Misc Flashcards
Basic c section post op care
- Obs every 5 mins for 30 mins
- Temp, pulse, BP, RR
- Facial 02 2-5 L
- IV access and fluids
- Catheter - urinary output
- Analgesics
- Anti emetics
- VTE risk
- Stockings, clexane, enoxoparin
- ?Antiobiotics
- Wound care
- Water only 2-4 hours post op –> if water tolerated 1 slice dry toast/biscuit –> 6-8 hours post if all tolerated can start eating
- Check for bowel sounds and flatulence passed
- 12 hours post op do FBC and mobilise
- Discharge for standard c-section 3 days
what does absent end-diastolic flow mean
vascular compromise to fetus
Risks of gestational diabetes
- Shoulder distocia
- Fetal hypoglycaemia at birth
- Macrosomic baby
- Prematurity
- Still birth
- Risk of developing DM in the future for mum
signs and symptoms of placenta previa
A soft and non tender uterus
An oblique lie, with cephalic presentation
PV bleeding at 20 weeks
what is chorioamnionitis and how is it diagnosed
Inflammation of the fetal membranes (amnion and chorion) due to a bacterial infection
Clinical: Fever, tachycardia (mum and baby), uterina tenderness, foul smelling PV discharge
Gold standard culture of amniotic fluid
normal sperm count
>20 million
Why test progesterone on day 21
Progesterone should be high on day 21 if it’s low it suggests anovulation
stages of puberty
Girls
- Breast
- Pubic hair
- growth spurt
- periods
Boys
- Testicular growth
- Pubic hair
- Penis maturity
- Growth spurt
Causes of enometrial polyp
- Post menopausal
- Tamoxifen (breast cancer drug)
- HTN
- Obesity
what is endometrial sampling (Pipelle) and what can you find
Pocedure in which catheter is inserted into the cervix to take a biopsy of the endometrium
Looking for malignancy
How much does a pevlic infection increase ectopic pregnancy risk by
25%
What is blood CA 125 an indicator for
ovarian cancer
normal CTG ranges
Fetal HR : 110-150
Variability: 5-25
Accelerations (abrupt inc 15 bpm for 15 secs): should occur with uterine contraction
Decels (abrupt dec 15 bpm for 15 secs):
- Early - start before and finish before contractions normal
- Variable - at any time and length, are caused by cord compression or oligohydramnios can be resolved be a maternal change in position should be monitored
- Late - start during and end after contractions sign of uteroplacenta insufficiency abnormal
- Prolonged - longer than 2 mins quick action e.g. c-section
Sinisiodal pattern - regular waves v.bad
what is preterm
before 37 weeks
percentage of miscarriages dur to chromosomal abnormalities
70-80%
