Pregnancy/ Obstetrics Flashcards
Learn about complications of pregnancy and pregnancy signs
Ectopic Pregnancy l
mostly Fallopian tubes,
s/sx - dark color bleeding, Adnexal mass, shoulder pain,
evidence of nausea/vomiting/diarrhea can indicate rupture mass.
Pregnancy induced hypertension
SBP greater than 140, diastolic blood pressure greater than 90 greater than 20 weeks pregnancy.
signs and symptoms: Edema, weight gain
treatment - rest
Preeclampsia
Hypertension and proteinuria
s/sx HTN, proteinuria, generalized edema, severe headache, nausea, vomiting, abdominal pain
treatment- hospital, bed rest- left lateral, mag sulphate
assessment- daily kick counts
Eclampsia
elevated blood pressure greater than 160/100 , severe headache, visual disturbance, seizures
Treatment: magnesium sulphate
HELLP Syndrome
elevated liver enzymes, decreased platelets, severe preeclampsia
s/sx Jandice, mid-epigastric and RLQ pain, v/vomiting, malaise
treatment Symptomatic care
Placenta previa
Placenta grows around the cervix, covers the fetus.
s/sx - painless bleeding greater than 20 weeks
Risks - multiple gestation, cocaine use, smoking, fetal malpresentation.
Abrupto Plancentae
2nd or 3rd trimester
Partial or total detachment of the placenta
s/sx severe Abdominal pain and vagina bleeding, back pain
check ultrasound - hospital– delivery
Premature labor
True labor after 20 weeks gestation
s/sx contractions, low back pain
risks - multiple gestation, bacteria, bacterial vaginosis, chlamydia, Trichomoniasis, substance abuse
Fetal heart tones
first heard 10 -20 weeks of pregnancy
High risk pregnancy
RH sensitization
thrombocytopenia
premature rupture of membrane
multiple gestations
glucose tolerance test
done by 28 weeks gestation
1st trimester tests
chromosomal abnormalities-Trisomy 21 and 18
2nd trimester tests
Amniocentesis to check for down syndrome
Glucose Tolerance test to assess for diabetics
3rd Trimester Tests
RH negative test
Hgb, Hct
Goodell Sign
softening of the cervix and vagina
