Ob Test Flashcards
Hyperemesis Gravidum s/s
Persistent emesis, significant weight loss, dehydration, electrolyte Imbalance
Ectopic pregnancy
Implanted ovum is outside the uterine cavity, 95% occur in Fallopian tubes
Treatment for an incompetent cervix
Cerclage- suturing the cervix.
Hydatidiform mole
Molar pregnancy
Placenta prévia
Placenta developed in lower uterine segment rather than the upper.
Types of placenta previa
Marginal, partial or total
Abruptio placrntae
Premature separation of placenta
Abruptio placentae s/s
Lower back pain, dark vaginal bleeding
Gestational HTN was known as what
Formally known as eclampsia
Gestational htn s/s
Edema, vision changes, seizures
Hellp syndrome letters stand for?
hemolysis (breakdown of RBC), elevated liver enzymes, low platelets
Treatment for gestational diabetes is what and why?
Insulin. Because insulin doesn’t cross through the placenta.
Gestational diabetes risk factors
Macrosomia (infant greater than 9.9 lbs) , excessive amniotic fluid (polydramnios)
Torch infection
Toxoplasmosis- non viral
Rubella- viral
Cytomegalovirus- viral
Herpes type 2- infection becomes dormant in nerves
Two types of dysfunctional labor
Hypotonic- contractions are too weak to be effective
Hypertonic- frequent, poorly coordinated contractions
Precipitate birth happens in how long
3 hours or less
PROM
Premature rupture of membranes
Test for PROM
Fern test- nitrogen paper turns blue for positive . A fern like pattern is seen under a microscope
Characteristics of what happens after uterine rupture
Shock- abdominal pain , pain between scapula with inspirations, abnormal or absent fetal tones
Amniotic fluid embolism
Abrupt onset of hypotension, respiratory distress and coagulation abnormalities
Uterine atony
Lack of muscle tone , descending rate of uterus
Sub-involution
Slower than expected return of the uterus to its non pregnancy condition.
Sub-involution s/s
Fundal height greater than expected, persistent lochia rubra, pelvic pain and fatigue
What are the four degrees of laceration
First Degree: superficial injury to the vaginal mucosa that may involve the perineal skin.
Second Degree: first-degree laceration involving the vaginal mucosa and perineal body.
Third Degree: second-degree but with anal sphincter involvement
fourth Degree: extends through anal sphincter into rectal mucosa- requires surgical repair
Treatment for mastitis
Antibiotics
Removal of milk
Mild analgesics
Heat promotes blood flow
Postpartum depression s/s
Lack of enjoyment, disinterest, loss of mental concentration, disturbed sleep
