MARCOS, EMIELYN C.

BSN-2B

NCM 107- CARE OF MOTHER, CHILD, ADOLESCENT

(WELL CLIENTS)

1. What is High-Risk Pregnancy?

 The high-risk pregnancy are those concurrent disorders, pregnancy
related complications, or external factors that endanger the health of
the woman and the fetus.

2. Enumerate the factors (Psychological, Physical and Social) that Categorizes a

Pregnancy as High Risk?
 The factors that categorize a pregnancy as high risk are;
Psychological Factors:
- History of drug dependence
- History of intimate partner abuse
- History of mental illness
- Loss of support person
- Poor acceptance of pregnancy
- Severely frightened by labor and birth experience
- Inability to participate because of anesthesia
- Illness in newborn
Physical Factors:
- Pelvic inadequacy or misshape
- Uterine incompetency, position or structure
- Secondary major illness
- Poor gynecologic or obstetric history
- Obesity
- Underweight
- PID
- Potential of blood incompatibility
- Younger than 18 years old and older than 35 years old
- Cigarette smoker
- Substance abuser
- Subject to trauma
- Bleeding disruption
- Gestational diabetes
- Nutritional deficiency
 - Infection
- Hemorrhage
- Cephalopelvic disproportion
- Retained placenta

Social Factors:
- Occupation involving handling of toxic materials
- Environmental contaminants
- Isolated
- Low economic level
- Poor access to transportation
- Poor housing
- Refusal or neglected prenatal care
- Disruptive family incidents
- Conception less than one year after last pregnancy
- Lack of support person
- Inadequate home for infant care
- Lack of access to continued health care

3. Enumerate the screening procedures for high- risk prenatal client?

 The screening procedure for high- risk prenatal client are specialized
or targeted ultrasound, invasive genetic screening, prenatal cell-free
DNA screening, ultrasound for cervical length, lab tests, glucose
screening and biophysical profile.

4. Describe the diagnostic test and laboratory procedures for high -risk prenatal
client?
 The diagnostic test and laboratory procedures for high -risk prenatal
client are alpha-fetoprotein (AFP) test, amniocentesis, chorionic
villus sampling, cell-free fetal DNA testing, percutaneous umbilical
blood sampling and ultrasound scan. This is a procedure to screen
for, detect and monitor diseases and conditions.