Ob Final Flashcards
(58 cards)
Cholasma
Brown or gray patches on face
Linea Nigra
Dark vertical line that appears on abdomen
Striae Gravidarum
Stretch marks
What to do if a pregnant woman is experiencing nausea and vomiting
Educated about crackers by the bed, having frequent small meals, avoid trigger smells
Fundo height
Each centimeter is one week of pregnancy
Fetal movement counting
Count to 10 method:
10 distinct movements in 1 to 2 hours is the desired result
Patient comes in and hasn’t felt baby moving in a while. What do we do?
Non-stress test
Non-stress test
client pushes a button whenever she feels a fetal movement
Reactive equals 2+ accelerations in 20 minutes
Non-reactive is fewer than two in 40 minutes
Red flags to monitor for
Swelling of hands, face, legs, or tingling
Ankles is normal
Visual changes
Severe belly pain
Headaches that worsen (preeclampsia)
Rapid weight gain 5+ pounds in a week
Baby not moving
GTPAL
G - # of pregnancies
T - term >37 weeks
P - preterm < 37 weeks
A - abortion <20 weeks
L - living children
Nagels rule
Subtract 3 months
Add 7 days
Amniocentesis
Aspiration of amniotic fluid:
Monitor vital signs during and 30 minutes after
Obtain baseline prior
Empty the bladder prior to procedure
Administer RHD immune globulin to the client if they are Rh NEGATIVE
Biophysical profile (BPP)
Combines a non-stress test with an ultrasound
What does the BPP assess?
FHR
Fetal breathing
Fetal body movements
Fetal tone
amount of amniotic fluid
BPP results
8-10 = normal
<6 ABNORMAL
Abruption expected findings
Board like abdomen
Dark red vaginal bleeding
uterine tenderness
sudden onset of intense localized pain
Abruption
Separ ation of the placenta from the uterus
Occurs after 20 weeks gestation
Leading cause of maternal death
What is the only management of abruption?
Delivery
Cervical insufficiency treatment
Cerclage
Cerclage
Cervix “stitched”
Bestest and no sex
Prevent premature birth
Do not insert anything into vagina
Keep bladder empty
Ectopic pregnancy
Abnormal implantation of the ovum outside of the uterine cavity
Ectopic pregnancy findings
Unilateral stabbing pain
scant dark red or brown vaginal spotting
referred shoulder pain
Severe shoulder pain and ectopic pregnancy indicates what?
Ectopic rupture
ectopic pregnancy DX & TX
Transvaginal ultrasound that shows an empty uterus
Rapid treatment
Methotrexate dissolves the pregnancy
Salpingostomy if not ruptured
Laparoscopic salpingectomy if ruptured
Removes the tube
