Narm Complications Of Pregnancy

Front 1

UTI

Back 1

Urinary Tract Infection

Front 2

Risk factors for UTI

Back 2

Hx of UTI
Pregnancy
Infrequent or incomplete emptying of the bladder
Frequent intercourse or use of certain positions
Vaginal infections
Urethral diverticula
Mechanical obstruction
Use of some BC methods, including for some condoms
Systemic or congenital disease, such as sickle cell trait or cystic renal disease

Front 3

complications of UTI on pregnancy

Back 3

bacteruria
Increase risk of preterm labor
PPROM
Fetal death
Low apgar
IUGR
Pyelonephritis

Front 4

UTI symptoms

Back 4

Patient reports
Painful or burning urination
Feeling the need to go, but only passing small amounts of urine
Pelvic or abdominal pain or cramping

Contractions regular before 37 weeks

Front 5

UTI signs

Back 5

Dipstick
U/A 25,000 -100,000 colony forming -- Asymptomatic bateruria

>100,000 colonies of pathogenic bacteria UTI

Front 6

UTI tests, assesment

Back 6

U/A 25,000 -100,000 colony forming -- Asymptomatic bateruria

>100,000 colonies of pathogenic bacteria UTI

U/A or Urine C&S

Front 7

Causitive agensts for UTI

Back 7

Ecoli, Poteus, Klebsiella, Pseudomonas aeruginosa. Beta-Hemolytic streptococcus

Front 8

Asymptomatic Bacteriuria

Back 8

bacterial growth with out symptoms, may turn into polynephritis

Front 9

Cystitis

Back 9

inflammation of the bladder

Front 10

Cystitis symptoms

Back 10

urgency, frequesncy, dysuria, nocturia, suprpubic pain

Front 11

Cystitis signs

Back 11

dipstick, positive for WBCs, nitrates, or protein above a trace, or if U/A is positive for WBC, TBC and/or bacteria, run C&S

Front 12

Cystitis/UTI treatment and counseling
non allopathic

Back 12

Increased fluids, cranberry juice, probiotic foods, Hydration
Unsweetened cranberry juice diluted in water, Pelvic rest, Refer to healthcare professionals
Herbalist
Nutritionist
Acupuncture

Front 13

Cystitis UTI Treatment allopathic

Back 13

Amoxicillin 500 mg, po tid
Ampicillin 250 mg po qid
Cephalosporin Keflex 250 mg po, qid
Ntrofurantoin 100 mg qid

Front 14

UTI f/u

Back 14

repeat C&S in two weeks

Front 15

Polynephritis

Back 15

inflammation of one or both kidneys

Front 16

pyelonephritis incidence

Back 16

2% of pregnancy

Front 17

Pyelonephritis complications during pregnacy

Back 17

preterm labor and delivery, adult respiratory distress syndrome, hemolysis resulting in anemia, septicemia, septic shock

Front 18

pyelonephritis casues

Back 18

Bacterial growth, compression of ureters, dilatation and decreased tone of ureters, urinary statis, dilatation of the renal pelves, &calyces allows greater virulensce of microorganisms, decreased bladder tone, and urine stasis

Front 19

pyelonephritis symptoms

Back 19

lower abdominal pain, low back pain, dysuria, frequency, urgency, myalgia, shaking chills

Front 20

pyelonephritis signs

Back 20

fever >100.4, hematuria, CVA tenderness, Bacteriuria, Pyuria,(WBC => 10 per high power feild) proteinuria,

Front 21

pyelonephritis TX

Back 21

refer to MD, hospitalization for IV antibiotics

Front 22

(Poly) Hydramnios

Back 22

an excessive amount of amniotic fluid

Front 23

Risks for Hydramnios

Back 23

multiple pregnancy,
diabetes
erythroblastosis
fetal malformations,( gastorintestinal, or neural tube)

Front 24

hydramnios complications

Back 24

preterm labor, maternal dyspnea, shortness of breath, fetal malpresentation, abruptio placentae, cord prolapse, uterine dysfuction in labor, immediate postpartum hemorrhage

Front 25

hydramnios Symptoms

Back 25

uterine enlargement, dyspnea, lower extremity and vulvar edema, back pain, heart burn, nausea, vomiting

Front 26

hydramnios signs

Back 26

fluid thrill, increased abdominal girth, and uterine tenseness, Fundal height far beyond Gestational age

Front 27

Hydramnios
tests

Back 27

U/S to confirm diagnosis and refer to MD for consult

Front 28

oligohydramnios

Back 28

abnormally small amount of amniotic fluid

Front 29

oligohydramnios
risk factors for

Back 29

congenital anomalies (renal), viral diseases, uteroplacental insufficiency, post maturity syndrome

