Random OB
methotrexate, linear salpingostomy, salpingectomy
what is the management of ectopic pregnancy
maintain airway, O2 10L, side lying, Mag sulfate, continuous fetal monitoring, check for vaginal bleeding, monitor contractions
what is the management for eclampsia
low lying, marginal, partial, complete
what are the types of previas
provide a safe and calm environment, consult with SANE nurse, attentive listening, STD prophylaxis, emergency contraception
what are the nursing interventions for sexual assault
painless bright red vaginal bleeding
what is the most significant sign of placenta previa
super high Hcg, methotrexate, 2 forms of BC for a year, associated with choriocarcinoma, and fluid filled grape like clusters
what is gestational trophoblastic disease
first pregnancy, over 35, African American, family history, chronic HTN, renal disease, obesity, DM, multifetal pregnancy, father previously fathered a pregnancy where mom had BP problems
what are the risk factors for preeclampsia
increased parity, past C-sections, past uterine cuttages, smoking, living at high altitudes, baby boys, multiple gestations
what are the risk factors for placenta previa
provide a safe environment, monitor and help control S/S of withdrawal, maintain support system, explore interest in a 12-step program
what are the interventions for substance abuse
no meds help with this withdrawal
cocaine
hospital for 24 hours, daily weights, NPO, IV fluids, antiemetics, maybe TPN
what is the management for hyperemesis gravidarum
HTN, proteinuria, hyperreflexia, edema, blurred vision, epigastric pain, decreased UOP
what are the S/S of preeclampsia
concealed, external, complete
what are the types of abruptions
Wernicke-Korsakoff syndrome
what is the need for IV thiamine in alcohol withdrawal
painful bright red vaginal bleeding, board like abdomen, high uterine resting tone
what are the S/S of abruptio placentae
ICU management, Mag sulfate, transfuse FFP/platelets, monitor liver enzymes, never palpate the abdomen
what is the management of HELLP
bed rest, increase protein, support, seen weekly in office
what is the management for mild preeclampsia
chronic HTN/PIH, trauma, pressure on vena cava, 6 or more pregnancies, cocaine
what are the risk factors for abruptio placentae
assess for the plan and lethality, plastic utensils, leave doors open, one on one supervision
what are the interventions for a suicidal patient
knee to chest position
what is promotes drainage in renal/urinary disorders in pregnancy
threatened, inevitable, incomplete, complete, missed, recurrent
what are the 6 subgroups of hemorrhagic conditions
induce labor over 36 weeks, bed rest, monitor VS/FHT, blood studies, strict UOP, daily weight, moderate to high protein and moderate sodium diet, foley, Mag sulfate, hydralazine, labetalol
what is the management for severe preeclampsia
O2 10L, vital signs, FHT, left side lying, H&H, type & cross, fibrinogen, FBP, stop pitocin, no vaginal/rectal exams, no enemas, C-section
what is the management of abruptio placentae
h/o violence, being the target of a crime, h/o of getting abused, low self-esteem, no role model, currently being abused, adverse childhood experience
what are the risk factors for violence
gastric lavage
what is the management if the overdose on benzodiazepines