OBGYN: buzzword Flashcards
fetal bradycardia
uterine rupture
*maternal eclamptic seizures can cause fetal brady
common cause of maternal death within 24 hours
PP hem
Boggy soft flaccid uterus
uterine atony
1st hour after delvery
greatest risk for PP hemorrhage
first 2 hours after delivery
BP and pulse chekced every 15 mins
first 4 hours after delivery
temperature assessed every 4 hours for the first 8 hours… then at least every 8 hours
first 6-12 weeks PP
greatest risk for VTE
**very hypercoaguable state
Surgical D&C
<16 weeks
surgical D&E
> 16 weeks
early pregnancy loss
<12 weeks
spontaneous abortion
<20 weeks
vaginal bleeding prior to the 20th week
+/- cramps/pain
cervix closed
products of conception are intact
threatened abortion
+pain/cramping
+bleeding
Cervix partially dilated
Products of conception are intact
inevitable abortion
+pain/cramps
+bleeding
completely dilated cervix
POC: some expelled
incompletel abortion
-pain/cramps
-bleeding
-cervix closed
POC intact
missed abortion
+pain, prior
+bleeding, prior
Cervix is now closed
POC all expelled from uterus
complete abortion
+/- Pain
Bleeding–foul smelling with brown discharge
cervix–closed with +CMT
POC some or all remain
septic abortion
painless vaginal bleeding
- molar pregnancy
- placenta previa
hCG over 100,00
molar pregnancy
MCC of maternal mortality in the first trimester
ectopic preg
referred shoulder pain
ruptured ectopic preg
prior missed menses \+ vaginal bleeding \+ lower abd pain
probable ectopic preg
painful vaginal bleeding
abrupto placentae
maternal HTN
RF for abrupto placentae
edema of hands/face
preeclampsia
HCG test is <5 IU/L
negative
HCG test is >25 IU/L
Positive
HCG=100
the level of HCG where you miss your period
NAEGELEs rule
1st day of LMP + 7 days -3MO + 1 yr
low alpha fetoprotein + high HCG + low estradiol
down syndrome
High alpha fetoprotein
open neural tube defect– spina bifida
low alpha fetoportein, low hcg, low estradiol
trisomy 18
uterine contractions, leakage of fluid, vaginal bleeding, low pelvic pressure or back pain
s/s of preterm labor
frontal HA
visual changes
hand of facial swelling
epigastric or RUQ pain
s/s preeclampsia
compression of umbilical cord can lead to
build up of CO2=resp acidosis