THE NURSING ROLE DURING COMPLICATION OF PREGNANCY, BIRTH OR THE POSTPARTAL PERIOD

WOMAN W/
THALASSEMIA
Thalassemia
Folic acid
supplementation and
blood transfusion
Malaria

12-14 days
Fever, malaise, and
headache
Thrombocytopenia,
anemia, and renal
failure
Wearing clothes, insect
repellant, mosquito
nets, keeping windows
closed
Chloroquine
Sulfadoxine
pyremethamine
Quinine, malarone,
tetracycline
Anti-malarial therapy
A WOMAN WITH UTI
Pyelonephritis(infection
of the pelvis of the
kidney)
Vesicoureteral
reflux(backflow of urine
into the uterus)
E. CHOLI
Genital tract
Nausea, vomiting,
malaise, pain,
frequency of urination
100,000 organisms /ml
of urine
Amoxicillin, ampicillin,
cephalosporin
Sulfonamides
Tetracycline
A WOMAN WITH
CHRONIC RENAL
DISEASE

Are group of autosomal recessively inherited blood disorders that lead to poor
hemoglobin formation and severe anemia.
*Occur most frequently in Mediterranean, African, and Asian populations.
*symptoms first appear on childhood
Treatment for causes on combating anemia such as_.

-It is a protozoan infection transmitted to people by Anopheles mosquitos.

-The infection causes red blood cells to stick to the surfaces of the capillaries causing
obstruction to the vessels.
-This can result in organ anoxia when blood cannot reach to the organs.
Incubation period for most occurring type.
Most noticeable symptoms in malaria.
If not treated,_ may occur.

Prevention of malaria.

Drug of choice during pregnancy for treatment of malaria.

It may be administered during the last trimester.
Should not be used at any point of pregnancy or with woman who are breastfeeding.
May reduce the incidence of low birth weight and preterm birth.
Manifested by frequent and pain on urination.
Asymptomatic infection are potentially dangerous because they can progress to_

Woman with_ tend to develop UTI OR PYELONEPHRITIS.

The organism most commonly responsible for UTI.

If the infectious organism is determined to be Streptococcus B. vaginal culture should be
obtained because_ associated with pneumonia.
A woman may have accompanying_.

A level of diagnostic of infection

These are effective against most organism causing.
It can be used early in pregnancy but not near term because they can interfere with
protein-binding
It is contraindicated in pregnancy because they can cause retardation of bone growth and
staining of fetal teeth.
Females with chronic renal disease did not reach childbearing age or were advised not to
have children because of high risk- pregnancy.

Severe anemia
Elevated BP
corticosteroid
Heparin
A WOMAN WITH ACUTE
NASOPHARYNGITIS
Aspirin
A WOMAN WITH
INFLUENZA
High fever, extreme
prostration, aching pain
in the back and
extremities, and a sore,
raw throat
A WOMAN WITH
PNEUMONIA
WOMAN W/ SEVERE
ACUTE RESPIRATORY
SYNDROME (SARS)
Decreased lymphocytes
and platelet count
Coronavirus
Droplet transmission
2-10 days
Intravenous antibiotics
Spontaneous
miscarriage, preterm
birth, intrauterine
growth restriction.
A WOMAN WITH
ASTHMA
inhaled allergen, such
as pollen and cigarette
Asthma
Inhaled corticosteroid
beclomethasone and
budesonide
Terbutaline, albuterol
A WOMAN WITH
TUBERCULOSIS
Mycobacterium
tuberculosis
Mantoux test
Chronic cough
Weight loss
Hemoptysis
Night sweats

Women with this disease may develop_, because their diseased kidneys do not produce
erythropoietin. Necessary for RBC formation.
Many women with this disease have_.
Woman with this disease may take_ for maintenance.
It is safe during pregnancy.
Tends to be more severe during pregnancy than that other times because during
pregnancy, estrogen stimulation normally causes some degree of nasal congestion.
It should be avoided as cold remedy because of possible interference with blood clotting in
both mother and fetus.
It is causes by a virus, identified as type A, B, or C
The disease spread in epidemic form is accompanied by_

It is a bacterial or viral invasion of the lung tissue by pathogens such as S. pneumonia,

Haemophilus influenza, and Mycoplasma pneumonia.
It is a newly emerged infectious disease with the clinical symptoms of persistent chills,
muscle aches, malaise, dry cough, headache, and dyspnea.
Common laboratory findings for SARS.
It has been identified as the pathogen responsible for the illness, which appears to be
originated from CHINA.
SARS spreads by close person-to-person contact via_.
Incubation period of SARS.
Therapy is vigorous with_.
SARS during pregnancy creates such an illness that is associated with high incidence of_.

it is a disorder marked by reversible airflow obstruction, airway hyperreactivity, and

airway inflammation.
Symptoms of asthma.
Potential of reducing the oxygen supply to a fetus leading to preterm birth or fetal growth
restriction.
Are commonly used by woman with persistent asthma

Beta-adrenergic agonists may be taken safely during pregnancy.

