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21 Cards in this Set
- Front
- Back
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Medial vs. Medialateral |
Medial- hurts, heals, risk of Grade IV Medialateral- doesn't hurt, doesn't heal, no risk of Grade IV |
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Urinary retention: - Define? - Risk factors? |
Inability to void spontaneously within 6 hours of vaginal birth and physical findings of over distended bladder. Risk factors: - Primipartity - Prolonged and induced labor - Episiotomy Treatment: - Cath and urine volume should be measured. - If > 200 ml is obtained, you should leave cath in for another 24 hours. - If < 200 ml, remove cath and recheck bladder. |
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PostOp fever causes? |
- Wind: pneumonia, atelectasis (1) - Water: UTI (3) - Walking: (5) - Wound: (7) - Wonder drugs: (esp anesthesia): 7+ |
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What signs may be seen in a retained products of conception? |
Late postpartum hemorrhage, normal vitals, and endometrial thickness |
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How does placenta previa present? |
Painless vaginal bleeding in 3rd trimester. |
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When does uterine rupture present? |
Usually during active labor |
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What are some risk factors for placental abruption? |
1. SMOKING... increases by 9%. Both maternal and paternal smoking. 2. Placenta previa 3. Preeclampsia 4. PPROM |
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How does placenta abruption present? |
- Severe abdominal pain -Fever - Profuse vaginal bleed |
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How does chorioamnionitis present? |
- Fever - Uterine tenderness - PPROM - (vaginal bleed is not a finding) |
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Postpartum pituitary necrosis: - AKA? - Define? - S/S? |
- AKA: Sheehan's syndrome - Complication from postpartum shock. - Failure to lactate and amenorrhea, resulting from the loss of pituitary hormones. |
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What is the drug of choice for treating Toxoplasmosis infection? |
Spiramycin (macrolide) |
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What might an elevation of serum alpha-fetoprotein suggest? |
Ancephaly, the MC neural tube defect! Children have primarily only a cerebellum and brainstem. Will not survive. |
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Why does a fall in hemoglobin occur during pregnancy? |
Because plasma volume increases more than total erythrocyte mass, although both rise during pregnancy. During the last 2 trimesters of pregnancy, the fetus uses both iron and folate in large quantities, and a pregnant woman’s iron requirement increases to about 5 to 6 mg/day by the end of pregnancy, which is a level that cannot normally be supplied by food alone. Routine supplemental iron as found in prenatal vitamins (30 mg/day) is advised during pregnancy. If anemia is diagnosed in an expectant wound, additional iron supplementation should be guided by the findings of a diagnostic work-up. |
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Patient has lower abdominal tenderness, adnexal and parametrical tenderness elicited w/ bimanual exam, and temp... what is the ML diagnosis? |
Endometriosis |
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What are the risk factors for endometriosis? |
1. C section (MC) 2. Prolonged rupture of membranes 3. Prolonged use of internal fetal monitoring 4. Anemia |
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Thyrotoxicosis: - S/S? |
- Symptoms that don't go away after first trimester - Hyperactivity that results in insomnia - Easily fatigued, esp with physical exertion - Weight loss (unless pregnant) - Periorbital edema* - Hyperreflexia |
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Placental dysfunction: - Define? - What causes it? |
Define: - A complication of pregnancy in which suboptimal placental function results in variations in the fetal supply of necessary nutrients and oxygen as well as a disruption in the cleansing of fetal catabolic products. Risks: - High blood pressure - Diabetes - History of smoking |
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Bilateral renal agenesis: - Mc in which infants? - S/S? |
MC in infants of a parent with a kidney malformation, particularly the absence of 1 kidney (unilateral renal agencies). It can cause oliohydramnios. |
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At what blood pressure should you treat in pregnancy? |
> 160/100 |
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What drugs are used for HTN in pregnancy? |
- Methydopa - Labetalol - CCB |
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What is the goal of HTN in pregnancy? |
< 160/100-105 |
