Gestational Conditions

Question 0

When can you do a SVE on a woman who comes in complaining of bleeding?

Answer 0

After an ultrasound

Question 1

How do you measure blood loss?

Answer 1

Grams - Ounces

3000 grams - 1 oz

Question 2

SAB

Answer 2

Spontaneous Abortion (miscarriage)

Question 3

EAB

Answer 3

Elective abortion

Question 4

Imminent abortion

Answer 4

1st trimester
Unstoppable- an abortion will occur
Bleeding, cervical changes, cramping

Question 5

Threatened abortion-

Answer 5

Abortion could occur- 1st trimester
Bleeding, cramping, no cervical changes
Use tocolytics, bed rest, mother becomes high risk pregnancy for the remaining pregnancy

Question 6

Complete vs. Incomplete Abortion

Answer 6

Complete- all parts of conception are ejected from body

Incomplete- may need DNE

Question 7

Reoccur-ant abortion

Answer 7

3 pregnancies in a row

Question 8

Missed abortion

Answer 8

baby dies inutero

Question 9

Late abortion

Answer 9

abortion that occurs 24 wks into pregnancy

Question 10

Highest concerns after an abortion

Answer 10

Hemorrhage

Infection

Question 11

Ectopic pregnancy

Answer 11

Usually not a good outcome
Indications of rupture- pain, hard blue stomach
Methotrexate- folic acid antagonist- disrupts cell division rapidly if rupture has not already occurred

Question 12

Hydratiform Mole

Answer 12

Cells take over
Indications- too high fundal height, no FHT, hyperemisis***
DO NOT get pregnant for a year afterwards- strict birth control for a year
Could result in hysterectomy
At risk for seizure

Question 13

Incompetent cervix

Answer 13

2nd trimester
bleeding, dilation, pain-increased pelvic pressure, ROM
McDonald Sutures
High Risk pregnancy precautions

Question 14

Placenta previa

Answer 14

3rd trimester
occurs in first trimester S&S occur in third- baby is too low laying in uterus
risks >35yo, smoker, previous c-section, multiple gestation
delivery- vaginal if possible, c-sections with classical incision, monitor infant for fluid needs, mom may need a transfusion-lower than normal wound
NO PAIN

Question 15

Abruptio placenta

Answer 15

3rd trimester
placenta detaches
late decels, pain, bleeding is not always present
Risks: multip, PIH, Cocaine use,

Question 16

PIH S&S

Answer 16

Increase systolic of >30
increase diastolic >15
high weight gain r/t edema
kidney problems- protein in urine
hyperflexia
visual changes

Question 17

PIH risk factors

Answer 17

19-40
multi gestation
obesity
family hx
chronic renal 
hypertension

Question 18

Vasospasm PIH

Answer 18

decrease blood flow to organs- mainly affecting uterus and kidneys in pregnancy

Question 19

PIH intervention

Answer 19

flat lying LL side
strict I&O urine 30ml/hr
diet
magnesium sulfate

Question 20

Magnesium Sulfate

Answer 20

cathartic- pulls water, decreases edema, causes diarrhea
CNS depressant- monitor RR(no less than 12)
Antidote Ca
Apresoline- anti-hypertensive

Question 21

HELLP

Answer 21

Hemolysis
Elevated Liver
Lower platelets

Epigastric pain
Avoid cuts
Monitor IV

> 25yo
white
muliparas

Question 22

DIC

Answer 22

PIH- HELLP- DIC

DIC your mom is in trouble

Question 23

DIC what happens

Answer 23

blood goes to every orafice

caused by trauma

Question 24

DIC tx

Answer 24

``` Assess clotting factors Cure injury Replace volume Get baby out ASAP Monitor I&O ```

Question 25

TORCH

Answer 25

Toxoplasmosis- flu like- do not change litter box Other Hep B--- preterm labor give baby Hep Big HIV --- C/S, no breast feeding, go immediately to hospital upon ROM Rubella makes mom itchy CMV- do not get pregnant during outbreaks Herpes Beta Hemalytic Strep- culture during pap tx antibiotic both mom and partner