Antepartum Pt2 Flashcards
HPV what types
16 & 18
Tx of chlamydia
Azithromycin
asymptomatic
Gonorrhea tx
cephalosporins (ceftriaxone)
painless lesion appearing 5-90 days after infection
primary syphilis
occurs 6week-6 months after the appearance of chancre
secondary syphilis
syphilis screening
test in 1st trimester
early 3rd trimester
@ delivery
What is the diagnostic test of syphilis
treponemal: confirms positive resoults
type 1 herpes
type 2 herpes
upper body & mouth
genitals
ABORTION CAN RESULT
bacterial vaginosis &
preterm labor
Incomplete abortion treatment
Stabilize
D&C
pitocin infusion or IM methergine
incomplete abortion has
involution delay–uterus cannot contract
hemorrhage event or infection
implantation of a fertilized ovum in an area outside the uterine cavity
Ectopic pregnancy
ectopic risk factors
Chlaymida
Gonorrhea
multiple abortions
IUDs
Ruptured ectopic pregnancy s/s
Sudden severe p!
profuse bleeding
Radiating pain under scapula
hypovolemic shock
goal of management of ectopic pregnancy
preserve the tubes
Methotrexate
Linear salpingostomy
Molar pregnancy treatment
IV pitocin after removal
vacuum aspiration followed by curettage
serial hCG levels 1-2 weeks, 1-2 month
avoid pregnancy for 1 year( risk for developing cancer)
when placenta covers cervix opening
placenta pervia
C section pts
should be suspected if vaginal bleeding occurs after 24 weeks
placenta pervia s/s
painless dark red bleeding
last half of pregnancy
no vaginal exams
placenta pervia management
bed rest
monitor for hypovolemic shock
if >36 weeks & lungs are good -> deliver
bleeding occurs behind placenta causing hematoma
concealed abruption placentae
bleeding separates or dissects membrane (bright red blood with or without clots) flows from vagina
Apparent abruption placentae
abruption treatment
immediate delivery by C section
trauma mothers -> evaluate for abruption for 24 hrs
concealed abruption placentae s/s
increase in fundal height
hard board like abdomen
