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13 Cards in this Set
- Front
- Back
- 3rd side (hint)
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What is spontaneous abortion
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loss of pregnancy?
<20 weeks. < 350 - 500 g |
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Early abortion occurs _____ (fetal)
Late abortion occurs --------- (maternal) |
< 12 weeks
12--20 weeks |
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S/S of miscarriage (spontaneous abortion)?
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A bd/suprapubic pain ---> lower back, butt
B leeding C ramping F ever |
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Types of SA?
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Threatened
Inevitable Incomplete Complete Missing Habitual |
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'THREATENED'
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Bleeding
cramping No dilation |
Vaginal rest. dont' stick anything in there
Report heavy bleeding w/ cramp or fever Save expelled tissue |
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'INEVITABLE'
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Cramping
spotting Cervicl dilation Amniotic fluid may leak |
1. Wait for miscarriage
2. Induce contractions (misopropostol (cytotec). PO. 3 Surgery. D/C for pregnancies < 14 weeks. |
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'INCOMPLETE'
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Fetus expelled
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Same as inevitable |
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'COMPLETE'
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Everything expelled
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No surgery. Woman monitors for bleeding + fever. |
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'MISSED'
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Fetus dies in utero.
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1. US to confirm
2. Surgery to remoce by D/C 3. Induce labor with oxytocin or prostaglandin. |
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'HABITUAL'
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3 + miscarriages
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Determine cause |
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This procedure is the diagnostic oneof choice to visualize uterine cavity and determine if fetus alive?
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Transvag
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TREATMENT
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After evac, pt is givent oxytocin or methergine to _____________
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Prevent bleeding. Ibuprofen control uterine crampiong |
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NURSING CARE
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Count perianal pads to assess bleeding
Are there clots? Is it soaked? |
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