Section: Unit 6: Nursing Care for High-Risk Pregnancy, Labor, and Delivery | Maternal Health | NextGenU.org

  • Unit Objectives:
    • Explore the physical, social, and psychological factors that contribute to a high-risk pregnancy.
    • Identify standard management of patients with high-risk pregnancies.
    • Demonstrate teaching methods to help patients with high-risk pregnancies participate in their care to achieve positive health outcomes. 
    • Identify the nurse’s role in reducing the risk in high-risk pregnancies.

    • 6.1 Hypertension and Pregnancy

      Learning Objectives:
      • Explain the diagnosis of hypertension in pregnancy.
      • Differentiate between pre-existing and gestational hypertension.
      • List possible complications of hypertension in pregnancy.
      • Identify the management of hypertension and preeclampsia.
      • Identify teaching points for managing hypertension in pregnancy.
       
      Required Learning Resources and Activities
    • Read the entire page (51 minutes).

      Bettercare

    • Read sections from ‘Check the mother’s blood’ to the end of ‘Check for signs of pre-eclampsia (toxemia of pregnancy)’ (13 minutes).

      Hesperian Health Guides

    • Read the ‘Recommendations’ section from pages 9 to 15 (26 minutes).
      WHO
    • Read the entire page (6 minutes).

      Pregnancy, Birth, and Baby

    • Read the entire article (50 minutes).

      Journal of Clinical Medicine

    • Slide Deck Presentation

    • Read all the slides and answer the questions.

    • Quiz

    • quiz icon
      Quiz: Hypertension and Pregnancy

      To access the quiz, click on the name of the quiz provided above. On the following screen, click the attempt quiz button to view the case studies and respond to the questions.

      TO PASS THIS QUIZ YOU MUST OBTAIN A SCORE OF 80%.

      Not available unless: The activity Unit 5 Exam is complete and passed
    • 6.2 Gestational Diabetes

      Learning Objectives:
      • Differentiate between pre-existing and gestational diabetes.
      • List possible complications of gestational diabetes.
      • Explain how diabetes is diagnosed in pregnancy.
      • Explain the teaching points for managing gestational diabetes.
       
      Required Learning Resources and Activities
    • Read 7-31 to 7-41. (8 minutes)

      Bettercare

    • Read the entire page (13 minutes).

      Merck and the Merck Manuals

    • Read the entire page (8 minutes).

      NHS

    • Read chapter 21 (1 hour 21 minutes).

      Hesperian Health Guides

    • Slide Deck Presentation

    • Read all the slides and answer the questions.

    • Quiz

    • quiz icon
      Quiz: Diabetes Mellitus During Pregnancy

      To access the quiz, click on the name of the quiz provided above. On the following screen, click the attempt quiz button to view the case studies and respond to the questions.

      TO PASS THIS QUIZ YOU MUST OBTAIN A SCORE OF 80%.

      Not available unless: The activity Quiz: Hypertension and Pregnancy is complete and passed
    • 6.3 HIV and Pregnancy

      Learning Objectives:
      • Define HIV infection.
      • Describe how pregnant women can be screened for HIV infection.
      • List the possible complications of HIV infection in pregnancy.
      • Explain prevention strategies for HIV during pregnancy.
      • Discuss perinatal care for HIV patients.
      • Explore the management of breastfeeding in HIV-positive mothers.
       
      Required Learning Resources and Activities
    • Read the entire page (52 minutes).

      Bettercare

    • Read the entire page (53 minutes).

      Bettercare

    • Read the entire page (31 minutes).

      Bettercare

    • Download Chapter 7 and read sections 7.1.2-7.1.3 and 7.2.2 (45 minutes)

      WHO

    • Slide Deck Presentation

    • Read all the slides and answer the questions.

    • Quiz

    • quiz icon
      Quiz: HIV and Pregnancy

      To access the quiz, click on the name of the quiz provided above. On the following screen, click the attempt quiz button to view the case studies and respond to the questions.

      TO PASS THIS QUIZ YOU MUST OBTAIN A SCORE OF 80%.

      Not available unless: The activity Quiz: Diabetes Mellitus During Pregnancy is complete and passed
    • 6.4 Hydatidiform Mole and Ectopic Pregnancy

      Learning Objectives:
      • Define hydatidiform mole and ectopic pregnancy.
      • Identify their symptoms and signs.
      • Describe their management and treatment.
      • Identify client teaching regarding these complications.
       
      Required Learning Resources and Activities
    • Read pages S17-19 (6 minutes).

