= Pregnancy induced
hypertension
- Dizziness= anemia, PIH
- Chills and fevers= infection leading to
abortion
- Painful urination= UTI = abortion
Normal: 10-12 first trimester and last 2
weeks of the third trimester

Iron deficiency Anemia

- Severe menstrual flow


- Poor amt of iron in diet
- Unwise deduction of weight
- Micro

1st trimester

Hg = <11 g/dl

Hc= <33%

2nd Trimester

Hg = <10.5 g/dl

Hc= <32%

Folate Deficiency Anemia

-tiredness

High Risk for Folate Deficiency

-macroblast

Pregnant= 400 mcg/day

During pregnancy= [Link]

Sickle cell- betachain problem for adult

After 3-6 months to check if may sickle


cell since magcoconvert pa yung fetal
hemoglobin

INHERITED PROBLEM ANG SICKLE CELL

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