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80 Cards in this Set
- Front
- Back
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S/S Hydrops fetalis
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polyhydramnios
thickened placenta pale color severe overall edema enlarged liver, spleen, heart respiratory distress |
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S/S Dramatic Uterine Rupture
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change in fhr - decels, bradycardia
vaginal bleeding sudden pain exclaiming "TORE!" maternal s/s shock rise in presenting part easy to palpate new position violent fetal movement reduced or no movement |
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S/S Endometriosis
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short cycles
painful periods pelvic cramps week before menses pain lower abdomin during or after sex with bowel movement pelvic pain lower back pain associated with fibromyalgia chronic fatigue endocrine disorders autoimmune disorders |
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S/S Secondary Syphilis
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papular rash @ palms and soles
allopecia condylomata lata lesions on mucus mmbrances systemic illness presents 4w-6m after exposure |
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S/S Bacterial Vaginosis (BV)
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discharge - scanty, thin, milky, grey, white, homogenous
malodorous positive whiff test vaginal irritation, pruitis, burning rise vaginal ph to 5-6 |
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S/S Anemia
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fatigue
weakness dizziness headaches malaise pica anxiety disturbed sleep edema pallor juandice hypotenion sore tounge enlarged spleen tachycardia murmur tachypnea |
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S/S Spina Bifida Cytica
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visible saclike protrusion at L5-S1
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what are the two types of Spina Bifida Cystica
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meningocele
myelomeningcele |
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S/S Metromenorrhagia
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abnormal bleding thru month
>1 pad/hour, clots low hgb or hct |
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S/S Menorrhagia
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abnormal menses
<21 or >35 days apart >7 days duration abnormal bleeding cyclical >1 pad/hour, clots low hgb or hct |
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S/S Erythroblastosis fetalis
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anemia
edema enlarged liver, spleen hydrops non-phisiologic juandice |
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S/S Fetal Alcohol Syndrome
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wide spaced eyes
thin upper lip mild to severe retardation low birth weight short stature heart abnormalities other organ abnormalities visual impairment droopy eyelids |
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S/S Herpes Simplex Infection
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can be asymptomatic
initial outbreak most severe thin walled vesicles, single or group vaginal discharge urethral discharge painfu, edematous, pruitic lesions fever malaise headache myalgia swollen lymph nodes |
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S/S Candida, Monolilal
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white, thick, cottage cheese discharge
itching redness edematous, excoriated vulve odor normal Ph |
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S/S Chlamydia
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50% aymptomatic
micropurulent discharge at cervix edematous, congested cervix ectrophy of columnar epithelial cells no vaginal symptoms |
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S/S Gonorhhea
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can be asymptomatic
PID infalamtion, discharge at skenes or bartholins glands hx of vaginal discharge urethral discharge UTIs menorrhagia yellow, purulent vaginal discharge |
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S/S Hyperemesis gravidarum
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vomitting
dehydraion weight loss >5% tachycardia hypotension poor skin turger reduced urine output ketonuria |
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S/S Multiple gestation
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large for dates
rise in fundal height rapid uterine growth in 2nd tri severe nausea/vomitting hx of fertility drugs abdominal palpation of 3+ large parts or lots of small parts 2 or more distinct FHTs |
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S/S Infant of Diabetic Mother
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hypoglycemia
macrosomia, plump, full face excessive vernix SGA/IUGR hypocalcemia hyperbillirubina hypomagnesemia RDS |
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S/S Ectopic Pregnancy
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missed period
abdominal pain and tenderness abdominal fullness dark red vaginal bleedng syncope shoulder pain shock cullen sign (dark @ umbilicus) |
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S/S Erythroblastosis fetalis
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anemia
edema enlarged liver, spleen hydrops non-phisiologic juandice |
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S/S Fetal Alcohol Syndrome
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wide spaced eyes
thin upper lip mild to severe retardation low birth weight short stature heart abnormalities other organ abnormalities visual impairment droopy eyelids |
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S/S Herpes Simplex Infection
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can be asymptomatic
initial outbreak most severe thin walled vesicles, single or group vaginal discharge urethral discharge painfu, edematous, pruitic lesions fever malaise headache myalgia swollen lymph nodes |
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S/S Candida, Monolilal
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white, thick, cottage cheese discharge
itching redness edematous, excoriated vulve odor normal Ph |
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S/S Chlamydia
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50% aymptomatic
micropurulent discharge at cervix edematous, congested cervix ectrophy of columnar epithelial cells no vaginal symptoms |
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S/S Gonorhhea
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can be asymptomatic
PID infalamtion, discharge at skenes or bartholins glands hx of vaginal discharge urethral discharge UTIs menorrhagia yellow, purulent vaginal discharge |
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S/S Hyperemesis gravidarum
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vomitting
