Hyperglycemia – is a common cause of enteral feeding Very tired

- when your glucose level goes up in the Don’t feel like eating
bloodstream, called hyperglycemia.
Skin is cold and sweaty
- too litttle insulin or diabetes pills
Paroxysmal Nocturnal Dyspnea – suddenly waking at
Symptoms: Dry skin, Drowsy, Hungry, Extreme thirst, night with shortness of breath
Slow healing wounds
A woman with Peripartum Heart Disease
Blood Sugar: Above 200 mg/dl
 Peripartal Cardiomyopathy – a woman with no
Acceptable range 115 – 200 md/dl previous heart disease
 Peripartum Cardiomyopathy – it occurs during
Total Parenteral Nutrition (TPN)
pregnancy or immediately after delivery
Interventions:
Risk: Obesity Smoking
System Level Intervention
High Blood Pressure Alcoholism
Patient-Level Intervention
Diabetes Multiple Pregnancy
Improved Intermediary Glucose Outcomes
Malnutrition
Improved Clinical and Economic Outcomes
Symptoms: Rapid Heartburn SOB
Improved Processes of care
Chest pain Increased urination
Cardiovascular Disorder – most commonly caused
Excessive pain
difficulty during pregnancy
Tiredness
A woman wih Cardiac Disease – it can affect pregnancy
in different ways Intervention: Promote Rest
Classiication of Cardiac Heart Disease Promote Healthy Nutrition
I (Uncompromised) – causes no discomfort during Educate Regarding Medication
ordinary physical activity
Educate Regarding Avoidance of Infection
II (Slightly Uncompromised) – causes excessive fatigue
during ordinary physical activity Management:

III (Markedly Compromised) – during less than ordinary
activity causes excessive fatigue,
IV (Severely Compromised) – unable to carry out any
physical activity
Left-Sided Heart Failure – a woman who have this is at
an extreme high risk for miscarriage
 Beta blockers – this drugs that reduces BP and
improve flow by blocking the aadrenaline
hormone
 Digitalis – drugs that strenghten the heart to
improve pumping and circulation
 Diuretics – that lower blood pressure by
removing excess water and salt from the body

- your heart can’t pump enough blood to your Electrocardiogram (or an echocardiogram) – maybe
body done at periodic point in pregnancy

Causes: High Blood Pressure Fetal Assessment: Low Birth Weight

Damage Heart Values Cardiopulmonary Resuscitation during Pregnancy

Congenital Heart Defects AED – Automated External Defibrillator

Arrythmia Artificial Valve Prosthesis – has a high maternal

complication rate including valve thrombosis and death
Lung Disease
Chronic Hypertensive Vascular Disease - elevated blood
Symptoms: Neck vein are swollen pressure. Making it a problem for the older pregnant
Pulse is fast Treatment and Management:
Gaining weight for excessive fluid Diet Regular medical checkup
Confused and forget things Monitoring weight
Chest hurts Avoiding tobacco and alcohol
 Venous Thromboembolic Disease – refers to a Escherichia Coli - organism responsible for UTI
blood clot that starts in a vein
Interventions:
2 types:
Voiding frequently (every 2hrs)
 Deep Vein Thrombosis – is a clot in a deep vein
Drinking a glass of canberry daily
 Pulmonary Embolism – occurs when a DVT clot
breaks free from a vein Wearing cotton, not synthetic underwear
Treatment: Anticoagulants Wiping front and back after voidin or bowel
movement
Thrombolytic Theraphy
A woman with Hyperactive Bladder
Polycystic Ovary Syndrome (PCOS)
- refers to a bladder that conducts more
- is a condition that affects a woman hormone
frequently than usual
level
- these smptoms can increase greatly because of
- causes woman to skip menstruation and make
the additional pressure
it harder to woman to get pregnant
Management: Fesoterodine - an antipasmodic drug
- it affects the ovaries and ovulation
frequently prescribed for the disorder should be use
- is a syndrome or a group of symptoms that during pregnancy
affect the ovaries and ovulation
A woman with Chronic Renal Disease
Ovulation - the release of egg each month
- females with CRD did not reach child bearing
Follicle Stimulatting Hormone - stimulates the ovary to age or were not advised not to have a children
produce a follicle
Glycoprotein - necessarily for red cell formation
Luteinizing Hormone - triggers the overy to release a
Respiratory Disorders and Pregnancy
mature egg
Respiratory disease - have a wide range from mild to
severe to chronic
3 main features:
A woman with Influenza (commonly called flu)
Cysts in the ovaries
- is a viral infection that attacks respiratory
High level of male hormones system

