Question

5. For each of the following diseases or conditions, explain how they could complicate a pregnancy: l Blood disorders like sickle cell disease I Chronic kidney disease I Depression or anxiety I High blood pressure I HIV or AIDS Lupus Maternal age Obesity IThyroid disease l Type 1 or type 2 diabetes 6. Describe neural tube defects. How can they be prevented? 7. Explain the importance of prenatal care. List some important patient teachings that should be included 8. Define: marginal placenta previa. 9. When looking at a chart the nurse notices that the patient is GBS+. What does this mean? How is this treated? How does this impact her care? What are the nursing considerations? What patient teaching should be done for this patient?

Answer 1

Q1. For each of the following diseases or conditions, explain how they could complicate a pregnancy:

1. Blood disorders like sickle cell disease

Answer 1: It depend on the severity of the disease. Some women have no change in disease during pregnancy and some encounter events such as sickle cell crisis. Major problems that can occur are urinary tract infections in mother and slow growth in baby.

2. Chronic kidney disease

Answer Chronic kidney disease can create complications during pregnancy consequent effects on and can cause accelerated decline in renal function. Therefore, it should be avoided.

3. Depression or anxiety

Answer: Depression during pregnancy can cause miscarriage, preterm delivery and low birth weight.

4. High blood pressure

Answer: High blood pressure during pregnancy can cause various problems such as Decreased blood flow to the placenta, Placental abruption, Premature delivery and increased risk of cardiovascular disease in future.

5. HIV or AIDS

Answer: HIV in pregnancy can lead to spontaneous early abortion, low birth weight, preterm labour, other sexually transmitted diseases, bacterial pneumonia and urinary tract infections.

6. Lupus

Answer: it can cause complications in 2^nd trimester of pregnancy as it is associated with formation of blood clots which can cause miscarriage or stillbirths.

7. Maternal age

Answer: Advance maternal age i.e. women above 35 years of age is associated with high risk of adverse pregnancy outcomes when compared with younger (below 35 years) women.

8. Obesity

Answer: Obesity increase the risk of miscarriage, stillbirth and recurrent miscarriage.

9. Thyroid disease

Answer: Thyroid disease during pregnancy can cause premature birth, preeclampsia, miscarriage, and low birth weight.

10. Type 1 or type 2 diabetes

Answer: It can cause serious birth defects such as brain, spine, and heart deformities, preterm labour, hypoglycemia, miscarriage or still birth.