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OB Exam 2 > 80% > Flashcards

80% Flashcards

(63 cards)

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1
Q

What is the treatment for GBS?

A

Penicillin G - 4 hour limit - Give drugs before birth to kill GBS for birth because it grows back fast

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2
Q

PROM consideration

A

Limit Vag exams
Record - time amount color order

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3
Q

PROM complications

A

Chorioamnionitis - infection & Cord prolapse

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4
Q

Normal A1C

A

6.5. Or less

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5
Q

Gestational Diabetes insulin needs

A

1st Trimester - Low
2nd Trimester - High
3rd Trimester - High
Labor and delivery - Low, baby doesn’t have moms glucose, so they are prone to hypoglycemic

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6
Q

Obesity Complications

A

Increased - C section time, blood loss, infection risk, DVT

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7
Q

BMI Review

A

Underweight - less than 18.5
Normal - 18.5 to 24.9
Overweight - 25 to 29.9
Obese - greater than 30
Severely Obese - greater than 40

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8
Q

Gestational HNT

A

After 20 weeks onset, 140/90, NO proteinuria

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9
Q

Pre-eclampsia

A

After 20 weeks, 140/90, Proteinuria
Deliver baby in severe cases to lower the BP

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10
Q

Eclampsia

A

Involves Seizures and Coma that can occur during and up to 48 hours after birth

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11
Q

Chronic HNT

A

Present before 20 weeks but can become pre-eclampsia

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12
Q

HNT Nursing Considerations

A

Calm environment, seizure pre, assess Edema, assess tendon reflexes, assess lab values

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13
Q

HNT Pharmacology

A

Hydralazine, Labetalol, Magnesium Sulfate

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14
Q

Magnesium Sulfate

A

This med is a high alert seizure preventing med
Look out for respitory depression, decreased reflexes
1st action of OD is turn off pump
Antidote - Calcium Gluconate,

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15
Q

HNT effects on fetus

A

Growth restriction, low amniotic fluid, PTB, late acceleration due to abnormal O2

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16
Q

HELLP Syndrome

A

Laboratory Diagnosis, sever pre-eclampsia
H- hemolysis
EL - elevated liver enzymes
LP - low platelet

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17
Q

Antepartum testing

A

Fetal movement, ultrasound, doppler blood flow analysis, amniotic fluid index, Biophysical BPP, Non stress test

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18
Q

Biophysical Profile BPP

A

AFI, Fetal HR, Fetal Movement, Fetal Tones, Fetal Breathing

Normal 7-10

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19
Q

Hyperemesis Gravidarum

A

S&Sx - weight loss, dehydration, low BP, high pulse, can’t keep liquids down
Interventions - obtain weight, Vital signs, Urine analysis, blood work for electrolytes
Treatment - IV therapy, B6, Zofran, dairy, dry starchy foods, high protine snacks, ginger, fresh air

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20
Q

Miscarriage types

A

Threatened - could happen, spotting blood
Inevitable - will happen, bleeding and cramping
Incomplete - baby is lost & out, life threatening bleeding from placenta or tear
Complete - Baby is visible in the toilet with minimal bleeding
Missed - 2nd trimester, Baby has no HR and is dead inside of mom

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21
Q

Ectopic pregnancy

A

S&Sx - bleeding, pain, positive pregnancy test,
Screening - HCG level, transvaginal ultrasound

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22
Q

Ectopic management

A

Medical - Methotrexate blocks DNA synthesis
Surgical - removal whole tub or a piece - affects future fertility
Both - use birth control for 3 months

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23
Q

Molar Pregnancy

A

Rare placental growth In the uterus, it develops into Choriocarcinoma

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24
Q

Molar management

A

Most of the time, spontaneously abort or use suction to pull it out
Ultrasound
HCG levels watched for a year no pregnancy