Irregular/skip periods Signs and Symptoms:

Symptoms: Irregular Periods Fever Dry, Persistent cough

Heavy bleeding Aching muscles Nasal congestion

Hair growth Chiils and Sweats Fatigue

Acne Headache Sore throat

Weight gain A woman with Cystic Fibrosis

Headaches - is a recessively inherited disease in which

there is generalized dysfunction of the exocrine gland
Treatments:
Signs and Symptoms:
Birth control
Chronic Respiratory System
Metformin
Over Inflation of lungs
Clomiphene
Difficulty digesting fats and protein
Hair Removal Medicine
Management:
A woman with Urinary Tract Disorder
Routine Neonatal Screening
4 - 10% non pregnant woman have asymptomatic
bacteruria Bronchiodilator or antibiotic

- In a pregnant women because the ureters dilate Chest physiotheraphy

from the effect of progesterone, stasis of urine can occur
A woman with Chronic Obstructive Pulmonary Disease Rifampin (RIF)

COPD is constriction of the airway associated Ethambutol Hydrochloride (Myambutol)

most often with long-term cigarette smoking.
Placenta Previa (Low-Lying Placenta)
Signs and Symptoms:
- is a condition where the placenta lies low in the
SOB uterus

Sleep Apnea 3 different types:

Fatigue 1. Complete Previa - cervical opening

complete coverd
A woman with Acute Nasopharyngitis (cold)
2. Partial Previa - portion of the cervix is
- swelling of the nasal passages and the bak of covered by placenta
the throat 3. Marginal - edge of the cervix

- tends to be more severe during pregnancy A woman with Anemia

Causative Agent: Virus or Bacteria - is a condition where the blood is insufficient

RBC
A woman with Pneumonia
Types:
- is the bacterial or viral invasion of lung tissue
1. Aplastic Anemia - occur when the bone marrow
- during pregnancy is called Maternal doesn’t produce enough RBC
Pneumonia 2. Iron Deficiency Anemia - lower than normal
Causative Agent: amounts of iron in the blood
3. Vitamin Deficiency Anemia - lower than normal
Streptococcus Pneumoniae amounts of contain vitamin like B-12. Folate or
Haemophilus Influenzae VC
4. Hemolytic Anemia - which the body destroys the
Mycoplasma Pneimoniae RBC prematurely
5. Sickle Cell Anemia - inherited disorder
A woman with Asthma
characterized by abnormal, crescent shape RBC
- is a disorder marked by reversible airflow 6. Thalassemia - inherited disorder which the body
obstruction, airway hyperactivity, ad airway produces an abnormal form of hemoglobin
inflammation
A woman with Pancreatitis
A woman with Tuberculosis
-is a disease in which the pancreas becomes
- is a bacterial disease usually affecting the lungs inflamed

- is a disease that should have been eradicated Signs and Symptoms:

bec of the effective treatment available
Nausea and Vomiting
Causative Agent:
Fever
Mycobacterium Tuberculosis
Increased heart rate
Purified Protein Derivative (PPD) test
Swollen and tender abdomen
Signs and Symptoms:
A woman with Infammatory Bowel Disease (IBD)
Chronic cough
-represents a group of intestinal disorders that
Substantial weight loss cause prolonged inflammation of the digestive tract
Hemoptysis (coughing blood) A woman with Gastroesopangeal Reflux Disease (GERD)

