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42 Cards in this Set
- Front
- Back
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Disorders which lead in maternal death are...
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hypertension, embolism, hemorrhage, and infection
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What are the ten danger signs of pregnancy?
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vaginal bleeding, sudden fluid from vagina, abd pain, epigastric pain, edema to face/hands, severe headache, blurred vision/dizziness, chills with fever, painful urination
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Predictor of postpartum hemorrhage
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nosebleeds during pregnancy
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Abortion
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ending of a pregnancy before 20 weeks (intentional or not)
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ending of a pregnancy before 20 weeks (intentional or not)
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Abortion
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___% all pregnancies terminate in spontaneous abortions
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15%
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D&C
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dilation and curettage
now called D&E dilation and evacuation remove remainder of the products of conception |
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D&E
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dilation and evacuation
formerly known as D&C remove remainder of the products of conception |
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remove remainder of the products of conception
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D&E dilation and evacuation
D&C dilation and curettage |
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After an abortion of a Rh negative woman what should she receive?
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RhoGAM
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When is MICRhoGAM used?
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when abortion is less than 12 weeks along
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Threatened Spontaneous Abortion
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slight cramps, slight bleeding, no tissue passed, cervical opening closed, uterine size normal
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Inevitable Spontaneous Abortion
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moderate cramps, moderate to severe bleeding, no tissue passed, cervical opening open tissues bulging, normal uterine size
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Incomplete Spontaneous Abortion
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severe cramps, severe to cont. bleeding, placental/fetal tissue passed, cervical opening open with tissue in canal, uterine size smaller
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Complete Spontaneous Abortion
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no cramps, minimal bleeding, complete placenta and fetus passage, cervical opening closed, uterine size smaller,
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Missed Spontaneous Abortion
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no cramps, brownish discharge,no tissue passed, closed cervical opening, uterine size smaller,
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Identify Spontaneous Abortion
no cramps, brownish discharge,no tissue passed, closed cervical opening, uterine size smaller, |
Missed Spontaneous Abortion
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Identify Spontaneous Abortion
no cramps, minimal bleeding, complete placenta and fetus passage, cervical opening closed, uterine size smaller, |
Complete Spontaneous Abortion
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Identify Spontaneous Abortion
severe cramps, severe to cont. bleeding, placental/fetal tissue passed, cervical opening open with tissue in canal, uterine size smaller |
Incomplete Spontaneous Abortion
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Identify Spontaneous Abortion
moderate cramps, moderate to severe bleeding, no tissue passed, cervical opening open tissues bulging, normal uterine size |
Inevitable Spontaneous Abortion
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Identify Spontaneous Abortion
slight cramps, slight bleeding, no tissue passed, cervical opening closed, uterine size normal |
Threatened Spontaneous Abortion
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How do you treat threatened spontaneous abortion?
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Bed rest, no sexual activity, monitor bleeding, perform preg test, RhoGAM
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How do you treat inevitable spontaneous abortion?
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bed rest, sedation, possible transfusion, monitor vleeding, RhoGAM
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How do you treat Incomplete spontaneous abortion?
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bed rest, sedation, monitor tissue passage and save it, monitor bleeding, D&E, RhoGAM
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How do you treat Complete spontaneous abortion?
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monitor tissue passage, RhoGAM
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How do you treat Missed spontaneous abortion?
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no specific tx, oxytocin to induce labor and delivery, assess for DIC
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Nursing responsibilities for a preggo admitted for bleeding? (7)
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Vital Signs, monitor for signs of shock, weigh perineal pads, Fetal heart rate, oxygen available, PA, emotional support
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Incompetent Cervix
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cervix dilates without perceivable contractions,products of conception are expelled early in pregnancy
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What causes incompetent cervix?
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cervix is incapable of supporting the wt of growing fetus
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How is incompetent cervix treated?
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Cervical cerclage, suture is placed around cervix to support and reinforce
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Cervical cerclage
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use of sutures to close an incompetent cervix to prevent it from opening as the growing fetus presses against it
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use of sutures to close an incompetent cervix to prevent it from opening as the growing fetus presses against it
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Cervical cerclage
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cervix dilates without perceivable contractions,products of conception are expelled early in pregnancy
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Incompetent Cervix
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Cervical cerclage
Shirodkar procedure |
heavy ligature placed around the cervix to treat incompetent cervix
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Cervical cerclage
McDonald's procedure |
heavy silk purse-string suture around the cervix to treat incompetent cervix
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heavy silk purse-string suture around the cervix to treat incompetent cervix
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Cervical cerclage
McDonald's procedure |
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heavy ligature placed around the cervix to treat incompetent cervix
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Cervical cerclage
Shirodkar procedure |
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Ectopic Pregnancy
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an abnormal implantation of the fertilized ovum outside the uterine cavity
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What is the most common site for an ectopic pregnancy?
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fallopian tube
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places an ectopic pregnancy can occur (4)
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fallopian tube, abd cavity, ovary, cervix
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Potential Complications of ectopic pregnancy?
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Tube rupture, fatal hemorrhage, loss of fertility capabilities
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an abnormal implantation of the fertilized ovum outside the uterine cavity
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Ectopic Pregnancy
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