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Flashcards in Misc Deck (22):
1

Basic c section post op care

  1. Obs every 5 mins for 30 mins 
    1. Temp, pulse, BP, RR
  2. Facial 02 2-5 L 
  3. IV access and fluids
  4. Catheter -  urinary output
  5. Analgesics
  6. Anti emetics
  7. VTE risk
    1. Stockings, clexane, enoxoparin
  8. ?Antiobiotics
  9. Wound care
  10. Water only 2-4 hours post op --> if water tolerated 1 slice dry toast/biscuit --> 6-8 hours post if all tolerated can start eating
  11. Check for bowel sounds and flatulence passed
  12. 12 hours post op do FBC and mobilise
  13. Discharge for standard c-section 3 days

2

what does  absent end-diastolic flow mean

vascular compromise to fetus

3

Risks of gestational diabetes

  • Shoulder distocia
  • Fetal hypoglycaemia at birth
  • Macrosomic baby
  • Prematurity
  • Still birth
  • Risk of developing DM in the future for mum

4

signs and symptoms of placenta previa

A soft and non tender uterus

An oblique lie, with cephalic presentation

PV bleeding at 20 weeks

5

what is chorioamnionitis and how is it diagnosed

 Inflammation of the fetal membranes (amnion and chorion) due to a bacterial infection

 

Clinical: Fever, tachycardia (mum and baby), uterina tenderness, foul smelling PV discharge

Gold standard culture of amniotic fluid

6

normal sperm count 

>20 million

7

Why test progesterone on day 21

Progesterone should be high on day 21 if it's low it suggests anovulation

8

stages of puberty 

Girls

  • Breast
  • Pubic hair
  • growth spurt 
  • periods

Boys

  • Testicular growth
  • Pubic hair
  • Penis maturity
  • Growth spurt

9

Causes of enometrial polyp

  • Post menopausal
  • Tamoxifen (breast cancer drug)
  • HTN
  • Obesity

10

what is  endometrial sampling (Pipelle) and what can you find

Pocedure in which catheter is inserted into the cervix to take a biopsy of the endometrium 

 

Looking for malignancy

11

How much does a pevlic infection increase ectopic pregnancy risk by

25%

12

What is blood CA 125 an indicator for

ovarian cancer

13

normal CTG ranges

Fetal HR : 110-150

Variability: 5-25

Accelerations (abrupt inc 15 bpm for 15 secs): should occur with uterine contraction

Decels (abrupt dec 15 bpm for 15 secs): 

  • Early - start before and finish before contractions normal
  • Variable - at any time and length, are caused by cord compression or oligohydramnios can be resolved be a maternal change in position should be monitored
  • Late - start during and end after contractions sign of uteroplacenta insufficiency abnormal
  • Prolonged - longer than 2 mins quick action e.g. c-section

Sinisiodal pattern - regular waves v.bad

14

what is preterm

before 37 weeks

15

percentage of miscarriages dur to chromosomal abnormalities

70-80%

16

when can you first hear a babies heart beat

6 weeks

17

percentages of pregnancies that miscarry

14%

18

signs of TTTS

  1. Marked difference in growth between two of the same gender
  2. Difference in amniotic fluid
  3. Difference or only 1 umbilical cord
  4. Fluid build up in either fetus

19

what is normal temperature

36.1-37.2

20

what is a Cervical length scan and when is it used

A scan to determine cervical length. It predicts likelyhood of spontaneous preterm birth

21

what is Actim Partus or fetal Fibronectin swab

A test that canbe preformed from 22 weeks to predict whether birth is imminent or not. 

22

what is the Kleihauer test

Blood test to see how much fetal blood has mixed with mums