Low grade fever - is a digestive disorder that affects the lower

esopangeal sphincter (LES)
Extreme fatigue
Placental Abruption (Abruptic Placantae)
Waking at night with night sweats
- is a uncommon yet serious complication pf
Management:
pregnancy.
Isonianized (INH)
- is most likely to occur in the last trimesigster
Signs and Symptoms:
Vaginal Bleeding
Back Pain
Uterine Tenderness
Abdominal Pain
Oligohydramnios - is a condition where there’s lower-
than-expected amniotic fluid surrounding a baby
Sickle-Cell Anemia, Thalassemia and Malaria
A woman with Sickle-Cell Anemia
- is a recessively inherited hemolytic anemia
caused by an abnormal amino acid
A woman with Thalassemia
- are a group of autosomal recessively inherited
blood disorders that lead to poor hemoglobin formation
A woman with Malaria
- is a protozon infection that is transmitted to
people by Anopheles Mosquitoes
Symptoms:
Malaise
Headache
Elevated liver test accompanying fever
Neurologic Disorders and Pregnancy
- as a whole, does not occur at a hugh incidence
in women of childbearing age
A woman with a Seizure Disorder
Several causes:
Head trauma or meningitis
Epilepsy - are seen in about 3-5 women per 1,000
births
A woman with Myasthenia Gravis
- is an autoimmune disorder characterized by the
presence of an IgG antibody against acetylcoline
- the disorder occurs 20 to 30 years old
A woman with Multiple Sclerosis
- Multiple Sclerosis (MS) occurs predominantly in
women of child bearing age, between 20 to 40 years of
age
Symptoms:
Fatigue
Blurred vision
Numbness
Loss of coordination
Intervention:
- ACTH (adrenocorticotropic hormone) or a
corticosteroid is commonly given to strengthen nerve
conduction and both can be administered safely during
pregnancy.
Muscoskeletal Disorders and Pregnancy
- falls or other unintentional injuries that may
lead to bone fractures or muscle sprains in women of
childbearing age
A woman with Scoliosis
- Scoliosis begins to be notice first in girls
between 12-14 years of age
Pelvic distortion can interfere with childbirth, esp. at the
pelvic inlet
Epidural Anesthesia woman spine is extremely curve
Rheumatic Disorders and Pregnancy
Several rheumatic disorders that occur in young
adult women can be seen during pregnancy
Pain - is the most common primary nurisng
diagnosismfoe these
A woman with Rheumatoid Arthritis
Juvenile Rheumathoid Arthritis (JRA) - a disease
of connective tissue marked by joint inflammation and
contractures
- most likely the result of an autoimmune
response
A woman with Systemic Lupus Erythematosus
- SLE is a multisystem chronic disease of
connictive issue that occurs most frequently in women
20 to 40 of age
- a marked skin change is a characteristic
erythematosus butterfly-shaped rash on the face
- the thickening of colagen tissue in the blood
vessels can cause vessel obstruction
Symptoms:
Severe fatigue Hair loss
Joint pain Anemia
Joint sweeling Blood-clotting problems
Headaches
A rash on the cheeks and nose called “butterfly
rush”
Gestational Diabetes
- is high blood sugar (glucose) that develops
during pregnancy usually disappears after giving birth
Symptoms: Hyperthyroidism - too great thyroid response

Fatigue Snoring Hypothyroidism - Too little thyroid response

Blurred vision Feeling more hungry A woman with Hypothyroidism

Excessive thirst - Hypothyroidism or the underproduction of the

thyroid hormone, is a rare condition in late adolescent
Excessive need to urinate
- can also cause problems including
Gestational Diabetes is divided into two classes:
preeclampsia, miscarriage preterm birth and low birth
Class 1: is used to described gestational diabetes weight
that can be controlled through diet
Symptoms:
Class 2: gestational diabetes will need insulin or
Fatigue easily Vomiting
oral medications to control their conditions
Tend to be obese Nausea
Complications for the baby:
Dry skin Little tolerance fo cold
High birth weight
Oxytocin - a hormoned released by the pituitary gland
Early birth
that causes increased contraction of the uterus during
Low blood sugar labor

