LO 7-8 Obstetrical Disorders Flashcards
1
Q
Para
A
how many live deliveries
2
Q
Gravida
A
how many times shes been pregnant
3
Q
Ectopic pregnancy
A
- Egg fertilized in distal 3rd of fallopian tube
- Happens usually 8-9 weeks
- Unilateral pain
- Bleeding
- Pain
4
Q
Pre-eclampsia/eclampsia
A
- 3rd trimester complication
- Women younger than 18 who are experiencing their first pregnancy and women with advanced maternal age 35 years or older and women with risk of chronic hypertension or all at increased risk
- Something happens to the placenta
- 3 main signs
o extreme edema to face
o Any blood pressure over 140/90 is flagged pre-eclampsia
o Proteins in urine
- Eclampsia vs pre-eclampsia= seizures
o Only thing that can help is delivering the baby
- Airway management
- Load and go
5
Q
Abruptio placenta
A
- 3rd trimester condition
- Placenta separates from uterine wall baby is no longer supplied
- Excruciating tearing pain
- Partial separation: concealed bleeding or apparent bleeding
- Rapid transport
6
Q
Placenta previa
A
- Low placenta
- Placenta comes out first
- Painless bleeding
7
Q
Uterine rupture
A
- 3rd trimester complications
- Usually a result of multiple c-sections
- Compromise in the wall of uterus or is weak and it ruptures
- Excruciating pain
- Tons of blood
- Weakness, dizziness, thirst
- Strong painful contractions that weaken
8
Q
Spontaneous Abortion (Miscarriage)
A
- 1st trimester before 20th week
- Most of the time happens because of a x-some defect
9
Q
Fetal membrane disorder PROM and Amniotic Fluid Embolism
A
- 3rd trimester
- Water breaks but shes not in labour
o Clear
o Smell
o Color
10
Q
Management of Third Trimester Bleeding
A
- Initial assessment (LOC, ABC’s, Skin, etc.)
- Obtain V/S
- Nature of the bleeding? OPQRST?
- Quantity of blood loss?
- Orthostatic changes?
- Oxygen
- ECG and V/S
- Establish 1x (consider 2x) IV lines to maintain appropriate BP 18 GAUGE
- 250ml blous and continue up to 20ml/kg
- Left lateral recumbent
- Loose trauma pads (no packing) to vaginal area.
- Transport to appropriate facility
- CONSTANTRE‐EVALUATION
11
Q
Breech Presentation
A
- Elevate the hips
- Spread legs very far apart
- Push knees back
- May have to put hand in to secure airway
12
Q
Limb Presentation
A
- Limbs come out first
- Position on all fours
- Not common
- Don’t push
13
Q
Prolapsed Cord
A
- Position hips up on pillows and knees back
- Oxygen
- Instruct pt to pant with each contraction to prevent bearing down
- With 2 gloved fingers push presenting part back into vagina until its no longer pressing on the cord
- While u maintain pressure get partner to put moist dressing on umbiloical cord
- Hold until hospital
14
Q
Cephalopelvic Disproportion
A
- Head and pelvis disproportioned
- Head is too big for pelvis
15
Q
Uterine Inversion
A
- Placenta fails to detach properly and stays attached to uterine wall
- You have 1 attempt to push it back in