dehydraion weight loss >5% tachycardia hypotension poor skin turger reduced urine output ketonuria |
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S/S Multiple gestation
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large for dates
rise in fundal height rapid uterine growth in 2nd tri severe nausea/vomitting hx of fertility drugs abdominal palpation of 3+ large parts or lots of small parts 2 or more distinct FHTs |
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S/S Infant of Diabetic Mother
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hypoglycemia
macrosomia, plump, full face excessive vernix SGA/IUGR hypocalcemia hyperbillirubina hypomagnesemia RDS |
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S/S Ectopic Pregnancy
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missed period
abdominal pain and tenderness abdominal fullness dark red vaginal bleedng syncope shoulder pain shock cullen sign (dark @ umbilicus) |
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S/S Erythroblastosis fetalis
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anemia
edema enlarged liver, spleen hydrops non-phisiologic juandice |
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S/S Fetal Alcohol Syndrome
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wide spaced eyes
thin upper lip mild to severe retardation low birth weight short stature heart abnormalities other organ abnormalities visual impairment droopy eyelids |
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S/S Herpes Simplex Infection
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can be asymptomatic
initial outbreak most severe thin walled vesicles, single or group vaginal discharge urethral discharge painfu, edematous, pruitic lesions fever malaise headache myalgia swollen lymph nodes |
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S/S Candida, Monolilal
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white, thick, cottage cheese discharge
itching redness edematous, excoriated vulve odor normal Ph |
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S/S Chlamydia
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50% aymptomatic
micropurulent discharge at cervix edematous, congested cervix ectrophy of columnar epithelial cells no vaginal symptoms |
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S/S Gonorhhea
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can be asymptomatic
PID infalamtion, discharge at skenes or bartholins glands hx of vaginal discharge urethral discharge UTIs menorrhagia yellow, purulent vaginal discharge |
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S/S Hyperemesis gravidarum
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vomitting
dehydraion weight loss >5% tachycardia hypotension poor skin turger reduced urine output ketonuria |
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S/S Multiple gestation
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large for dates
rise in fundal height rapid uterine growth in 2nd tri severe nausea/vomitting hx of fertility drugs abdominal palpation of 3+ large parts or lots of small parts 2 or more distinct FHTs |
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S/S Infant of Diabetic Mother
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hypoglycemia
macrosomia, plump, full face excessive vernix SGA/IUGR hypocalcemia hyperbillirubina hypomagnesemia RDS |
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S/S Ectopic Pregnancy
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missed period
abdominal pain and tenderness abdominal fullness dark red vaginal bleedng syncope shoulder pain shock cullen sign (dark @ umbilicus) |
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S/S eclampsia
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seizures
rise in BP proteinuria +2 or greater general malaise hyperreflexia reduced urine output occipital headaches edema change in conciousness rise in liver enzymes RUG or epigastric pain |
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S/S IUGR
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FH lower than expectd gestational age
palpation small for GA U/S dx due to BPD, HC, AC, FL abdominal circumfrence best |
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S/S Preeclampsia
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rise in BP
protenuria +2 or greater general malasie hyperreflexia reduce urine output occipital headaches edema change in conciousness rise in liver enzymes epigastric or RUQ pain |
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S/S of postpartum depression
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irritability
guilt rejection of infant odd food cravings, binges weight gain |
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S/S Missed abortion
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normal early pg s/s
vaginal spotting or bleeding lower abdominal or back pain no increase in FH, may decrease mammary changes regress weight loss no FHT when expected |
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Positive S/S of Pregnancy
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confirmation by U/S
auscultation of FHT palpation of FM by practitioner visualiation of FM by praccctitioner |
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S/S postpartum blues
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insomnia
fatigue tearfullness anxiety |
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S/S Respiratory Distress SYNDROME
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GA <37 weeks
tachypnea grunting on exhale nasal flaring intercostal/subcostal retractions hypercapnia respiratoy acidosis hypotension shick crackles reduced breath sounds pallor apnea |
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S/S Neonatal Abstinence Syndrome
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nasal stuffiness
increased muscle tone tachypnea disturbed sleep fever excess sucking loose, watery stools general perspiration hypercactive moro and root reflex excessive cyring |
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S/S Congenital Heart Defect
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heart failure
poor movement tolerence tachypnea costal retractions dyspnea poor feeding increased weight gain cyanosis extreme pallor duskiness gasping/grunting retractions tachycardia |
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S/S postpartum psychosis
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confusion
agitation bizarre behavior halucination delusion depression euphoria |
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S/S spina bifida occulta
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dimple nevi
tuft of hair at base of spine neuromuscular issues |
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S/S fractured clavicle
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associated with difficult delivery
may be aymptomatic crepitus hemotoma or edema limitted use malposition asymetric reflex focal swelling tenderness crying |
