Teacher Review Flashcards
Molar Pregnancy
No nucleus.
Can be carcinogenic.
Give Rhogam
DNC - can’t get pregnant for a year until hcg is back to 0.
Sickle cell
Red cells destroyed.
Pain / oxygenation management.
Mostly african American.
Ectopic Pregnancy
Methyltrexic
S/S - pain, bleeding, positive pregnancy test
Needs surgery if size > 4cm
Cardiac sphincter
Immature in newborns. Spit up.
Postpartum hemmorhage
Oxytocin, methergin, carboprost, methyluerine, misoprostal
Hyperemesis treatment
Give a lot of fluids. F&E.
Lightening
Occurs round 36 weeks.
Cleft lip / palette surgery timing
6-12 weeks. Months for palette.
Nuchal ultrasound
11-14 weeks
AFP testing / timing
Measures neural tube defects at 15-17 weeks.
Variability (absent, minimal, moderate)
0
Minimal < 5
Moderate (Marked) - 6-25
Higher - Trashing
Involution
1 cm every day - 2 weeks no longer in abdomen.
Cord Prolapse priority
Get presenting part off the cord no matter what.
Magnesium sulfate nursing
Watch LOC, decrease in urine, and have calcium reversal ready.
Fetal Fibrinetic
Protein in membranes of mother. If have PTH then will probably deliver soon. If not, won’t for at least 10 days most likely.
What does Leopold maneuver check?
Attitude, presentation, degree of descent.
Tocolytic meds
Terbutaline, mag sulfate, niphedimine, indomethison, betylmetholozon 2 doses, 24 hours apart.
What increases after pains?
Breastfeeding, high gestation, multiple births, hydraminose.. anything that stretches uterus.
Quad panel tests what?
HcG, esterol, inhibin A, AFP.
What does RPR test for?
Syphillis
CVS test
Karaotyping at 9-11 weeks.
Risks for CVS test
Miscarriage, infection, and bleeding.
Cervical insufficiency
- can be caused by cone biops or dr stretching cervix.
- Fixed with cerphlage.
Treatment for ITP
Cortiosteroids first.
What causes abrupt placenta
Trauma, abuse, MVA, smoking, cocaine, previous abortion, HTN, vasoconstriction.
risk for epideral
Maternal hypotension.
Best pelvis for birthing
Gynecoid
How treat gestational diabetes?
Antihypertensives.
Biophysical profile.
Used if NST negative.
Meconium aspiration treatment
Dilute fluid with IUPC
Antibiotics
Surfactant
Intubation
Episiotomy Tear Scale
1 - skin
2- muscle
3- sphincter
4- rectal wall
Treat with stool softener, sitz bath.
Indirect Combs
On mom if sensitivied before than exposed to antibody.
Vacuum cephlahemotoma
Under periosteum
Takes few weeks - 6 weeks to resolve
Caput succudemum
Blood between skin and skull bone that covers suture lines.
What happens with lack of folic acid?
Neural tube defects .. produces RBCs.
Difference between PROM and PPROM
PROM - breaks before labor
PPROM - breaks < 37 weeks but not in labor.
Shiny Shultz
Baby side of placenta.
Dirty Duncan
Mother side of placenta.
Signs of Down syndrome
Low set ears
Symeon crease
Flat nose / forehead
How much caffeine should a pregnant mother have?
300 mls
