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Peds/OB > Obstetrical Emergencies > Flashcards

Obstetrical Emergencies Flashcards

1
Q

Puerperium

A

6 weeks after childbirth during which the mother’s reproductive organs return to their original nonpregnant condition

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2
Q

Menstruation

A

3-5days, shedding of endometrial tissue

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3
Q

Menopause

A

45-55+

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4
Q

Vagina

A

9-10cm

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5
Q

Uterus

A

Hollow, thick walled pear shaped muscle/organ

3” long 2”diameter

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6
Q

Uterus blood supply

A

Uterine artery extends off of iliac artery

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7
Q

Uterine fluid

A

2oz, 10ml => 2lbs, 5,000cc

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8
Q

Fundus location

A

Top of the uterus

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9
Q

3 layers of the uterus

nice to know

A

Endometrium
Myometrium
Perimetrium

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10
Q

Endometritis

A

Infection of the endometrium. May be complication of miscarriage.

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11
Q

Endometriosis

A

Endometrial tissue found outside of the uterus

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12
Q

Ectopic Pregnancy

A

?

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13
Q

Fallopian tubes

A

Thin, flexible, extend off the uterus laterally.

4” in length, 1” diameter

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14
Q

Openings off the fallopion tube

A

Fringed (Frimbriated)- opens to abdomen

Minute- open to uterus

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15
Q

Peristolysis

A

?

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16
Q

Ovaries

A

Almond shaped, secrete progesterone and estrogen, stimulated by the pituitary

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17
Q

Hormones released by the pituitary gland for menstration

A

Follicle stimulating hormone

Luteinizing Hormone

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18
Q

PMDD

A

Premenstrual dysphoric disorder

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19
Q

PID (Pelvic Inflammatory Disease)

A

pain increases with menstration and sex

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20
Q

Cystitis

A

bladder infection (UTI)

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21
Q

Mittelschmerz

A

Abdominal pain associated with ovulation

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22
Q

SART

A

Sexual Assault Response Team

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23
Q

Ovulation

A

Egg released from ovarie

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24
Q

Placenta

A

Organ of pregnancy, transports gases between mother and fetus. Supplies nutrients

25
Q

Afterbirth

A

Placenta and membranes that are expelled from uterus after the birth of a child

26
Q

Umbilical cord

A

structure that connects fetus and placenta – 2 arteries and 1 vein. Vein carries oxygenated blood to fetus from placenta via separate blood supply.

27
Q

Amniotic sac

A

membranes that surround and protect the developing fetus

28
Q

Amniotic fluid

A

clear watery fluid that surrounds and protects the developing fetus

29
Q

Meconium staining

A

fetal distress, first bowel movement inutero

30
Q

Mucus plug

A

Forms at cervix providing barrier

31
Q

Respiratory system

A

O2 demand increase
Tidal volume increase by 40%
Respiratory tract resistance decreases(smooth muscle dialation)
.RR increase slightly

32
Q

Cardiovascular changes

A

Cardiac Output increase
Blood volume increse 45%
(mostly plasma)
*dilutional anemia

33
Q

Preeclampsia

A

140/90

34
Q

OB special questions

A 
P prenatal care
P previous deliveries
E expected complications (vag bleeding or discharge)
B bag of water ruptured 
    ROM- rupture of membrane
B bare down?
L length and duration of contractions
E estimated date of confinedment
35
Q

Imminent birth

A

contractions 2mins apart and lasting 45 seconds

36
Q

Spontaneous abortion

A

8-12 wk pregnancy
cramping lower quadrant pain
Mod-severe vag bleeding
passive of tissue blood clots

37
Q

Rx of spontaneous abortion

A

O2, IV, POC, Support

38
Q

Placenta previa

A

Placenta attaches low
3rd trimester
Painless bright red vag bleed

39
Q

Abruptio Placentae

A

Abnormal seperation of placenta from uteran wall

40
Q

Abruptio placentae S/S

A

Extreme abdominal pain
Rigid/Pain on palpation
Significant vag bleeding/none
Contractions

41
Q

Ruptured uterus

A

Thinned uterine wall
Traumatic or spontaneous
See body parts on abdomen

42
Q

Gestational diabetes

A

?

43
Q

Preeclampsia/ Eclampsia

A

HTN to seizures
headache w/ blurred vision
swelling of feet, face

44
Q

Braxton-hicks contractions

A

false labor that inc in intensity and frequency, does not cause cervical changes

45
Q

3 phases of labor

A

Onset of contractions to dilation
Expulsion
Placental Stage

46
Q

Prolapsed cord

A

?

47
Q

Precipitous Delivery

A

Less than 3hrs of labor

48
Q

Amniotic embolism

A

?

49
Q

Do What Probably Seems Simple

A 
Dry
Warm
Position
Suction
Stimulation
50
Q

APGAR

A

?

51
Q

Physiologic changes of pregnancy? Reproductive system…

A 
Uterus increases in size
Vascular system
Formation of mucous plug in cervix
Estrogen causes vaginal mucosa to thicken
Breast enlargement
52
Q

Physiologic changes of pregnancy? Respiratory System

A

Progesterone causes a decrease in airway resistance. Also prepares for implantation of egg
Increase in oxygen consumption
Increase in tidal volume
Slight increase in respiratory rate

53
Q

Changes Cardiovascular

A

Cardiac output increases
Blood volume increases
Supine hypotension

54
Q

Changes gastrointestinal system

A

Hormone levels

Peristalsis is slowed(wave of GI tract to move food through)

55
Q

Changes Urinary system

A

Urinary frequency is common

Bladder displaced anteriorly and superiorly

56
Q

Changes Musculoskeletal system

A

More prone to falls because center of gravity changed

Loosened pelvic joints

57
Q

Changes reproductive system

A

Uterus from 2 oz with 50 ml capacity to 2# and 5000 ml

Can measure from symphysis pubis to uterine fundus and each c + 1 wk

58
Q

Full term fetus?

A

38-40weeks

59
Q

3 medical complications of pregnancy

A

Gestational Diabetes
Supine hypotension syndrome
HTN Disorders

Peds/OB (3 decks)

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