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S/S deep transverse arrest
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sagital sutures in transverse diameter
2nd stage hypotonic uterus excessive molding significant caput lack of decent |
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S/S amnionitis/chorionamnionitis
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maternal fever
maternal tachycardia fetal tachcardia tender uterus warm vaginal walls foul smelling, purulent fluid elevated WBCs |
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S/S respiratory compromise
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tachypnea
cyanosis in face and trunk nasal flaring intercostal retractions sternum retracctions apnea rales or rhnoci stridor with inhale grunting on exhale |
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S/S primary syphilis
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one chancre at infection site
painless presents 10-90 days after exposure |
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S/S transient tachypnea of the newborn
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tachypnea
rales or rhonci nasal flaring intercostal retractions |
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Probable S/S Pregnancy
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physical uterine changes
unterine enlargement chadwick, goodell, hager signs braxton hick ctx positive pregnancy test abdominal enlargement palpation of fetal outline ballottment |
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Presumptive S/S Pregnancy
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colostrum
elevation of basel body temp amenorrhea morning sickness breast changes urinary frequency fatigue quickening striae gravidarum (mask) salivation |
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S/S polyhyramnios
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uterine enlargement >GA
tense uterine wall difficult auscultation of FHT fluid thril mechanical problems with mov't unstable lie afv >23 on US |
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S/S anorhexia nervosa
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sever weight loss
poor sleep/restlessness intolence to cold constipation mild anemia pale, dry skin hair loss brittle, dry nails tooth disease/decay |
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S/S oligohydramnios
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shrinkwrap
molding of fetal outline not ballotable FH low for GA AFV <5 via US (5-8 borderline) |
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S/S hydrocephalus
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abnormally rapid head growth
bulging, tense, nonpulsatile fontanels seperated sutures dilated scalp veins macewen sign (cracked pot) |
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S/S bulemia nervosa
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normal weight
dizziness fainting increased thirst muscle cramps constipation tooth decay/enamel loss reflux petachiae near/in eyes |
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S/S human papiloma virus
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condylomata acuminata
clumps/cauliflower like warts may bleed |
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S/S trichamonasis
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may be asymptomatic
malodorous, copious discharge frothy discharge grey/green-white/yellow pruitis, inflamed, excoriated vagina petachiae on cervix (strawberry) dysuria postcoital bleeding pelvic pain, lymph pain, belly pain |
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S/S HELLP
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RUG/epigastric pain
nausea/vomitting headaches rising blood pressure malasie/flulike symptoms juandice hematuria |
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S/S hydatidiform mole
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persistant, severe nausea/vomitting
intermittent, brown bleeding large for dates shortness of breath enlarged, tender ovaries absent FHT abent FM fetal parts not palpable PIH, preeclapsia, eclampsia rise in HCG levels |
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S/S Polycystic Ovarian Syndrome
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obesity
hirsutism (excess hair growth) irregular menses amenorrhea infertility impaired glucose tolerence hyperinsulinemia often dx in adolescence |
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S/S pregnancy induced hypertension
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BP >140/90
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S/S abruptio placentae
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symptoms depend on severity
mild, general back pain colicky uterus concealed or obvious bleeding increased uterine tone localized or general pain hypertonic, boardlike uterus uterine rigidity abnormal FHT, variable or late decel reduced or violent FM |
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S/S placenta previa
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painless vaginal bleeding
sudden bleeding malpresentation |
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S/S fetal death
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cessation of uterine growth
absent fetal movement abset fetal heart tones cessation of maternal weight gain reversal of breast changes collapsed fetal skull felts/seen |
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S/S quiet uterine rupture
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lack of progress
change in FHR recurrent/late/prolonged decels fetal bradycardia rise in presenting part easy to palpate new baby position vaginal bleeding s/s shock |
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S/S preterm labor
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painful cramps
dull, low backache suprapubic pain or pressure pelvic pressure change in vaginal discharge diahrrhea ctx prom |
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S/S acute pyelonephritis (kidney inflamation)
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fever > 100.4 F
shaking chills hematuria myalgia hx of loss of appitite, nausea, vomitting hx of asymptomic bacteriuria urinary urgency dysuria low back pain lower abdominal pain CVAT - esecially on R |
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labor managment of suspected pracenta previa
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call for transport
manage hemorrhage manage s/s shock no vaginal exams |
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management of newborn when meconium is present
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vigorous - leave be
nonvigorous - deep delee w/cords |
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list and decribe newborn reflexes
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moro - startle
babinski - flaring of toes w/stroke plantar - monkey grab with toes step - step arm recoil - arms return to flex suck - suck root - turn when cheek stroked |
