Bleeding Disorders
Loss of a pregnancy before 20 completed weeks of gestation.
What is a spontaneous abortion?
Blood pressure greater than 160/110 with proteinuria, thrombocytopneia, headache, visual disturbances, oliguria, and epigastric pain.
What is preeclampsia with severe features?
A common bacteria of the GU tract that can cause neonatal sepsis, meningitis, and pneumonia if not treated in the laboring client with IV penicillin.
What is group B streptococcus?
Used to apply traction to the fetal head to aide in a vaginal delivery in the event of maternal exhaustion, fetal distress, or prolonged pushing.
What is an instrumental delivery or assisted birth?
or
What is forceps or vacuum?
Feelings of guilt, hopelessness, lack of energy, and anxiety that last beyond 2 weeks post partum and typically require treatment
What is PPD?
A painful abdomen with dark red vaginal bleeding accompanied by fetal distress.
What is placenta abruption?
A CNS depressant given via loading dose followed by continuous infusion for prevention and management of eclamptic seizures
What is magnesium sulfate?
Requires at least 48 hours of intense hemodynamic monitoring after delivery to evaluate for fluid overload and decompensation
What is cardiac disease in pregnancy?
Medications used to soften and efface the cervix in preparation for induction
What are cervical ripening agents?
What are misoprostol, dinoprostone, cervidil?
Fundal massage and uterotonic medications
What are the first steps of treatment for PPH?
Severe pain, faintness, and hypotension seen with implantation of a pregnancy outside the uterus.
What is a ruptured ectopic pregnancy?
A variant of preeclampsia characterized by hemolysis, elevated liver enzymes, and low platelets.
What is HELLP syndrome?
Used to prepare the cervix for birth by softening, shortening, and partially dilating.
What is cervical ripening?
Flexion and abduction the thighs as much as possible to straighten the pelvis to help relieve shoulder dystocia
What is McRoberts maneuver?
The Five T's in Postpartum Hemorrhage
What are Tone, Tissue, Trauma, Thrombin, and Traction?
Painless, bright red bleeding that may cease and reoccur.
What is Placenta Previa?
New onset seizures caused by changes in cerebral blood flow from hypertension.
What is eclampsia?
Cesarean section is recommended for delivery if active lesions are present within 6 weeks of term.
What is Herpes Simplex Virus?
Tocolytics and corticosteroids
What are medications used to manage preterm labor?
Ice, NSAIDs, antibiotics, continued breastfeeding
What is the recommended treatment for mastitis?
A non-viable pregnancy leading to high hCG levels, brown bleeding, anemia, hyperemesis, and possible expulsion of grape-like clusters.
What is gestational trophoblastic disease?
Calcium Gluconate
What is the antidote for magnesium sulfate toxicity?
One or more abnormal results is significant for gestational diabetes mellitus
What is a 3 hour glucose tolerance test?
When the fetal head retracts toward the perineum between contractions.
What is turtle sign?
The most common cause of PPH, when the uterus is exhausted or overdistended.
What is uterine atony?