OB ATI Chapter 7 Flashcards Quizlet Obstetric PDF

Preview

Summary

Notes on Obstetric course per chapter listed in the title. Comprehensive notes to study with per ati standards to use for studying....

Description

8/16/2021

OB ATI Chapter 7 Flashcards | Quizlet tetrics

OB ATI Chapter 7 Terms in this set (20)

Spontaneous abortions

Is when a pregnancy is terminated before 20 weeks of gestation (the point of fetal viability) or a fetal weight less than 500 g

backache rupture of membranes Spontaneous abortions assessment

dilation of the cervix fever abdominal tenderness S&S of hemorrhage such as hypotention and tachycardia

Spontaneous abortions medication

Ectopic pregnancy (EP)

EP lab test

EP medication

RhO(D) immune globulin (RhoGAM)

is the abnormal implantation of a fertilized ovum outside of the uterine cavity. The implantation is usually in the fallopian tube, which can result in a tubal rupture causing a fatal hemorrhage

-hormone levels of progesterone and hCG elevated -WBC count elevated to 15,000/mm3

methotrexate (MTX)

Gestational trophoblastic disease is the proliferation and degeneration of trophoblastic villi in the placenta that becomes swollen, fluid-filled, and takes on the appearance of grape- like clusters. The embryo fails to develop Hydatidiform mole, Choriocarcinoma, and Molar pregnancy

beyond a primitive state and these structures are associated with choriocarcinoma, which is a rapidly metastasizing malignancy. Two types of molar growths are identified by chromosomal analysis

-The ovum has no genetic material or the material is inactive. -The complete mole contains no fetus, placenta, amniotic membranes, or fluid. complete mole

-There is no placenta to receive maternal blood; therefore, hemorrhage into the uterine cavity occurs and vaginal bleeding results. -Approximately 20% of complete moles progress toward a choriocarcinoma.

-A normal ovum is fertilized by two sperm or one sperm in which meiosis or chromosome reduction and division did not occur. partial mole

-partial mole often contains abnormal embryonic or fetal parts, an amniotic sac, and fetal blood, but congenital anomalies are present. -Approximately 6% of partial moles progress toward a choriocarcinoma.

Urinalysis for proteinuria -Serial hCG immunoassays for pregnancy are strongly positive (1 to 2 million IU compared with a normal pregnancy level of 400,000 IU), and secondary hCG is produced by the overgrowing trophoblastic cells. Gestational Trophoblastic Disease lab tests

-Analysis of serum hCG every 1 to 2 weeks until levels are normal, every 2 to 4 weeks for 6 months, and every 2 months for 1 year. These analyses should be performed in this manner because levels that plateau or increase suggest a malignant transformation

occurs when the placenta abnormally implants in the lower segment of Placenta Previa

the uterus near or over the cervical os instead of attaching to the fundus. The abnormal implantation results in bleeding during the third trimester of pregnancy as the cervix begins to dilate and efface

OB ATI Chapter 7 https://quizlet.com/23306811/ob-ati-chapter-7-flash-cards/

1/2

8/16/2021

OB ATI Chapter 7 Flashcards | Quizlet -A soft, relaxed, nontender uterus with normal tone -A fundal height that is greater than usually expected for gestational age Placenta Previa physical assessment

-A fetus in a breech, oblique, or transverse position -A palpable placenta Vital signs that are usual and within normal limits -A decreasing urinary output

Upgrade to remove ads

Only $3.99/month

-Hgb and Hct for blood loss assessment -CBC Lab Tests Placenta Previa

-ABO blood typing and Rh-factor -Coagulation profile -Kleihauer-Betke test (used to detect fetal blood in maternal circulation)

Corticosteroids such as betamethasone Placenta Previa medications

(Celestone) are prescribed for fetal lung maturation if delivery of the fetus is anticipated (cesarean birth).

is the premature separation of the placenta from the uterus, which can be a partial or complete detachment. This Abrupto Placenta

separation occurs after 20 weeks of gestation, which is usually in the third trimester. It has significant maternal and fetal morbidity and mortality and is a leading cause of maternal death

-Vaginal bleeding that is bright red or dark -A board-like abdomen that is tender Abrupto Placenta physical assessment

-A firm, rigid uterus with contractions (uterine hypertonicity) -Fetal distress -Signs of hypovolemic shock

-Hgb and Hct decreased -Coagulation factors decreased Abrupto Placenta lab tests

-Clotting defects (disseminated intravascular coagulation) -Cross and type match for possible blood transfusions -Kleihauer-Betke test (used to detect fetal blood in maternal circulation)

-A vasa previa is the presence of fetal blood vessels crossing the amniotic membranes over the cervical os. There is a high newborn mortality rate associated

Vasa Previa

with this condition. The risk is associated with fetal hemorrhage, as the client's cervix dilates or membranes rupture. -Diagnosing this condition during the antepartum period is associated with improved outcomes. However, this condition is rarely diagnosed prior to the onset of labor.

Vasa Previa physical assessment

-Painless heavy bleeding upon rupture of membranes -Fetal bradycardia

-Hgb and Hct decreased Vasa Previa Lab tests

-Cross and type match for possible blood transfusions

https://quizlet.com/23306811/ob-ati-chapter-7-flash-cards/

2/2...