Rebekah Shared "Semester 3 test 2" - 16 Picmonics
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Semester 3 test 2
Incompetent Cervix
- Mechanism
- Premature Cervical Dilation
- Assessment
- Recurring Miscarriage
- Short Cervix
- Considerations
- Cervical Cerclage
- Rest
- Labor
1 min
Amniocentesis
- Mechanism
- Transabdominal Puncture
- > 14 weeks gestation
- Indications
- Genetic and Congenital Anomalies
- Fetal Hemolytic Disease
- Fetal Lung Maturity
- Complications
- Miscarriage
- Hemorrhage
- Infection
- Considerations
- RhoGAM (Rh Immune Globulin)
2 mins
Spontaneous Abortion Overview
- Assessment
- Bleeding < 20 weeks Gestation
- Interventions
- Identify Type
- Bed Rest
- Monitor for Hemorrhage
- Save Pads and Linens
- RhoGAM
- Dilation and Curettage (DandC)
- Cerclage
- Emotional Support
2 mins
Ectopic Pregnancy
- Signs and Symptoms
- Lower Abdominal Pain
- Delayed Menses
- Abnormal Vaginal Bleeding
- Shock
- Referred Shoulder Pain
- Cullen Sign
- Considerations
- Methotrexate
- Surgery
- RhoGAM
2 mins
Lab and Diagnostic Tests During Pregnancy (1st Visit)
- Diagnosis
- Complete Blood Count (CBC)
- Blood Typing and Rh
- Rubella
- HIV
- Hepatitis B
- Tuberculosis Skin Mantoux Test (PPD)
- Sexually Transmitted Infections
- Chlamydia
- Neisseria gonorrhoeae
- Syphilis
- Pap Smears
- Urinalysis
- Sickle Cell Screening (If Indicated)
2 mins
Lab and Diagnostic Tests During Pregnancy (Other Visits)
- Diagnosis
- 10-13 Weeks
- Offer Chorionic Villus Sampling (CVS)
- 15-18 Weeks
- Quad Screen
- 18-20 Weeks
- Ultrasound
- Anatomic Screening
- 24-28 Weeks
- One-Hour Glucose Challenge Test
- 35-37 Weeks
- Streptococcus Agalactiae
3 mins
Huntington's Disease Assessment and Interventions
- Assessment
- Decreased GABA
- Appears around Age 40
- Slow Cognitive Decline
- Choreiform Movements
- Non Repetitive Jerks
- Interventions
- Neuroleptics
- Tetrabenazine
- Genetic Counseling
- Considerations
- Stages of Disease
- High Calorie Diet
2 mins
Sickle Cell Anemia Assessment
- Cause/Mechanism
- Hemoglobin S (Genetic Defect)
- Sickle Shaped RBCs
- Assessment
- Jaundice
- Vaso Occlusive Crisis
- Fever
- Priapism
- Severe Pain
- Considerations
- Prominent in African Americans
- May be Asymptomatic
- Increased Risk of Infection
2 mins
Hydatidiform Mole (Molar Pregnancy)
- Cause/Mechanism
- Abnormal Fertilization
- Assessment
- Symptoms of Pregnancy
- Elevated hCG
- Vaginal Bleeding
- Inappropriate Uterine Growth
- No Fetal Heart Rate (FHR)
- Interventions
- Dilation and Curettage (D&C)
- Emotional Support
- Considerations
- No Pregnancy 1 Year
- Hysterectomy
3 mins
Down Syndrome
- Pathophysiology
- Trisomy 21
- Meiotic Nondisjunction
- Signs and Symptoms
- Intellectual Disability (Mental Retardation)
- Single palmar crease
- Flat Facies
- Duodenal Atresia
- Hirschsprung's Disease
- Septum Primum Type ASD
- Endocardial Cushion Defects
- Prominent Epicanthal Folds
- Increased Risk of Acute Lymphoblastic Leukemia
- Alzheimer's Disease
3 mins
Abruptio Placentae
- Mechanism
- Premature Separation of Placenta
- Assessment
- Tearing Pain
- Bleeding (Often Concealed)
- Rigid Uterus
- Contractions
- Interventions
- Corticosteroids as Needed
- Emergent Delivery
- Considerations
- Increased Risks for Neonate
- Rh (Rhesus) Incompatibilities
- Increased Risk for Shock
- Monitor Fetal Heart Rate
3 mins
Placenta Previa
- Mechanism
- Placenta Covers Cervical Os
- Assessment
- Painless
- Bright Red Vaginal Bleeding
- Interventions
- Stable Fetus
- Bed Rest
- Observation
- Unstable Fetus
- C-section Delivery
- Considerations
- Risk for Shock
- Magnesium Sulfate
- Tocolysis
3 mins
Placental Implantation Abnormalities
- Mechanism
- Placenta Adheres Directly to Myometrium
- Placenta Accreta
- Placenta Increta
- Placenta Percreta
- Caused by Scar Tissue
- Hemorrhage
- Diagnosis
- Ultrasound is First-line, then MRI
- Treatment
- C-section Delivery
- Artery Ligation or Embolization
2 mins
Supine Hypotension (Vena Cava Syndrome)
- Mechanism
- Compression of the Vena Cava and Descending Aorta
- Signs and Symptoms
- Hypotension
- Dizziness
- Tachycardia
- Decreased Renal Perfusion
- Decreased Uteroplacental Perfusion
- Intervention
- Side-lying Position
2 mins
Quad Screen Results Interpretation
- Markers
- AFP
- Estriol
- hCG
- Inhibin A
- Associations
- Increased hCG + Inhibin A (HIgh)
- Down Syndrome
- Decreased hCG + Estriol + AFP (Low HEAp)
- Edward Syndrome
- Increased AFP
- Neural Tube Defects
- Abdominal Wall Defects
2 mins
Prolapsed Umbilical Cord
- Mechanism
- Cord Prolapses
- Signs and Symptoms
- Visualization of Cord
- Prolonged or Variable Decelerations
- Considerations
- Hips Elevated
- Insert 2 fingers in Vagina
- Saline Towel on Cord
- Oxygen
2 mins
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