Women's health Questions to study for PAEA 100% Correct

if your pt is in the the SECOND trimester and has a low unconjugated estriol and a low AFP with a HIGH inhbin A what does this mean? - ANSWER there is 75% to 80% there is neural tube defect!!! 50% of spontaneous/incomplete abortion during the 1st trimester is caused by one main ting, what is this #1 cause of these abortions? - ANSWER chromosomal abonormality** B-Hcg doubles very *48* hours so if her quantitative(number value) number is 240 monday then wednesday it should be? - ANSWER 480-this shows the fetus is progressing bleeding, cervix is closed and no products of connection - ANSWER threatened bleeding cervix open and products of conception not yet passed - ANSWER inevitable bleeding, open and partial products on conception - ANSWER incomplete bleeding, open cervix and there are products of conception - ANSWER complete NO bleeding, cervix is closed, no products of concepttioon - ANSWER MISSED missed does not have bleeding!!! snowstorm and grapes on US - ANSWER complete hydatiform mole-this is more common and benign -the pregnancy will not be viable complete will not have a _____While incomplete will have grapes and snowstorm with a fetus. how would you diagnose any GTD? - ANSWER fetus -Bhcg is greater then 100,000 and diagnose by US GUSH OR LEAKAGE OF FLUID or vaginal discharge"peed myself" but its amniotic fluid - ANSWER PROM premature rupture of membranes is when the membranes rupture before lab around ___ weeks and amniotic fluid will leak out, you usually have to go into labor,how do you treat this? - ANSWER 37 best thing to do deliver the fetus via C-section to treat!! how do you diagnose? - ANSWER the sterile speculum with nitreazine paper and/or fern test at the bedside YOU DO NOT DO A DIGITAL EXAM ON PROM...WHY? - ANSWER the baby will come out! you will indice labor you need to go to OR and do a Csection!! how do you to dilate the cervix ** - ANSWER Prostaglandin cervical gel hwat is the difference between chronic HTn and PIH which is pregnancy induced HTN? - ANSWER before 20 weeks is chrnic an after is PIH how do you treat HTN chronic or PIH? - ANSWER METHYLDOPA what is the triade for eclampsia or preeclampsia? - ANSWER HTN, edema of lower extremities and proteinuriea what is the server form of ecmalpsia/preeclmapsia - ANSWER HELLP syndrome -hemolysis, elevated liver enzymes and low platelets what is difference between ecmalpsia and preeclampsia? - ANSWER ecmap-same symptoms + seizures # 1 complicaiton of pregnancy in relation to fetus is - ANSWER DIC -know DIC is always associated with pregnancy give Mg sulfate and tell pt they will feel flushed for what two things? - ANSWER pre term labor and mild pre-eclampsia continues it for 24 hours after the delivery MGSO4 ______ iis given before 34 weeks for lungs to develop before deliver to mom and baby after - ANSWER betamethasone _____ or _____ may be given for acute management of high blood pressure after the baby has been delivered - ANSWER •Hydralazine or labetalol ROGAM is administered ___-___weeks if the mom is known to be rh negative!! also must give if the women miscarries to prevent? - ANSWER 28-29 any future miscarriage, must give this in the ER if miscarried Rho gram is____mg given at 28 weeks of gestation and within ___ hours after delivery the rH positive baby - ANSWER 300 72-this is the second dose PAINFUL VAGIAL BLEEDING - ANSWER abruptio palcenta** what is MCC of third trimester bleeding? - ANSWER abruptio palcenta** what does abruption lead to? - ANSWER DIC B is most ______ C is most ______ - ANSWER common dangerous PAINLESS VAGINAL BLEEDING - ANSWER placenta previa why can you not do a digital pelvic exam in placent previa? - ANSWER incites severe bleeding Leopold remover - ANSWER who's you where the fetus is and makes sure they re in the proper vertical position