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Obstetrical Emergencies Flashcards

(59 cards)

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1
Q

Puerperium

A

6 weeks after childbirth during which the mother’s reproductive organs return to their original nonpregnant condition

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2
Q

Menstruation

A

3-5days, shedding of endometrial tissue

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3
Q

Menopause

A

45-55+

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4
Q

Vagina

A

9-10cm

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5
Q

Uterus

A

Hollow, thick walled pear shaped muscle/organ

3” long 2”diameter

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6
Q

Uterus blood supply

A

Uterine artery extends off of iliac artery

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7
Q

Uterine fluid

A

2oz, 10ml => 2lbs, 5,000cc

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8
Q

Fundus location

A

Top of the uterus

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9
Q

3 layers of the uterus

nice to know

A

Endometrium
Myometrium
Perimetrium

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10
Q

Endometritis

A

Infection of the endometrium. May be complication of miscarriage.

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11
Q

Endometriosis

A

Endometrial tissue found outside of the uterus

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12
Q

Ectopic Pregnancy

A

?

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13
Q

Fallopian tubes

A

Thin, flexible, extend off the uterus laterally.

4” in length, 1” diameter

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14
Q

Openings off the fallopion tube

A

Fringed (Frimbriated)- opens to abdomen

Minute- open to uterus

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15
Q

Peristolysis

A

?

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16
Q

Ovaries

A

Almond shaped, secrete progesterone and estrogen, stimulated by the pituitary

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17
Q

Hormones released by the pituitary gland for menstration

A

Follicle stimulating hormone

Luteinizing Hormone

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18
Q

PMDD

A

Premenstrual dysphoric disorder

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19
Q

PID (Pelvic Inflammatory Disease)

A

pain increases with menstration and sex

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20
Q

Cystitis

A

bladder infection (UTI)

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21
Q

Mittelschmerz

A

Abdominal pain associated with ovulation

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22
Q

SART

A

Sexual Assault Response Team

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23
Q

Ovulation

A

Egg released from ovarie

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24
Q

Placenta

Study These Flashcards
A

Organ of pregnancy, transports gases between mother and fetus. Supplies nutrients

25
Afterbirth
Placenta and membranes that are expelled from uterus after the birth of a child
26
Umbilical cord
structure that connects fetus and placenta – 2 arteries and 1 vein. Vein carries oxygenated blood to fetus from placenta via separate blood supply.
27
Amniotic sac
membranes that surround and protect the developing fetus
28
Amniotic fluid
clear watery fluid that surrounds and protects the developing fetus
29
Meconium staining
fetal distress, first bowel movement inutero
30
Mucus plug
Forms at cervix providing barrier
31
Respiratory system
O2 demand increase Tidal volume increase by 40% Respiratory tract resistance decreases(smooth muscle dialation) .RR increase slightly
32
Cardiovascular changes
Cardiac Output increase Blood volume increse 45% (mostly plasma) *dilutional anemia
33
Preeclampsia
140/90
34
OB special questions
``` P prenatal care P previous deliveries E expected complications (vag bleeding or discharge) B bag of water ruptured ROM- rupture of membrane B bare down? L length and duration of contractions E estimated date of confinedment ```
35
Imminent birth
contractions 2mins apart and lasting 45 seconds
36
Spontaneous abortion
8-12 wk pregnancy cramping lower quadrant pain Mod-severe vag bleeding passive of tissue blood clots
37
Rx of spontaneous abortion
O2, IV, POC, Support
38
Placenta previa
Placenta attaches low 3rd trimester Painless bright red vag bleed
39
Abruptio Placentae
Abnormal seperation of placenta from uteran wall
40
Abruptio placentae S/S
Extreme abdominal pain Rigid/Pain on palpation Significant vag bleeding/none Contractions
41
Ruptured uterus
Thinned uterine wall Traumatic or spontaneous See body parts on abdomen
42
Gestational diabetes
?
43
Preeclampsia/ Eclampsia
HTN to seizures headache w/ blurred vision swelling of feet, face
44
Braxton-hicks contractions
false labor that inc in intensity and frequency, does not cause cervical changes
45
3 phases of labor
Onset of contractions to dilation Expulsion Placental Stage
46
Prolapsed cord
?
47
Precipitous Delivery
Less than 3hrs of labor
48
Amniotic embolism
?
49
Do What Probably Seems Simple
``` Dry Warm Position Suction Stimulation ```
50
APGAR
?
51
Physiologic changes of pregnancy? Reproductive system...
``` Uterus increases in size Vascular system Formation of mucous plug in cervix Estrogen causes vaginal mucosa to thicken Breast enlargement ```
52
Physiologic changes of pregnancy? Respiratory System
Progesterone causes a decrease in airway resistance. Also prepares for implantation of egg Increase in oxygen consumption Increase in tidal volume Slight increase in respiratory rate
53
Changes Cardiovascular
Cardiac output increases Blood volume increases Supine hypotension
54
Changes gastrointestinal system
Hormone levels | Peristalsis is slowed(wave of GI tract to move food through)
55
Changes Urinary system
Urinary frequency is common | Bladder displaced anteriorly and superiorly
56
Changes Musculoskeletal system
More prone to falls because center of gravity changed | Loosened pelvic joints
57
Changes reproductive system
Uterus from 2 oz with 50 ml capacity to 2# and 5000 ml | Can measure from symphysis pubis to uterine fundus and each c + 1 wk
58
Full term fetus?
38-40weeks
59
3 medical complications of pregnancy
Gestational Diabetes Supine hypotension syndrome HTN Disorders

Peds/OB (3 decks)

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