Repro 2 Flashcards
Mc type of cervical cancer?
Squamous cell carcinoma
Management for crampy abdominal pain and vaginal bleeding. POC intact and cervical os closed.
Threatened abortion
supportive: observation at home, bedrest and close follow up.
Serial HcG.
Management for abortions when: POC intact but cervical os dilated.
surgical evacuation: D&C < 16 weeks or D&E >16 weeks.
Misoprostol
This drug is safe up to 10 weeks gestation, it is a progesterone receptor antagonist that leads to dilation and softening of the cervix and placental separation.
Mifepristone
This is a prostaglandin E1 analog that causes uterin contractions. Patient must return day 7-14 after mifepristone to confirm complete termination of pregnancy.
Misoprostol
This drug is safe up to 7 weeks gestation and is a folic antagonist used in elective abortion.
Methotrexate.
Gestational diabetes screening?
24-28 weeks
Rh compatibility testing done?
28 weeks
Rectovaginal screening culture?
GBS
36-38 weeks.
was 35-37 weeks
Tx for intrapartum prophylaxis of GBS infection.
Prophylactic antibiotics given during labor.
IV penicillin G
Tx for TSS
Toxic shock syndrome
Aggressive IV fluids and antibiotics like clindamycin and Vancomycin.
What is the management for an Rh negative mom pregnant with an Rh positive child?
28 weeks give RhoGAM
Another RhoGAM treatment within 72 hours of delivery.
Painless vaginal bleeding in 3rd trimester.
Absence of abdominal pain or uterine tenderness.
Placenta previa
What must you not do with placenta previa or abruptio placenae patients?
Do not perform digital vaginal or speculum exam.
Painful 3rd tri vaginal bleeding, severe abdominal pain with uterine contractions.
Abruptio placentae
