Antepartum Pt2

Question 1

HPV what types

Answer 1

16 & 18

Question 2

Tx of chlamydia

Answer 2

Azithromycin

asymptomatic

Question 3

Gonorrhea tx

Answer 3

cephalosporins (ceftriaxone)

Question 4

painless lesion appearing 5-90 days after infection

Answer 4

primary syphilis

Question 5

occurs 6week-6 months after the appearance of chancre

Answer 5

secondary syphilis

Question 6

syphilis screening

Answer 6

test in 1st trimester
early 3rd trimester
@ delivery

Question 7

What is the diagnostic test of syphilis

Answer 7

treponemal: confirms positive resoults

Question 8

type 1 herpes

type 2 herpes

Answer 8

upper body & mouth

genitals

ABORTION CAN RESULT

Question 9

bacterial vaginosis &

Answer 9

preterm labor

Question 10

Incomplete abortion treatment

Answer 10

Stabilize
D&C
pitocin infusion or IM methergine

Question 11

incomplete abortion has

Answer 11

involution delay–uterus cannot contract

hemorrhage event or infection

Question 12

implantation of a fertilized ovum in an area outside the uterine cavity

Answer 12

Ectopic pregnancy

Question 13

ectopic risk factors

Answer 13

Chlaymida
Gonorrhea
multiple abortions
IUDs

Question 14

Ruptured ectopic pregnancy s/s

Answer 14

Sudden severe p!
profuse bleeding
Radiating pain under scapula
hypovolemic shock

Question 15

goal of management of ectopic pregnancy

Answer 15

preserve the tubes
Methotrexate
Linear salpingostomy

Question 16

Molar pregnancy treatment

Answer 16

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)

Question 17

when placenta covers cervix opening

Answer 17

placenta pervia

C section pts
should be suspected if vaginal bleeding occurs after 24 weeks

Question 18

placenta pervia s/s

Answer 18

painless dark red bleeding
last half of pregnancy

no vaginal exams

Question 19

placenta pervia management

Answer 19

bed rest
monitor for hypovolemic shock

if >36 weeks & lungs are good -> deliver

Question 20

bleeding occurs behind placenta causing hematoma

Answer 20

concealed abruption placentae

Question 21

bleeding separates or dissects membrane (bright red blood with or without clots) flows from vagina

Answer 21

Apparent abruption placentae

Question 22

abruption treatment

Answer 22

immediate delivery by C section

trauma mothers -> evaluate for abruption for 24 hrs

Question 23

concealed abruption placentae s/s

Answer 23

increase in fundal height

hard board like abdomen