It is a disease that should have been eradicated in view of the effective treatment
available.
It is one of the leading causes of death.
Lung tissue is invaded by_, an acid fast bacillus.
Positive response to_
Symptoms of TB.

Low grade
A WOMAN WITH COPD
A WOMAN WITH CYSTIC
FIBROSIS
Sterile
Lessened

Is the constriction of airways associated most often with long-term cigarette smoking.
35-40 years of age of pregnancy
It is a recessively inherited disease in which there is generalized dysfunction of the
exocrine glands.
Dysfunction leads to mucous secretions, particularly in pancreas and lungs.
Men with cystic fibrosis are_ because of their semen is so thick that sperm cannot be
motile.
Fertility may be_ in women with the disorder because sperm cannot migrate through
viscid cervical mucous.
Person with disease may develop symptoms with_.

Chronic respiratory
infection and
overinflation
Pancrelipase(pancrease) Therapy to illness consists of_, to supplement pancreatic enzymes.
RHEUMATIC DISORDERS AND PREGNANCY
A WOMAN WITH
(Juvenile rheumatoid arthritis), a disease of connective with joint inflammation of
RHEUMATOID
contracture, is most likely the result of an auto immune response.
ARTHRITIS
Synovial membrane destruction.
Corticosteroids and
DRUGS to prevent joint pain and loss of mobility.
non-steroidal antiinflammatory
drugs(NSAIDS)
Salicylates
Large amounts of_ may lead to increased bleeding at birth or prolonged pregnancy.
A WOMAN
(SLE) it is a multisystem chronic disease of connective tissue that can occur with woman of
WITHSYSTEMIC LUPUS
childbearing age.
ERYTHEMATOSUS
Widespread degeneration of connective tissue especially the heart, kidneys, blood vessels,
spleen, skin, and retroperitoneal tissue)
Corticosteroids
The naturally increased circulation of_ during pregnancy may lessen symptoms in some
NSAIDs
woman.
Heparin
Salicylates
2 weeks
Women are asked to decrease salicylate use about_ weeks prior to their anticipated birth
to reduce the possibility of bleeding in newborn.
GASTROINTESTINAL DISORDERS AND PREGNANCY
A WOMAN WITH
It is the inflammation of the appendix.
APPENDICITIS
Sharp, peristaltic lower right quadrant pain of acute appendicitis.
A WOMAN WITH
(GERD) refers to the reflux of the acid stomach secretions into the esophagus.
GASTROESOPHAGEAL
REFLUX DISEASE OR
HIATAL HERNIA
Hiatal hernia
It is a condition in which portion of the stomach extends and protrudes up to the
diaphragm into the chest cavity, trapping the stomach acid and causing it to reflux into the
esophagus.
Heartburn
Symptoms include:
Gastric regurgitation
Dysphagia
Possible weight loss
Hematemesis(vomiting
of blood
Antacids
In most women, will relieve the pain
A WOMAN WITH
Gall bladder inflammation(Cholecystisis)
CHOLECYSTISIS AND
gallstone formation(Cholelithiasis)

CHOLELITHIASIS
constant aching and
pressure in the right
epigastrium, with
jaundice
Cholesterol
A WOMAN WITH
PANCREATITIS
WOMAN WITH
HEPATITIS
Hepatitis A
2-6 weeks
Prophylactic gamma
globulin
Hepatitis B and C
Hepatitis D and E
A WOMAN WITH
INFLAMMATORY
VOWEL DISEASE
Shallow ulcers
Chronic diarrhea
Weight loss
Occult blood in stool
And nausea and
vomiting`
Obstruction and fistula
formation
Malabsorption
, particularly vitamin B

These are frequently associated with women older than 40, obesity multiparity, and
ingestion of high-fat diet.
Symptoms are:

Gallstones are formed from_.

Inflammation of the pancreas.
It is a liver disease that may occur from invasion of the A,B,C,D, and E virus.
Spread mainly by fecal-oral contact.
Incubation period.
Prevent disease after exposure.
These are spread by exposure to contaminated blood or blood products.
Spread as the same as hepatitis B but rare in pregnant women.
Crohns disease( inflammation of the terminal ileus)
Ulcerative colitis(inflammation of the distal colon)
These occur most often in young adults between ages 12and 30 years old and so are seen
in pregnancy.
Both diseases, the bowel develops _.
Woman may experiences_

If extreme occurs,_may happen.

With Crohns disease_occur.