OBGYN Neonates Flashcards
What is the fimbriae and what is special about it?
The end of the fallopian tubes that is open to the internal environment
What is Mittleschmertz?
A specific abdominal pain typically associated with menstruation
What is dysmenorrhea?
Pain with menstruation. This is pain to the point that it affects the patients lifestyle
What is endometriosis?
Endometrium (lining of uterus) grows outside the uterus
What are the 3 primary elements of managing gynecological emergencies?
Protect Privacy
History: Normal v abnormal (use of hormonal birth controls and consider pregnancy or STD’s)
Empathetic communication
How is the reproductive system affected during pregnancy?
hormonal changes, growth of the fetus
How is the respiratory system affected during pregnancy?
Increase in RR and oxygen demand
How is the cardiovascular system affected during pregnancy?
Increase in blood volume, HR and BP increase, hemodilution
How is the musculoskeletal system affected during pregnancy?
Change in weight, change in the center of gravity, loosening of ligaments (decrease in joint stability)
What weeks are the first trimester?
1-12
What weeks are the second trimester?
13-28
What weeks are the third trimester?
29-40
In what trimester is morning sickness the most common? How many weeks is that?
First trimester
weeks 1-12
Babies are considered premature if born before how many weeks?
37 weeks
What is the function of the placenta?
Blood barrier between mom and baby
Gas and nutrient exchange
Waste removal
Transfer of immunity
Hormone production
What is the life span of the placenta?
About 40 weeks
What are examples of high-risk pregnancies?
Rapid labor and delivery
Post-term pregnancy (>42 weeks)
Pre-term delivery (<37 weeks)
Meconium staining
Multiple gestations (twins, triplets)
Intrauterine fetal death
What is Meconium staining?
Meconium is the baby’s first poop and it is nasty green. If the meconium is coming out of mom that is a big sign of fetal distress
What complications does gestational diabetes create?
Mom has diabetes for a few months, and baby is large
What are preeclampsia and eclampsia?
preeclampsia: Proteins in the urine as well as high blood pressure. Probably swelling in the feet and hands
eclampsia: preeclampsia causing a seizure
What is an ectopic pregnancy? S/S
Zygote plants anywhere outside of the uterus (fallopian tubes or even outside the uterus and fallopian tubes in open abdominal environment)
Severe abdominal pain
Vaginal bleeding (spotting)
Nausea
Collapse and weakness/syncope
Hypotension
Fast and thready pulse
What is abruptio placenta? S/S
Placenta prematurely separating from the uterine wall
Vaginal bleeding
Abdominal
Back Pain
Abdominal tenderness
Uterine rigidity
Uterine contractions
What is placenta previa? S/S
The placenta lies over part or the whole cervical opening
Bright red vaginal bleeding
Painless
2nd or 3rd trimester
What are 4 premonitory signs of labor (things that lead up to labor)
Lightening: baby drops into the pelvis
Bloody show: vaginal discharge, signals cervix thinning and dilating
Braxton Hicks: uterine contractions (non-labor contractions)
Rupture of membranes: water breaking (usually ruptures at the end of the first stage of labor)
