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= 600mc.day

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