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25
Placenta Previa
Placenta covers the cervical OS Found by ultrasound & Painless bright red bleeding No vaginal exams Baby will be C-section
26
Placenta Accreta
Placenta grabs the uterus muscles and doesn't separate easily
27
Placenta Percreta
Placenta is rooted into moms organs
28
Placenta Abroption
Separation of the placenta after 20 weeks from trauma S&Sx - abdominal pain, dark vaginally bleeding, urine tenderness, ultrasound diagnostic, uterus rigidity RF - Trauma, Hypertension, Coke, Smoking, Twins
29
DIC
This is when you are bleeding so fast that the body loses its closing factors, causes body wide bleeding
30
Trauma management
Fetal and contraction monitoring, ultrasound, Labs, Rhogam injection
31
PTL Risk Factors
History of PTB, multi gestation, Utrin / cervical changes, Bleeding, infections, underweight, obesity, increased BP No care, smoking, substance abuse, DV, sexual abuse
32
Preterm Birth Factors
History of PTB Fetal Fibronectin FFN - nothing in Vag for 24 hours Cervical Length - less then 15 mm
33
Preterm Labor Signs
Contraction every 10 minutes, rupture of membranes, bleeding, low dull back pain, cramps that are menstral like, potential diarrhea
34
PTL Meds
Magnesium Sulfate - nuro protection, delays labor Betamethazone - promos fetal lung development
35
Tocolytics
Ibuprofen - decreased amniotic fluid after 32 weeks Indocin - take with food or antiacid, decreased amniotic fluid after 32 weeks Toroidal - iv or im Nifedipine - watch for hypotension Terbutaline - sub q, don't give if client has a Tachy HR, this is a fast acting emergency med Mag Sulfate - delay pregnancy, client will have hot flash, sweating, burning of iv site, n/v, muscle weakness
36
Betamethasone
2 injections 24 hours apart, Contraindications- infection, hyperglycemic, hypertension
37
Cervical Cerclage
Done in the 12 to 14th week, it's a stich that holds the cervix together and has to be taken out before birth
38
Genetic prenatal tests
Family history, Maternal serum screen, Fetal ultrasound, Amniocentesis - pull water with a needle at about 14 weeks Chronic Villus Sampling - Pull a chunk of placenta tissue to test
39
Prenatal v.s Preconception
Preconception - is your state of health before you come pregnant Prenatal - appointment should be made after your 1st missed period
40
Nutrition Key points
Inc. Protein, 8 to 10 glasses of water, no more than 200mg of caffeine daily, vegans need B12
41
Foods to avoid in pregnancy
Unprocessed dairy Aged meat and cheese Deep sea big fish tuna, sword fish
42
Iron rich foods & Calcium rich foods
iron - leffy green vegetable, vitamin C helps absorb iron Calcium - milk, cheese, yogurt, sardines
43
Pica
This is the consumption of non food items due to low hemoglobin
44
Naegele's Rule
Last menstrual period date Subtract 3 months Add 7 days Equals due Date
45
Presumptive signs
Changes felt by the mom
46
Probable signs
Changes observed by examiner Gooddell sign - soften cervical tip Chadwick sign - deep color of vag Hegar sign - softening and compressabilty of lower urine Ball sign - tap on cervix and baby jumps
47
Positive sign
Signs that are atrubited to only the presence of a fetus
48
Pre-embryonic
2 weeks of the zygote
49
Embryonic
Most venerable to Toraogens from 2 to 8 weeks
50
Fetal period
8 to 40 weeks, viability is possible at 24 weeks
51
Placenta hormones
HCG - biomarker of pregnancy, produces progesterone and estrogen till placenta assume function Estrogen - increases vascular, growth Progesterone - maintain the pregnancy, relaxation of smooth muscles HPL - increased availability to glucose Relaxin - relaxes pelvic joints, inhibits utrin activity
52
Oligonhydramnios
Not enough amniotic fluid
53
Polyhyamnios
To much amniotic fluid
54
Teratogens
Drugs, Chemicals, Infection, Radiation, Alcohol
55
Placenta functions
Metabolic - respiration, diffuse of mom and fetal blood Nutrition - water, electrolyte, carbs, fats, protein, vit Excretion - waste out of fetal blood Storage - stors nutrients in placenta for fetal need Transfer Imm - gives the baby's antibodies before birth
56
Week 4 & 5
CV is the 1st to form 4 chambers in the heart are formed by week 5
57
Week 8
Heart beat, all organs and structures are there, Fetal stage starts
58
Week 12
Heart beat can be heard with a doppler, gender becomes apparent
59
Week 20
Placenta is developed Fetal movement can be felt by Mother 16-20
60
Week 24
Fetus becomes viable, hears, sees,
61
Week 32
Antibodies cross the placenta
62
Week 36
Lung development is almost complete
63
Week 40
There baby is ready to live outside and has a sleep wake cycle

OB Exam 2 (1 decks)

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