Joshua Shared "OB Test 2 " - 28 Picmonics
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OB Test 2
Eclampsia
- Mechanism of Action
- Increased Central Nervous System Irritability
- Signs and Symptoms
- Hyperreflexia
- Positive Ankle Clonus
- Headaches
- Visual Disturbances
- Epigastric or RUQ Pain
- Seizures
- Coma
- Considerations
- Don't Leave Bedside
- Magnesium Sulfate
2 mins
Preeclampsia Assessment
- After 20 Weeks of Pregnancy
- Mild
- Hypertension > 140/90
- Proteinuria or End-Organ Dysfunction
- Severe
- Hypertension > 160/110
- Progressive Renal Insufficiency
- Vision Changes
- HELLP Syndrome
- Pulmonary Edema
2 mins
Preeclampsia Interventions
- Side Lying Position and Bedrest
- Antihypertensives
- Magnesium Sulfate
- Labor Induction
1 min
Severe Preeclampsia
- Mechanism of Action
- Vasospasm and Decreased Organ Perfusion
- Intravascular Coagulation
- Increased Permeability and Capillary Leakage
- Signs and Symptoms
- Hypertension
- Proteinuria or End-Organ Dysfunction
- HELLP Syndrome
- Hepatic Dysfunction and Hemolysis
- Elevated Liver Enzymes
- Low Platelet Counts
3 mins
Incompetent Cervix
- Mechanism
- Premature Cervical Dilation
- Assessment
- Recurring Miscarriage
- Short Cervix
- Considerations
- Cervical Cerclage
- Rest
- Labor
1 min
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
Sheehan's Syndrome
- Postpartum Pituitary Gland Necrosis
- Agalactorrhea
- Amenorrhea
- Secondary Hypothyroidism with Cold Intolerance
1 min
Chorioamnionitis
- Fever
- Maternal or fetal tachycardia
- Leukocytosis
- Foul Odor to Amniotic Fluid
- Treatment: Antibiotics
- Monitor uterine tenderness, contractions and fetal activity
- Monitor maternal vital signs & FHR
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
Pregnant Cardiac Patient Assessment
- Mechanism
- Cardiac Decompensation
- Signs and Symptoms
- Frequent Cough
- Dyspnea
- Palpitations
- Excessive Fatigue
- Pulse > 100 bpm
- Crackles
2 mins
Pregnant Cardiac Patient Interventions
- Prenatal
- Monitor for Cardiac Decompensation
- Stool Softener
- Calcium Channel Blockers
- Labor
- ECG Monitor
- Open Glottis Pushing
- Pulmonary Artery Catheter
- No Beta-Adrenergic Medications
- Penicillin Prophylaxis
- Postpartum
- Stress on Heart
2 mins
Pregnant Diabetic Patient Interventions
- First Trimester
- Increase Insulin then Decrease
- Metformin
- Nutrition
- Exercise
- Second Trimester
- Increase Insulin
- More Likely to Develop Hypoglycemia than Hyperglycemia
- Third Trimester
- Double or Quadruple Insulin
- Early Delivery
- Postpartum
- Drastically Decrease Insulin
- Monitor Neonate for Hypoglycemia
3 mins
Postpartum Infection
- Diagnosis
- Fever > 100.4F After 24 Hours (38 C)
- Risk Factors
- Multiple Vaginal Examinations
- Vaginal Trauma
- Prolonged Rupture of Membranes
- Cesarean Birth
- Anemia of Pregnancy
- Retained Placental Fragments
- Poor Health Status
3 mins
Postpartum Nursing Assessment
- BUBBLE - LE
- Breasts
- Uterus
- Bladder
- Bowels
- Lochia
- Episiotomy (Laceration)
- Lower Extremities
- Emotions
3 mins
Postpartum Hemorrhage
- Mechanism
- Uterine Atony
- Lacerations
- Retained Placenta
- Signs and Symptoms
- Bleeding
- Hypotension
- Boggy Uterus
- Considerations
- Oxytocin
- Bimanual Compression of Uterus
- Surgery
- Blood Transfusion
2 mins
Breastfeeding
- Benefits
- Complete Nutrition
- Antibody Protection
- Bonding
- Convenient
- SIDS Risk Reduced
- Possible Enhanced Cognitive Development
- Long-Term Health Benefits
2 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
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
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
Terbutaline (Brethine)
- Mechanism of Action
- Beta-2 Agonists
- Indications
- Asthma
- Tocolytic
- Side Effects
- Tremor
- Tachycardia
- Pulmonary Edema
- Hypokalemia
- Hyperglycemia
2 mins
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