Expanded Topics

High-Risk Pregnancy Tutorial

Unit 1: Key Concepts

This unit provides information about five key concepts in the care of a client experiencing a high-risk pregnancy. These concepts form the foundation for an approach to care for a client with a high-risk pregnancy, and include:

Timing
Interactivity of the maternal-fetal unit
Psychosocial implications
Principles of self care
Social support

Unit 2: Assessment and Management for Pre-Existing Conditions

This unit discusses some common pre-existing diseases and their impact on the pregnant woman. The unit specifically focuses on

Cardiac disease
Dabetes mellitus
Hypertension
Perinatal infections. Specific infections include those classified as

TORCH infections
Bacterial vaginosis
Candidiasis
Chlamydia
Gonorrhea
Hepatitis
Human papillomavirus
Syphilis trichomoniasis
Pelvic inflammatory disease

Unit 3: Assessment and Management of Pregnancy-Induced Conditions

The pregnancy-induced conditions covered in Unit 3 are grouped into three categories:

Bleeding disorders
Preeclampsia/eclampsia
Preterm labor.

Specific conditions covered under bleeding disorders include

Ectopic pregnancy
Gestational trophoblastic disease
Spontaneous abortion
Vaginal spotting
Abruption placenta
Placenta previa
Ruptured uterus
Disseminated intravascular coagulation and Rh sensitization are discussed in this unit where appropriate.

In the section on preeclampsia, both mild and severe preeclampsia are discussed as well as eclampsia and HELLP syndrome.

The effects of preeclampsia on both the mother and baby are discussed.

When discussing the effects on the baby, fetal monitoring and various fetal heart rate patterns are reviewed.

Finally, conditions related to preterm labor including premature cervical dilation, premature rupture of the membranes, and premature uterine contractions are covered.

Unit 4: Fetal Well-Being and Maturity

Many of the conditions which place a pregnant client in a high-risk status can affect fetal well-being and maturity. This section covers tests to monitor the fetus and is divided into two sections:

Fetal well-being
Fetal maturity

The section on fetal well-being covers

The diagnostic tests of amniocentesis
Biophysical profile
Chronic villus sampling
Contraction stress test
Fetal movement
Maternal serum alpha-fetoprotein
Non-stress test
Utrasound

The diagnostic procedures to monitor fetal maturity include

Amniocentesis
Fundal height measurement
Ultrasound.

Unit 5: Self Test

This unit consists of a test bank of 20 items. The test bank questions were designed to address all levels of difficulty.

Knowledge and comprehension questions are used to ensure the student has mastered the necessary foundation.

Application and analysis questions are used to test the student’s ability to apply the information to client situations.

Immediately after answering a question, the student is given feedback. This feedback is helpful in correcting any misunderstandings the student may have.

After taking the test, the student may print out the results. Feedback relative to the correct answer is provided.

The questions contained in the self test are included in Chapter 6 of the manual. You may use these questions when preparing your own classroom tests. Because this is a “self test”, students may exit the test bank at any time.

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