Type 2 diabetes later in life Hemolysis - the rupture or destruction of RBC

Respiratpry distress syndrome  AOG - Age of Gestation

 EDD - Expected Date of Delivery
Complications for the mother:
 EDC - Expected Date of Confinement
Higher chance of C-section  LMP - Last Menstrual Period
 PIH - Pregnancy Induced Hypertension
High blood section and preeclampsia
 NSD - Normal Spontaneous Delivery
Diabetes in a future pregnancy  Hyper Emesis Gravidarum - hindi mapigilan
magsuka
Diabetes later in life
 CVA - Cerebrovascular Accident
Treatment:  G - Gravida
 P - Parity
Eat healthy, low sugar diet  T - erm
Lose excess weight before you get pregnant  P - Preterm
 A - Abortion
Exercise throughout pregnancy  L - Living
Get appropriate prenatal care Classification of Drugs
Endocrine Disorders and Pregnancy 1. Metoclopramide - anti emetic
- have the potential to be serious complication of 2. Amlodifine - anti hypertension
pregnancy because enzymes and hormones control so 3. Lactulose - pampalambot ng tae
many specific body function 4. Laxative - pampatae
5. Salbutamol - bronchiodilator
- are important cause of perioperative morbidity 6. Mannitol - anti diurethics
and mortality 7. Clomidine - anti diabetes
8. Paracetamol - anti pyretic
- Diabetes mellitus and Thyroid disease are
9. Cefuroxime - antibacterial
relatively common during pregnancy
10. Amoxixiline - antibiotic
A woman with a Thyroid Dysfunction 11. Nefitipine - antihypertensive
12. Simvastatin - Lipid Globarin Agent
- as a normal effecct of pregnancy, the thyroid
13. Buscopan - anti hispasmodic
glands enlarges slightly because of increased vascularity
14. Ceftriaxon - anti inffective
and blood flow.
15. Ketorolac - anti inflammatory
- Thyroid Hormones play a role in metabolism, 16. Ometrazole - Proton pump inhibitor
breathing, heart function, and many other process. A 17. Ceprofloxaxine - anti bacterial
healthy pregnancy and healthy brain development for 18. Digoxine - anti arrythmea
your baby necessitate proper level of these hormones 19. Alluminum Hydroxide - antecide
20. Clonidine - anti hypertensive
  Gastric ulcer - sa mahihirap
 Dudinal ulcer - sa mayayaman
 Chord coil - nakakasakal sa baby
 Proteinoria - protein sa ihi
 PRN - ProReNata (as needed)
 PC - Post Cebum/After Meal
 AC - Ante Cebum/Before Meal
 HS - Hours of Sleep
 Dx - Diagnosis
 ABG - Anterial Blood Gas
 NPO - Nothing Per Orem
 STAT - Immediately
 SOB - Shortness of Breath
 CBR - Complete Bed Rest
 RUQ - Right Upper Quadrant
 LUQ - Left Upper Quadrant
 LLQ - Left Lower Quadrant
 RLQ - Right Lower Quadrant
 PUFT - Post Uterine Full Term
 NSD - Normal Spontaneous Delivery
 IFC - Indwelling Follic Catheter
 Hx - History
 Rx - Prescription
 KVO - Keep Vein Open
 DAT - Diet As Tolerated
 DAMA - Discharge Against Medical Advice
 TID - thrice a day (8, 1, 6)
 QID - four times a day (8, 12, 4, 8)
 BID - twice a day (8, 6)
 TPR - temperature, pulse, respiration
 EO 51 - milk code
 URTI - Upper Respiratory Tract Infection
 ANST - After Negative Skin Test
 AGE - Acute Gastro Entritis
 FHT - Fetal Heart Tone
 OB-GYNE - Obstetric Gynecologist