Partial Placenta previa

→ vaginal examiniation→ repare 2 unit of type and crossmatch blood→ prevent shock-
sonogram preffered to vaginal exam.

Risk: multi past pregnancies, abortions

r/t scarring of the endometrial lining→ abnormal implantation

pH less than 7.2 → fetal salp pH→ life threating→ medical emergency

occiput anterior is good

Choirionic villi sampling→ at 10-13 weeks no later than 13 weeks.

Amniocentesis 14, no later than 16 weeks

Meconium ileus is an indication hat a newborn may have cystic fibrosis (ab distension, vomiting
f&e)

Push-pull toy, nested box, squeaking plastic toy→ 1 year old

Symptomatic cardiac malformation→ children→ delayed physical growth

Staldol can be given in the active hase. Should not be given within 2 hours of impeding brith.
Oxytocin→ adverse reaction→ water intoxication d/t I being a posterior pituitary hormone which
has antidiuretic effect

Diaphragm concatrceptice→ best for diabetes client

Onset of labor can occur with or without rupture of membrane. True labor is deermien by
cervical dilation and effacement.

Increased estrogen production during pregnancy→ hyperplasis of the vaginal mucosa

HELLP
Headache, ab pain, flulike symptom-

Gout→ tophi→ feet or ears