GYN
This gynecologic condition is defined as the absence of menses in women who have menstruated previously for 6 months
What is secondary amenorrhea
Which nutrient, when sufficient in diet or a prenatal supplement before pregnancy begins, prevents neural tube defects like spina bifida?
What is folic acid
(ACOG recommends 600mcg/day)
Contractions that occur in the third trimester without a regular pattern and correlate to false labor are known as
What are Braxton Hicks contractions
This is one of the most effective nursing interventions to assess the risk of postpartum hemorrhage
What are fundal assessments
This fetal growth complication occurs as a result of impaired circulation to the placenta. It can occur in pregnancies diagnosed with pre-eclampsia.
What is intra-uterine growth restriction (IUGR)
After menopause this system of the body is most at risk for disease.
What is cardiovascular
Bonus- what are appropriate recommendations to reduce risk of heart disease?
This stage of development is most at risk for teratogens.
What is embryonic stage
This is the priority nursing assessment after a patient believes their "water broke"
What is fetal heart rate assessment
If the fetus is not yet engaged at the ischial spines when the amniotic sac ruptures, the umbilical cord can prolapse first and risk asphyxiation.
This is one of the most effective nursing interventions when postpartum hemorrhage occurs
What is fundal massage
This fetal growth complication results when a patient is measuring larger than the gestation weeks completed. It most often occurs in gestation diabetes and can result in prolonged labor and birth related trauma.
What is macrosomia
This safe in office procedure is a commonly used to diagnose and treat gynecologic conditions including postmenopausal bleeding and abnormal uterine bleeding
What is dilation and curettage
Cystic fibrosis, sickle-cell anemia and Tay Sachs disease are this type of genetic disorder in which both genetic parents carry an abnormal gene resulting in a 25% change of their offspring developing the condition.
What is autosomal recessive genetic disorder
These items should be available in the labor room for delivery (multiple answers!)
What are:
dry, warm blankets for baby
delivery equipment set up
resuscitation equipment
newborn vitamin K and erythromycin ointment
Pitocin 10 U IM or 10-40 U IV
misoprostol
This nursing assessment is done at one, five and ten minutes post delivery.
What are newborn APGAR scores
Variable decelerations of the fetal heart rate are most often caused by what factor?
What is umbilical cord compression
Remember:
Variable decel = Compression of cord (BAD)
Early decel = Head compression (good!)
Accelerations = Oxygenation (good!)
Late decel = Placental insufficiency (BAD)
Patients older than 35 with a smoking history, bleeding condition or history of migraine with aura should avoid hormonal birth control methods with this ingredient which increases the risk of stroke for these patients.
What is estrogen containing methods
(Progestin only hormonal options are recommended for this population. Methods that combine estrogen and progesterone which are the majority of birth control methods are not recommended)
In a healthy and normal progressing pregnancy, the recommended time frames to administer Rhogam are
What is 28 weeks in pregnancy and 72 hours postpartum.
It is also given if concerns for miscarriage, after termination, and after invasive procedures that carry the risk of loss like amniocentesis and chorionic villi sampling
This nursing intervention can help prevent hypotension when an epidural is placed.
What is administer bolus of IV fluids as ordered (500-1000mL).
These two factors most often contribute to sub-involution of the uterus postpartum
What are retained product of conception and sepsis
This high risk pregnancy condition is defined by abnormal implantation of the placenta into the myometrium/uterine lining
What is placenta accreta
This condition is diagnosed by the presence of a protozoa in vaginal flora under a microscope. The patient may not have any symptoms or may notice slight changes to discharge.
What is trichomonas
If untreated in pregnant patients can cause premature rupture of membranes, preterm labor, and/or postpartum endometritis. Treated with flagyl.
This parasitic infection can have negative effects on a developing pregnancy. Pregnant patients are advised to avoid changing a cat's letterbox to prevent transmission.
What is toxoplasmosis
This stage of labor occurs when the cervix is fully dilated and lasts until the newborn is delivered.
What is second stage of labor
(Remember stage 1 is all about cervical dilation in 3 phases of early, active and transition;
stage 2 is full dilation of the cervix until the baby is delivered;
stage 3 is delivery of the placenta;
stage 4 is the first 4 hours of PP recover
This intervention is indicated if the fundus is found on assessment to be deviated from the midline
What is sterile catheterization (must obtain MD order!)
In a complete ____ pregnancy, one of the main concerns is that trophoblastic tissue may spread, and cause choriocarcinoma.
What is complete molar pregnancy