Pregnancy/ Obstetrics Flashcards Preview

Family Nurse Practitioner Certification > Pregnancy/ Obstetrics > Flashcards

Flashcards in Pregnancy/ Obstetrics Deck (17)
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1

Ectopic Pregnancy l

mostly Fallopian tubes,
s/sx - dark color bleeding, Adnexal mass, shoulder pain,
evidence of nausea/vomiting/diarrhea can indicate rupture mass.

2

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

3

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

4

Eclampsia

elevated blood pressure greater than 160/100 , severe headache, visual disturbance, seizures
Treatment: magnesium sulphate

5

HELLP Syndrome

elevated liver enzymes, decreased platelets, severe preeclampsia
s/sx Jandice, mid-epigastric and RLQ pain, v/vomiting, malaise
treatment Symptomatic care

6

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.

7

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

8

Premature labor

True labor after 20 weeks gestation
s/sx contractions, low back pain
risks - multiple gestation, bacteria, bacterial vaginosis, chlamydia, Trichomoniasis, substance abuse

9

Fetal heart tones

first heard 10 -20 weeks of pregnancy

10

High risk pregnancy

RH sensitization
thrombocytopenia
premature rupture of membrane
multiple gestations

11

glucose tolerance test

done by 28 weeks gestation

12

1st trimester tests

chromosomal abnormalities-Trisomy 21 and 18

13

2nd trimester tests

Amniocentesis to check for down syndrome
Glucose Tolerance test to assess for diabetics

14

3rd Trimester Tests

RH negative test
Hgb, Hct

15

Goodell Sign

softening of the cervix and vagina

16

Hegar's sign

softening of the cerviconterine junction

17

Chadwicks Sign

Bluish discoloration of the cervix