Abortions
Unexplained bleeding, cramping, and backache jeopardize the fetus — but the cervix remains closed.
What is a Threatened Abortion?
Elevated blood pressure and proteinuria after 20 weeks of pregnancy.
What is Pregnancy-Induced Hypertension (PIH)?
Placenta implanted in the lower uterine segment; bright red painless bleeding.
What is Placenta Previa?
Excessive vomiting causing electrolyte imbalance and malnutrition.
What is Hyperemesis Gravidarum?
What for things to happen; nothing can be done...Methotrexate to dissolve pregnancy....Salpingectomy/Salpingostomy
What is treatment for ectopic pregnancy?
Bleeding and cramping increase; the cervix dilates; membranes rupture or funnel.
What is an Inevitable Abortion?
Generalized seizures occurring in a patient with PIH.
What is Eclampsia?
Premature separation of a normally implanted placenta; dark red bleeding and board-like abdomen.
What is Abruptio Placentae?
Too much amniotic fluid, often due to diabetes or fetal malformations; increases risk for preterm labor.
What is Hydramnios?
Large bore IV for wide open fluids...O2...Prepare for section
What is uterine rupture?
Some, but not all, products of conception are expelled.
What is an Incomplete Abortion?
Hemolysis, elevated liver enzymes, and low platelets.
What is HELLP syndrome?
Abnormal proliferation of trophoblastic cells, “grape-like” placenta, risk of choriocarcinoma.
What is Gestational Trophoblastic Disease (Molar Pregnancy)?
Too little amniotic fluid, associated with PIH, IUGR, postmaturity, or renal issues; causes variable decelerations.
What is Oligohydramnios?
I prevent seizures, my reversal agent is calcium gluconate, RR depression/arrest is my emergent adverse effect. What med am I?
What is Magnesium Sulfate?
All products of conception are expelled.
What is a Complete Abortion?
BP reading to be considered gestational HTN (PIH)
What is > 140/90?
Implantation of the fertilized egg outside the uterus, often with unilateral stabbing abdominal pain.
What is an Ectopic Pregnancy?
Life-threatening tearing sensation in the abdomen caused by a full-thickness uterine tear.
What is a Ruptured Uterus?
A D&C is often required for?
What is placental fragments left in uterus after abortion or delivery?
The fetus dies in utero but is not expelled; uterine growth stops.
What is a Missed Abortion?
What is the pre-e or eclampsia BP reading
Labor that begins after 20 weeks but before the end of 37 weeks of pregnancy.
What is Preterm Labor?
A clotting disorder causing consumption of clotting factors and internal/external bleeding.
What is Disseminated Intravascular Coagulation (DIC)?
Quick what do you do for a boggy uterus? 1 intervention, 3 meds
1. Massage fundus
2. Give Oxytocin, Methergine, or Misoprostol