      WHO

    • Read contents from General Information About Gestational Trophoblastic Disease to the end of ‘Hydatidiform Mole Management’ (23 minutes).

      NIH

    • Read the entire article (11 minutes).

      MSD Manual

    • Read ‘Diagnosis and Management’ section - Evacuation to Prophylactic Chemotherapy (1 hour 51 minutes).

      The Global Library of Women's Medicine (GLOWM)

    • Read pages S15-17, P81-82, and P129-131 (13 minutes).

      WHO

    • Read the entire page (8 minutes).

      NHS

    • Read the section on ‘Surgical Management’ (10 minutes).

      The Global Library of Women's Medicine

    • Slide Deck Presentation

    • Read all the slides and answer the questions.

    • Quiz

    • quiz icon
      Quiz: Hydatidiform Mole and Ectopic Pregnancy

      To access the quiz, click on the name of the quiz provided above. On the following screen, click the attempt quiz button to view the case studies and respond to the questions.

      TO PASS THIS QUIZ YOU MUST OBTAIN A SCORE OF 80%.

      Not available unless: The activity Quiz: HIV and Pregnancy is complete and passed
    • 6.5 Infections During Pregnancy

      Learning Objectives:
      • Define high-risk pregnancy.
      • Describe the infections that put pregnancy at risk.
      • Summarize the modes of transmission and effects on the mother and fetus.
      • Describe the treatment and management of such infections.
       
      Required Learning Resources and Activities
    • Read the entire article (17 minutes).

      NCBI

    • Read the entire article (8 minutes).

      CDC

    • Read the entire article ( 3 minutes).

      CDC

    • Read the entire page (9 minutes).

      CDC

    • Read the entire article (14 minutes).

      CDC

    • Read the entire article (7 minutes).

      CDC

    • Read the entire article (19 minutes).

      NCBI

    • Read the entire article (2 minutes).

      NIH

    • Read the entire page (4 minutes).

      WHO

    • Read the entire article (26 minutes).

      NIH

    • Read the entire page (1 hour 41 minutes).

      The Global Library of Women's Medicine

    • Slide Deck Presentation

    • Read all the slides and answer the questions.

    • Quiz

    • quiz icon
      Quiz: Infection during Pregnancy

      To access the quiz, click on the name of the quiz provided above. On the following screen, click the attempt quiz button to view the case studies and respond to the questions.

      TO PASS THIS QUIZ YOU MUST OBTAIN A SCORE OF 80%.

    • 6.6 Hematological Disorders

      Learning Objectives:
      • Describe hematological disorders in pregnancy. Define high-risk pregnancy.
      • Identify the impact of hematological disorders on the pregnancy, birth, and postpartum periods.
      • Outline fetal and neonatal implications of hematological disorders.
      • Recall the management of hematological disorders in pregnancy, birth, and the postpartum period.
      • Discuss nursing interventions related to complications.
       
      Required Learning Resources and Activities
    • Read the entire article (20 minutes).

      American Society of Hematology Publications

    • Read the entire page (4 minutes).

      Merck Manuals

    • Read the entire article (18 minutes).

      NCBI

    • Slide Deck Presentation

    • Read all the slides and answer the questions.

    • Quiz

    • quiz icon
      Quiz: Hematological Disorders During Pregnancy

      To access the quiz, click on the name of the quiz provided above. On the following screen, click the attempt quiz button to view the case studies and respond to the questions.

      TO PASS THIS QUIZ YOU MUST OBTAIN A SCORE OF 80%.

      Not available unless: The activity Quiz: Infection during Pregnancy is complete and passed
    • 6.7 Fetal Dystocia and Laceration 

      Learning Objectives:
      • Define fetal dystocia.
      • Summarize the associated risk factors of fetal dystocia.
      • Explain the management/treatment of fetal dystocia.
      • Discuss lacerations during the birth process.
      • Restate the management and treatment of lacerations.
       
      Required Learning Resources and Activities
    • Read the entire page (8 minutes).

      Merck and Merck Manuals

    • Read the entire page on 'Sewing a tear or an episiotomy', Chapter 19 (18 minutes).

      Hesperian Health Guides

    • Read the entire page (1 minute).

      American Pregnancy Association

    • Slide Deck Presentation

    • Read all the slides and answer the questions.

    • Quiz

    • quiz icon
      Quiz: Fetal Dystocia and Laceration

      To access the quiz, click on the name of the quiz provided above. On the following screen, click the attempt quiz button to view the case studies and respond to the questions.

      TO PASS THIS QUIZ YOU MUST OBTAIN A SCORE OF 80%.

