HR OB I
Spontaneous abortion is the expulsion of the products of conception before this number of weeks of pregnancy.
What is 20?
Also known as "afterbirth first".
What is placenta previa?
Cumulative blood loss of >1000 ml within 24 hours of childbirth.
What is early Post Partum Hemorrhage?
Pregnant patient presents to labor and delivery complaining of a hard, tender abdomen. You suspect_________.
What is an abruptio placentae?
List at least 4 clinical manifestations of Parkinson's disease.
What are bradykinesia, rigidity, tremors, postural instability, autonomic effects, psychiatric changes, sleep disturbances, and interrelated effects?
Usual implantation site of an ectopic pregnancy.
Where is the fallopian tube?
Painless bright red vaginal bleeding is often a sign of this.
What is placenta previa?
The four T's in Post Partum Hemorrhage. Give examples.
What are Tone (uterine atony), Tissue (retained products of conception), Trauma (lacerations, hematomas), and Thrombin (coagulopathies)?
Name at least four nursing interventions during an epileptic seizure.
What is keep the patient safe, stop the seizure with medication as ordered (IV diazepam [Valium], lorazepam [Ativan]), endotrachial tube prn, O2, suction at the bedside, seizure precautions, do not restrain, dilantin or phenobarbitol to prevention additional seizures, and provide privacy?
Name at least four categories of medications usually given to patients with Parkinson's disease.
What are antiparkinsonian medications (Levidopa, Sinemet), anticholinergic therapy (Cogentin), antiviral therapy (Symmeterel), dopamine agonists (Miraprex, Requip), monoamine oxidase inhibitors (Eldepryl), catechol-O-Methyltransferase (COMT) Inhibitors (Comtan, Tosmar), antidepressants (Elavil), and antihistamines (Benadryl)?
List at least three predisposing factors that increase the risk for someone having an ectopic pregnancy.
What are PID, salpingitis/adhesions, previous surgical abortion, pelvic or tubal surgery, IUD longer than two years or the presence of an IUD, DES exposure, STIs, congenital anomalies, primary infertility, age >35, smoker, and or hormone therapy?
The placenta penetrates the myometrium.
What is placenta percreta?
Name at least three uterotonics used in Post Partum Hemorrhage.
What are oxytocin, methylergonovine (methergine), carboprost (Hemabate), and misoprostol (Cytotec)?
List at least four potential triggers for seizure activity.
What are allergies, brain tumor, cerebrovascular disease, CNS infection, drug and or alcohol withdrawal, fever (childhood), hypertension, hypoxemia, metabolic and toxic conditions, and or head injury?
Name the major risk to the fetus in the presence of polyhydramnios and SROM occurs.
What is a cord prolapse?
This may greatly increase the risk of choriocarcinoma.
What is a molar pregnancy (Gestational Trophoblastic Disease-Hydatidiform Mole)?
Painful dark red bleeding is usually a sign of this.
What is abruptio placentae?
A pregnant patient at the clinic is diagnosed with Gestational Diabetes A2. Define the usual management to control their glucose levels.
What is diet and insulin, or oral antidiabetic therapy?
Name a reason why a vaginal exam on a pregnant patient who is bleeding should be avoided.
What is there may be a placenta previa?
List at least two clinical manifestations in patients with Myasthenia Gravis.
What are ocular (diplopia, ptosis), facial (weakness, dysphagia, dysarthria), and musculoskeletal (fatigue, generalized weakness)?
Name at least two signs of a molar pregnancy.
What are fundal height higher than expected, no fetus or fetal heart tones on ultrasound, prune colored discharge, hyperemesis gravidarum, and PIH before 20 weeks?
Name at least 5 risk factors for abruptio placentae.
What are HTN (or preeclampsia), increased intrauterine pressure (polyhydramnios, multiple gestation), smoking, cocaine use, alcohol, abdominal trauma, age >35 years, poor nutrition, history of abruption, short umbilical cord, prolonges PROM, multigravidity, and or sudden change in intrauterine pressure?
List at least three potential fetal clinical manifestations in the presence of a diabetic mother.
What are the increased incidence of fetal or neonatal mortality, IUGR, macrosomia, preterm birth, birth trauma, increased risk for shoulder dystocia, and or increased incidence of cesarean birth?
Underlying etiology is the depletion of dopamine stores in the brain in this disease.
What is Parkinson's disease?
List potential problems associated with polyhydramnios.
What are preterm delivery, still birth, cord prolapse, PPROM, postpartum hemorrhage, and or fetal anomalies (esophageal atresia)?