Front 30

oligohydramnios,
complications

Back 30

IUGR, early rupture of membranes (24 to 26 weeks), fetal hypoxia, meconiium stained fluid, and aspiration, cord compression, fetal distress

Front 31

IUGR
symptoms

Back 31

feeling the outline of baby, feeling small parts easily, feeling small or like the baby is not growing

Front 32

IUGR signs

Back 32

fetus easily outlined, not ballotable, lagging fundal height,

Front 33

IUGR labor risks

Back 33

multiple variable decels, cord compression, preterm labor, IUGR amnio infusion may be used to "cushion" the cord and decrease the number and severity of decels

Front 34

hydramnios labor
complicatons

Back 34

uterine dysfunction, placental abruption, cord prolapse, unstable lie, malpresentation

Front 35

Oligohydramnios
treatment allopathic

Back 35

bedrest, hydration, nutrition, increased monitoring: kick counts, NST, BPP< doppler veloimetry, U/S measurement of amniotic fluid.

Front 36

Thrombophlebitis

Back 36

Blood clotin the vein

Front 37

Thrombophlebitis
Risk factors

Back 37

bedrest, pregnancy, varicose veins, family hx

Front 38

Thrombophlebitis
complications
DVT

Back 38

pulmonary embolism
stroke

Front 39

Thrombophlebitis
symptoms

Back 39

hot spot on leg, tenderness,

Front 40

DVT
Signs and symptoms

Back 40

leg edema, tenderness and palpable cord, mild Tachycardia, possible slight increase in temp.

Front 41

Vaginal Infection
Yeast
Symptoms

Back 41

itching, burning pain,
thick white, curd like discharge
yeasty odor

Front 42

Yeast infection
signs

Back 42

Observe thick white discharge, Wet mount, pseudohyphae and budding spores seen in saline or KOH slide
vaginal ph 4.5

Front 43

Yeast Infections
Tx Allopathic

Back 43

OTC Vaginal suppository
Miconizole

Front 44

Bacterial Vaginosis
Symptoms

Back 44

fishy odor, thin milky, gray or white discharge, may have vaginal irritation or pain of the vulva but may not, may be pruritus

Front 45

Yeast Infections
Complementary Medicine

Back 45

yogurt suppository
probiotics
garlic
remove sugar and simple carbs from diet
wear cotton underwear or none with skirts.

Front 46

Bacterial vaginosis
Signs

Back 46

fishy odor, especially, when added to KOH, clue cells may be present in slide, ( epithelial cells with bacteria adhering to them) may not be present. diagnosis made by clinical signs and R/O other infections. pH between 5 to 6

Front 47

Bacterial Vaginosis
Cause

Back 47

Caused by anaerobic bacterium, Haemophilus, Gardnerella, Corynebacterium Vaginalis

Front 48

Bacterial Vaginosis
Complications

Back 48

Linked to PPROM, preterm labor, PID,

Front 49

Bacterial Vaginosis
Tx

Back 49

refer to Physician for treatment with antibiotics. provide support for possible subsequent yeast infection

Front 50

Trichomonal Vaginitis
causes

Back 50

Tricomonas Vaginalis

Sexually transmitted

Front 51

Trich
symptoms

Back 51

malodorous discharge, copious, white/green/gray discharge may or may not be frothy.
fishy
dysuria, dyspareunia

Front 52

Trich
signs

Back 52

clinical observation of discharge, and the one celled flagellated Trichomonas vagninalis, petechiae may be seen on vagina or cervix (strawberry like),

Front 53

Trich Tx

Back 53

Refer to MD for medical treatment
Flagyl, partner needs to be treated, and both tested for GC

Front 54

Chlamydia
Causes

Back 54

Chlamydia trachomatis
Sexually Transmitted
Most common STI in America

Front 55

Chlamydia
Symptoms,

Back 55

50 % of women are asymptomatic, can cause pelvic pain in advanced cases

Front 56

Chlamydia
Signs

Back 56

mucopurulent discharge for cervix, edematous, congested cervix, no vaginal symptoms
cervical culture positive for Chlamydia,

Front 57

Chlamydia
complications

Back 57

PID, urogenital infections, salpingitis, urethritis, cystitis, implicated in PPROM, preterm labor, ectopic pregnancy, infertility.
Neonatal
chlamydial neonatal pneumonia
Ophthalmia neonatorum

Front 58

Chlamydia
tx

Back 58

refer to MD for antibiotic tx