      Not available unless: The activity Quiz: Hematological Disorders During Pregnancy is marked complete
    • 6.8 Placenta Previa/Accreta/Increta/Percreta & Vasa Previa

      Learning Objectives:
      • Define placenta previa, placenta accreta/increta/percreta, and vasa previa.
      • Identify their signs and symptoms. 
      • Describe their diagnosis, treatment, and management.
       
      Required Learning Resources and Activities
    • Read pages S26-28 (4 minutes).

      WHO

    • Read the entire page (7 minutes).

      MSD and the MSD Manuals

    • Read the section on ‘Antepartum bleeding caused by placenta previa’ from 4-24 to 4-37 (8 minutes).

    • Read the entire page (38 minutes)

      The Global Library of Women's Medicine

       

    • Read the sections on ‘Placenta accreta’ and ‘Vasa previa’ (5 minutes).

      Royal College of Obstetricians and Gynaecologists


    • Read the third and fourth paragraphs of the 'COMPLICATIONS' section. (2 minutes).

      The Global Library of Women's Medicine

    • Read the entire page (4 minutes).

      MSD and the MSD Manuals

    • Read the ‘Executive summary’ section (3 minutes).

      Royal College of Obstetricians and Gynaecologists

    • Slide Deck Presentation

    • Read all the slides and answer the questions.

    • Quiz

    • quiz icon
      Quiz: Placenta Previa/Accreta/Increta/Percreta & Vasa Previa

      To access the quiz, click on the name of the quiz provided above. On the following screen, click the attempt quiz button to view the case studies and respond to the questions.

      TO PASS THIS QUIZ YOU MUST OBTAIN A SCORE OF 80%.

      Not available unless: The activity Quiz: Fetal Dystocia and Laceration is complete and passed
    • 6.9 Placental Abruption and Infection

      Learning Objectives:
      • Define placental abruption.
      • Define chorioamnionitis.
      • Identify their signs and symptoms.
      • Describe their diagnosis, treatment, and management.
       
      Required Learning Resources and Activities
    • Read page S23 (2 minutes).

      WHO

    • Read page S147, the section on ‘Antibiotic’, the second bullet point (1 minute).

      WHO

    • Read the entire page (7 minutes).

      MSD and the MSD Manuals

    • Read the entire article on Chorioamnionitis (10 minutes).

      NCBI

    • Read the section ‘Chorioamnionitis’- 12-33 to 12-35 (3 minutes). 

      Bettercare

    • Read up to the section ‘NEONATAL OUTCOME’ (30 minutes).

      The Global Library of Women's Medicine

    • Slide Deck Presentation

    • Read all the slides and answer the questions.

    • Quiz

    • quiz icon
      Quiz: Placental Abruption and Chorioamnionitis

      To access the quiz, click on the name of the quiz provided above. On the following screen, click the attempt quiz button to view the case studies and respond to the questions.

      TO PASS THIS QUIZ YOU MUST OBTAIN A SCORE OF 80%.

    • 6.10 Preterm Labor

      Learning Objectives:
      • Define preterm labor.
      • Identify its risk factors and diagnosis.
      • Describe the management of preterm labor.
       
      Required Learning Resources and Activities
    • Read pages S144-148 (8 minutes).

      WHO

    • Read the entire page (7 minutes).

      NHS

    • Read the entire page (8 minutes).

      MSD Manuals

    • Read the entire page (42 minutes).

      Bettercare

    • Slide Deck Presentation

    • Read all the slides and answer the questions.

    • Quiz

    • quiz icon
      Quiz: Preterm Labor

      To access the quiz, click on the name of the quiz provided above. On the following screen, click the attempt quiz button to view the case studies and respond to the questions.

      TO PASS THIS QUIZ YOU MUST OBTAIN A SCORE OF 80%.

    • 6.11  Poor Progress of Labor

      Learning Objectives:
      • Define failure to progress labor (poor progress of labor).
      • Identify its risk factors and diagnosis.
      • Describe the management of failure to progress.
       
      Required Learning Resources and Activities
    • Read pages C97-98, and S81-S97 (26 minutes).

      WHO

    • Read the section on ‘Poor progress in the active phase of the first stage of labour’ starting from 8-22 to 8-30 (11 minutes).

      Bettercare

    • Slide Deck Presentation

    • Read all the slides and answer the questions.

    • Quiz

    • quiz icon
      Quiz: Poor Progress of Labor

      To access the quiz, click on the name of the quiz provided above. On the following screen, click the attempt quiz button to view the case studies and respond to the questions.

      TO PASS THIS QUIZ YOU MUST OBTAIN A SCORE OF 80%.

