High Risk Flashcards
losing fetus before 20 weeks
spontaneous abortion
bleeding and clots during pregnancy
threatened abortion. still viable and intact
complete abortion
no signs of pregnancy
parts are there. Oxy or misoprostal to get out or D & C
incomplete abortion
evrything stays but no heartbeat
missed abortion
sharp one sided pain. syncope and referred shoulder pain.
ectopic pregnancy
High HCG. High rate of growth
Gestational Trophoblastic Disease
hydatidiform mole
gestational trophoblastic disease
premature dilation of cervix
cervical insufficiency
fixing incompetent cervix
cervical cerclage
vaginal bleeding. bright red. Non painful
placenta previa
never do an internal exam for
placenta previa
vertical c-section needed
placenta previa
hidden blood, pain, dark blood
abruptio placentae
severe vomiting past 20 weeks
hyperemesis gravidarum
vasoconstriction causing hypertension, moon face, headache, floaters, and proteinuria
preeclampsia
vasoconstriction that affects neurological system causing seizures
eclampsia
pregnancy related HTN is how much greater than normal
greater than 15
cuts down on irritability of neurotransmitters and stops seizures with HTN
IV magnesium sulfate during labor
Next level of preeclampsia and eclampsia. Stabilize mom and get baby out
HELLP (Hemolysis, Elevated Liver enzymes, Low Platelets)
When do you give Rogan
27-30 wks
after birth if baby is _______ give ______ within ______ to mom
positive, Rogan, 72hrs
Reasons to give Rogam
second pregnancy, trauma, abortion, ectopic, vaginal bleeding, invasive procedure etc.
how much amnionic fluid should you have
1000mL
amniotic fluid greater than 2000mL
polyhydramnios
med for polyhydramnios to decrease fluid by decreasing fetal urinary output
indomethacin
amniotic fluid less than 500mL
oligohydramnios
oligohydramnios is indicative of
kidney problems
rupture of membranes beyond 37 wks but before 39
PROM
rupture of membranes in women less than 37 wks
PPROM
sickle cell anemia
type and cross! Have blood ready. Clotting issues
check group B at
36 wks
kitty litter, soil (no gardening)
toxoplasmosis
CD4 count is bad when less than
200
most common HIV drug
Zidovudine