Exam 2 OB -RNSG 2208 Flashcards


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1

Considered by many to be the most valuable diagnostic tool used in obstetrics

Abdominal versus Transvaginal Ultrasounds

Indications for use

Fetal heart activity

Gestational age

Fetal growth

Fetal anatomy

Ultrasonography

2

performed from weeks 14-20

Potential complications

Indications for use

Genetic concerns

Fetal lung maturity

Fetal hemolytic disease

Amniocentesis

3

-HPV treatment

-Nursing assessment

-Manifestations: most asymptomatic; visible genital warts

Gardasil 9

4

is primarily a diagnostic procedure to sample the endometrium (lining of the uterus) but may also be used to treat conditions such as incomplete miscarriage. The procedure removes tissue from inside the uterus (womb).

What is the Dilatation and curettage (D&C) procedure?

5

is a drug that can be used to induce labor by softening and opening the cervix. It's a synthetic prostaglandin E1 analog that works by breaking down collagen in the cervix and binding to uterine muscle cells to cause contractions.

Cytotec (misoprostol)

6

is a drug that blocks a hormone called progesterone that is needed for a pregnancy to continue.

Mifepristone

7

Who Am I?

  • Clinical manifestations
  • 1. Abdominal pain
  • 2. Delayed menses
  • 3. Abnormal vaginal bleeding (spotting)

Ectopic pregnancy

8

Who Am I?

  • Clinical manifestations
  • Anemia from blood loss, excessive nausea and vomiting (hyperemesis gravidarum), and abdominal cramps
  • Preeclampsia occurs in approximately 70% of women with large, rapidly growing hydatidiform moles and occurs earlier than usual in the pregnancy
  • Diagnosis
  • Transvaginal ultrasound and serum hCG levels

Molar Pregnancy (Hydatidiform Mole)

9

Who Am I?

  • Detachment of part or all of placenta from implantation site after 20 weeks of gestation
  • Maternal hypertension is a primary risk factor
  • Other risk factors:
  • Cocaine and/or methamphetamine use

Placentae or Placental Abruption)

10

What medication is this

  • Take 0.4 mg of folic acid every day and consume dietary sources of folate.

Neural tube defects can occur with poor intake

Folic acid intake