      Not available unless: The activity Quiz: Preterm Labor is complete and passed
    • 6.12 Induction and Augmentation of Labor

      Learning Objectives:
      • Define the induction and augmentation of labor.
      • Identify indications for induction and augmentation of labor.
      • Describe the management of induction and augmentation of labor.
       
      Required Learning Resources and Activities
    • Read pages P 17-31 (27 minutes).

      WHO

    • Read the entire page and watch the video at the end (9 minutes).

      NHS

    • Read the entire article (25 minutes).

      The Global Library of Women's Medicine

    • Slide Deck Presentation
    • Quiz
    • quiz icon
      Quiz: Induction and Augmentation of Labor

      To access the quiz, click on the name of the quiz provided above. On the following screen, click the attempt quiz button to view the case studies and respond to the questions.

      TO PASS THIS QUIZ YOU MUST OBTAIN A SCORE OF 80%.

      Not available unless: The activity Quiz: Poor Progress of Labor is complete and passed
    • 6.13 Substance Abuse and Pregnancy

      Learning Objectives:
      • Explain the health risks associated with alcohol, tobacco, and illicit drugs.
      • Explain the pregnancy risks associated with alcohol, tobacco, and illicit drugs.
      • Discuss the nursing care related to a pregnant woman who is using tobacco, alcohol, or illicit drugs.
      • Discuss teaching needs associated with alcohol, tobacco, and illicit drugs.
       
      Required Learning Resources and Activities
    • Read content from ‘Pharmacotherapies’ and ‘Behavioral Therapies’. (18 minutes)

      National Institute of Drug Abuse

    • Read section ‘Health Risk Associated With Alcohol and Tobacco Use’. (2 minutes)

      National Institute on Alcohol Abuse and Alcoholism

    • Read contents from  ‘What are the other health consequences of drug addiction?’  to ‘how can addiction harm other people?’. (3 minutes)

      National Institute on Drug Abuse

    • Read section on ‘Social drugs during pregnancy’  and ‘Illicit drugs during Pregnancy’. (8 minutes)

      Merk Manual

    • Read section on ‘ Pharmacotherapy’. (2 minutes)

      IntechOpen

    • Read the entire page. (6 minutes)

      National Institute on Drug Abuse

    • Slide Deck Presentation
    • Quiz
    • quiz icon
      Quiz: Substance Abuse and Pregnancy

      To access the quiz, click on the name of the quiz provided above. On the following screen, click the attempt quiz button to view the case studies and respond to the questions.

      TO PASS THIS QUIZ YOU MUST OBTAIN A SCORE OF 80%.

      Not available unless: The activity Quiz: Induction and Augmentation of Labor is complete and passed
    • 6.14 Substance Abuse and Neonatal Health

      Learning Objectives:
      • Explain the risks to the newborn related to alcohol, tobacco, and illicit drugs.
      • Discuss the nursing care of the infant of a mother who uses alcohol, tobacco, or illicit drugs.
      • Discuss teaching needs associated with alcohol, tobacco, and illicit drugs.
       
      Required Learning Resources and Activities
    • Read the entire page. (3 minutes)

      U.S National Library of Medicine, MedlinePlus

    • Read all content before ‘Illegal drugs’. (3 minutes)

      National Institute of Drug Abuse

    • Read the section “ Substance use Disorder Treatment Admission;, ‘Substance Use Disorder Treatment for Mothers and Their Babies While Pregnant or Breastfeeding’ and ‘Treating opioids use disorder in pregnant women. (4 minutes)

      National Institute ot Drug Abus

    • Read content on ‘Illegal and non-prescribed drugs’ and ‘Alcohol’. (3 minutes)

      Queensland Government

    • Read the entire page. (2 minutes)

      The Royal Women’s Hospital Victoria Australia

    • Read the entire page. (5 minutes)

      CDC

    • Read section ‘Alcohol’. (1 minute)
      Government of Western Australia, Department of Health
    • Read the entire page. (3 minutes)

      The Royal Women’s Hospital , Victoria Australia

    • quiz icon
      Quiz: Substance Abuse and Neonatal Health

      To access the quiz, click on the name of the quiz provided above. On the following screen, click the attempt quiz button to view the case studies and respond to the questions.

      TO PASS THIS QUIZ YOU MUST OBTAIN A SCORE OF 80%.

      Not available unless: The activity Quiz: Substance Abuse and Pregnancy is complete and passed
    • quiz icon
      Unit 6 Exam Quiz

      To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

      Not available unless: The activity Quiz: Substance Abuse and Neonatal Health is complete and passed