COLLEGE OF NURSING

Name:________________________ Score:____________
Year and Section: ______________ Date:_____________

WORKSHEET

CLINICAL APPLICATION

You may be considered a “high risk pregnancy” if:

True Conditions Rationale

or
False

  1. You have a medical condition such as diabetes, high  

blood pressure, heart/vascular disease, asthma,
rheumatic disease (like lupus), kidney disease, or
thyroid disease for which you take medications.

  2.       You have had a blood clot in your leg, lung or  

brain

  3.       You have previously delivered a baby with severe  

anemia or a bleeding disorder.

  4.       You have a seizure disorder or other significant  

neurologic problem.

  5.       You will be 35 years or older during a future  

pregnancy

  6.       You have had 2 or more prior early pregnancy  

losses or a single loss at more than 15 weeks of
gestation (stillbirth or fetal death).
  7.       You developed high-blood pressure, pre-  
eclampsia, gestational diabetes or other health
problems in a previous pregnancy.

  8.       You have had a prior preterm delivery?  

  9.       You are carrying more than one baby.  

  10.   You have a history of infertility or gynecological  

problems such as large symptomatic fibroids, surgery
on the cervix or cancer

  11.   You have a sexually transmitted disease (STD),  

including HIV, that could be transmitted to your baby
during pregnancy or at the time of birth.

  12.   You became pregnant while with an IUD in place  

  13.   You have a child with a genetic disorder or are a  

carrier for a genetic disorder

  14.   . You are very overweight or underweight, or have had  

gastric bypass surgery to lose weight.

  15.   You have had multiple prior cesareans or a prior  

cesarean with a classical-vertical incision

  16.   You have abnormal antibodies in your blood that can  

hurt the placenta, the baby’s blood cells or even the
baby’s heart

  17.   You leak amniotic fluid or have had significant bleeding  

in your current pregnancy

  18.   You have too much or too little amniotic fluid in this  
pregnancy.
  19.   You have too much or too little amniotic fluid in this  
pregnancy.

  20.   You have persistent vomiting and weight loss in this  

pregnancy.

Case 1: A woman arrives at the clinic seeking confirmation that she is

pregnant for the first time. The following information is obtained: She is 37
years old with a body mass index (BMI) of 17.5. She admits to having used
cocaine “several times” during the past year and drinks alcohol occasionally.
Her blood pressure (BP) is 108/70 mmHg, her pulse rate is 72beats/min,
and her respiratory rate is 16 cpm. The family history is positive for diabetes
mellitus and cancer. Her sister recently gave birth to an infant with neural
tube defect (NTD).

1. What is high risk pregnancy?________________________________

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2. Based on the given case, identify the factors that put the patient at risks and
explain how?
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3. Why there’s a need to Identify or detect women with high risk factors?
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4. Enumerate diagnostic tests for high risk pregnancy (Invasive/ non –invasive)
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