Review Flashcards
What does the med Clomiphene Citrate (clomid) do
help ovulate by triggering release of FSH and LH
what does the med Progesterone do
promotes implantation/pregnancy support
How does a GIFT procedure work
must have 1 good fallopian tube, 3-5 oocytes harvested from ovary, put in catheter with sperm and put in fallopian tube
How does a ZIFT procedure work
oocytes fertilized outside body and zygotes put in fallopian tube
How does a FET procedure work
oocyte fertilized outside of the body and embryos placed in uterus
How does IVF procedure work
retrieval of oocyte combined with sperm in a lab and fertilized then put in uterus
what are the stages of a contraction
increment (building up), acme (peak), decrement (relax)
where does a contraction start
at the fundus then spreads down pushing the fetus down
what are the 3 segments of the pelvis
inlet, midpelvis, outlet
where is the anterior fontanelle and when does it close
diamond shape in the top of the head closes 18 months
where is the posterior fontanelle and when does it close
triangle shape on the back of the head closes 6-8weeks
what is fetal attitude
babys body parts to one another
what is fetal presentation
part that enters the pelvis first
what happens in the 1st latent phase
begins with regular contraction
dilation 0-3
frequency 5min
duration 30-45 sec
intensity mild
what happens in the 1st active phase
dilation 4-7
frequency 3-5
duration 60+
intensity - moderate to strong
what happens in the 1st transition phase
dilation 8-10
frequency 2-3
duration 60-90
intensity strong
what happens in the 2nd stage of labor
starts at 10 cm dilated ends with birth of baby
what happens in the 3rd stage of labor
begins with birth of baby ends with delivery of placenta
length 5-10 upto 30 min
what are some meds you can give during the delivery of placenta for blood loss
oxytocin, hemabate, methergine
when would you give a pudendal block
for 2nd and 3rd stage of labor for laceration repair
what meds aide in sleep
barbituates - seccobarbitol
what meds treat anxiety
benzos - lam and pam
what treats nausea
antiemetic - H1 receptors end in zine
what is the difference in anlagesia and anthesia
analgesia - some pain relief
anesthesia - complete pain relief
how do you know epidural is the in the right place
test does, numbness of the face = in the vein instead
what are the cons of an epidural
decreased BP (worried about systolic less then 100 or drop in 20 in hypertensive patients)
what should you know about oxytocin
stimulates contractions, needs 1:1 ratio, doesnt exceed 20mu, monitor for uterine tachysytole
what is uterine tachysytole
lasting over 90secs every 2 min
what are some cervical ripening agents
prostaglandins E1 and E2, cytotec, and -dil
what happens for anaphylactoid syndrome
happens 30min after delivery - cough decreased O2
what are the cons of delayed cord clamping
jaundice bc of increase erythrocytes, or polycythemia
what is normal Hgb
12-16
what is normal Hct and when does it get back to pre pregnancy state
36-48% by 4-6 weeks
what are some ss of chlamydia
abnormal bleeding, dysuria, peeing alot, postcoital bleeding
how do you diagnose chalmydia and Gonnorrhea
NAAT
how do you treat chalmydia
zinthromyocin for 1 does or doxycyline for 7 doses
what are some ss of gonorrhea
vaginal d/c or bleeding, irregular menses, low backache, urinary frequency
how do you treat gonorrhea
cefriaxone, -cin or doxycyline
what are some side effects of PID
infertility, tubal pregnancy,
what are some ss of syphilis
rash on trunk, hair loss, gential warts
how do you diagnose syphilis
RPR, VDRL
what is the treatment for syphilis
penicillin
how do you diagnose trichomnas/bacerial vaginalis
wet prep, wiff test for bacterial
what are some ss of trichomnas vaginalis
green-gray frothy discharge, strawberry cervix
what is the treatment for trichomnas vaginalis
flagyl
what is the teaching for taking flagyl
avoid drinking until 24 hours after treatments, avoid in seizures, breast feeding
what are the ss of bacterial vaginalis
thin white d/c with fish smell (worse with sex), itching, burning
what is the treatment of bacterial vaginalis
-azole, flagyl
what can bacterial vaginalis cause
PTL, LBW
what are the ss of HPV
warty, cauilflower like growth in vagina, mouth, tongue
how do you prevent HPV
gardasil vaccine given 9-26 yrs old
what is the treatments for HPV
ointments, cryrotherapy, laser to burn the warts off
