Page 98 - Critical Maternity & Newborn Health Nursing

• If fundal height is greater than expected suspect a hydatidiform

mole .

• Determine gestational age by estimated date delivery. (EDD)

• Tenderness in adnexa .

• Lower abdominal pain (right or left side).

• Blood pressure, pulse and respiration (vital signs)

Signs of shock :

• Increased pulse rate Decreased blood pressure.

• Increased respiration Cold clammy skin, pallor.

• Restlessness Decreased urinary output .

• Decreased level of consciousness.

Laboratory data :

• Complete blood Rh factor .

• Hemoglobin, hematocrit.

• Laboratory screening for coagulation defect

Ultrasound to determine:

• Cause of bleeding Ectopic pregnancy .

• Threatened abortion Incomplete abortion.

• Hydatidiform mole Gestational age .

• Placental aging

Fetus assessment:

• Heart rate is taken with stethoscope or electronic monitor .

• Ultrasound test is done for possible growth retardation.

97 Table of Contents