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OB Practice questions
High risk pregnancy/perinatal risk factors
31
Nursing
Undergraduate 4
03/23/2010

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Cards

Term
Miscarriage
Definition
<20 wks
<500 g
Term
Early miscarriage
Definition
<12 wks
Term
Threatened miscarriage
Definition
No cervical dilation, No tissue passage
No sex, stress, orgasm
Term
Inevitable miscarriage
Definition
Severe S/S, No tissue passage
Bed rest or D&C (F, pain, ROM)
Term
Incomplete miscarriage
Definition
All S/S
Curretage
Term
Complete miscarriage
Definition
No dilation
Term
Missed miscarriage
Definition
No S/S
Terminate by 1 mo
Term
Septic miscarriage
Definition
Odorous bleed
Terminate
Term
Habitual miscarraige
Definition
>3 consecutive losses
Term
Habitual miscarriage
Definition
>3 consecutive losses
Term
Miscarriage
Management
Definition
Low HCG
Misoprostol
S&C
Prostaglandins
Oxytocin
Coomb's
Term
Incompetent cervix
Definition
>14 wks, painless
Cerclage 10-14 wks, don't lift
Term
Ectopic pregnancy
Definition
Visual or internal bleed
Methotrexate: CBC, Rh, LFT, RFT
Nothing up vag, no alc, no folic acid
Term
S/S of ruptured vs. unruptured ectopic pregnancy
Definition
Unruptured: Dark red/brown
Ruptured: Referred shoulder pain
Term
Mole
Definition
Choriocarcinoma
Suction curretage
Prune juice bleed
Methotrexate
Term
Difference b/t complete vs. partial hydatiform mole
Definition
Complete: Empty egg
Partial: 1 egg, 2 sperm
Term
Abruptio placentae
Definition
PAINFUL bleed
Grade 2: Fetal distress
Grade 3: Fetus dead
Kleihauer
Term
Placenta previa
Definition
PAINLESS bleed
No delivery 36 wks
Betamethasone if <34 wks
Term
Vasa previa
Definition
Bright red blood in ROM
Term
Ruptured uterus
Definition
Lower ballooning
Retraction ring
Term
Post-term
Definition
>42 wks
Term
VBAC
Definition
Must have low transverse
Term
Vacuum
Definition
Vertex
ROM
No CPD
Term
MAJOR HR pregnancy factors
Definition
PIH
HTN (spots, swollen ankle)
PE
Hemorrhage
Kidney issues
Term
HR pregnancy risks factors
Definition
<16 yo
>5 para
>35 yo nullipara
>40 yo multipara
No prenatal care
Non-white
<3 mo b/t pregnancies
Dystocia
Term
Fetal death
Definition
Die 20 wk/ 500 g
Term
Neonatal death
Definition
Die 1st 28 days
Term
Perinatal death
Definition
Die between 20 wks gestation and 28 days after birth
Term
Infant death
Definition
Die in 1st year
Term
Hypoxia effects
Definition
1. FHR
2. Breathing
3. Movement
4. Tone
*Oligio; kidney/lung produce
Term
IUGR factors
Definition
Poor nutrition
Poor maternal collagen
HTN
Smoking
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