USPE1 Flashcards
dif/ from a PEDI vs adult airway) PEDI:
Adult:
= Large tongue, Floppy omega epiglottis, cricoid narrowest point
= glottis narrowest point, firm epiglottis
1 Killer 3rd trimester
Placenta Abruptio
Sudden Infant Death syndrome (SIDS)
SUID is a broad category that can include identifiable causes such as suffocation, choking, or strangulation as well as SIDS.
Normal Pedi Urine output:
1-2ml/kg/Hr urine output
Menstrual Phase) average blood vol & duration
What is the bleeding from:
Egg is implanted @
= ~50mLs & lasts ~ 3-5 days
= endometrium lining shedding
= Corpus lutium
2 Ways to stimulate baby to start respiratory drive
Wax on baby & Foot tapping
Full-term pregnancy:
Premature (preterm):
Postmature:
Hermaphrodites:
= 38-42 Weeks (40 average)
= Any birth before 37 weeks.
= Any birth after 43 weeks.
= Born w/ both sex organs; PC “Intersex”
How many Wks to auscultate Fetal heart tones:
How to find for heart tones:
= 20 weeks
= gently palpate, find firm head & butt
3 general approaches to tocolysis) 2nd approach:
B/c oxytocin & ADH are secreted from the same area:
= admin/ 1L IV fluid bolus; increases intravascular fluid vol, thus inhibiting ADH secretion from posterior pituitary
= inhibition of ADH secretion also inhibits oxytocin release, often causing cessation of uterine contractions
3 general approaches to tocolysis) if previous failed) 3rd:
= mag-Sulfate or a beta-agonist, such as terbutaline or ritodrine, can be admin/ed to stop labor by inhibiting uterine smooth muscle contraction
Secretory phase)
vascularity increases in anticipation of implantation of fertilized
PT complains of dyspareunia. You quickly recognize this as:
pain during intercourse
A patient complains of lower abdominal pain that occurs during sexual intercourse. You recognize this patient is complaining of:
Dyspareunia
A surge of what horomone causes the rupture of the mature egg from the ovary.
LH
A surgical cricothyrotomy is contraindicated in patients less than
less than 8 years old
“Tilt Test” is considered positive when:
= PT’s SBP Drops 20 mmHg or more
A very common infection of the female reproductive tract that is caused by either a virus, bacterium, or fungus is known as:
Pelvic Inflammatory Disease
Abnormal Delivery Situations
Breech Presentation, Prolapsed Cord, Limb Presentation, Occiput Posterior Position, Multiple Births, Cephalopelvic Disproportion, Precipitous Delivery, Shoulder Dystocia, Meconium Staining
Abortion classifications) incomplete abortion:
= Abortion in which some but not all fetal tissue has been passed. associated with a high incidence of infection.
Abortion classifications) Potential) Threatened abortion:
= unexplained vaginal bleeding during 1st half of pregnancy in which the cervix is slightly open & fetus remains alive in uterus (some cases the fetus still can be saved)
Abortion classifications) Potential) Inevitable abortion:
= bleeding w/ severe cramping & cervical dilation but the fetus hasn’t yet passed from uterus & cannot be saved
Abortion classifications) spontaneous abortion:
commonly called what & generally result of:
Most spontaneous abortions occur:
Common occurrences:
= Naturally occurring expulsion of the fetus prior to viability
= miscarriage; generally from chromosomal abnormalities
= before week 12 of pregnancy.
= Many occur w/in 2Wks after conception & mistaken for menstrual periods
Abortion classifications) elective abortion:
Most elective abortions are performed during:
2nd-trimester elective abortions:
3rd-trimester elective abortions
Elective abortions in 1st & 2nd trimesters:
= termination is desired & requested by mom
= the 1st trimester (less complication chances)
= Some clinics perform although higher complication rate
= are generally illegal in this country.
= have been legal in the US since 1973.
Uterine inversion) Rx step 1
NEVER EVER:
Step 2:
Step 3:
Uterus Replacement technique:
If this single attempt is unsuccessful:
1= place supine & begin oxygen (if hypoxic). Do not attempt = attempt to detach placenta or pull on the cord
2= Initiate 2 big-bore IVs of NS & begin fluid resuscitation
3=Make 1 attempt to replace uterus technique
= w/ palms, push fundus of inverted uterus toward vagina
= cover uterus w/ towels moist w/ NS & transport ASAP