OB Final Review PDF

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Study guide for OB final...

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OB Final Review 

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G-TPAL o Gravida (number of pregnancies) o Term (deliveries after 37 weeks) o Preterm (Deliveries) between 20-36 weeks) o Abortions (120 o Labetalol  HTN/preeclampsia tx  Dec maternal pulse/bp  Revolve fetal tachycardia o Hydralazine  Antihypertensive  Lower bp and prevent seizure o Systolic >160 o Diastolic >110 o Magnesium Sulfate  Prevent seizure in pt. w/ HTN/preeclampsia  Therapeutic level: 4-7 (norm: 1.5-2.5) o Absent DTR= toxicity o Clonus present= not enough mag (CNS overstimulation) o Hyperactivity- worsening preeclampsia  Toxicity s/s o Absent DTR o Respiratory depression o Sudden dec. in FHR o Dec. maternal HR/BP o Flushing o Extreme muscle weakness  **May cause boggy uterus and inc. bleeding after delivery Fetal Testing o Non-Stress Test (NST)- Test fetal well being  2 accelerations in FHR of 15 bmp in 20 minutes  Should inc. 15 bmp for 15 seconds o Contraction Stress Test  3 contractions in 10 minutes  Negative= no fetal distress

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 Positive- fetal distress o Amniotic Fluid Index  Should have 800-1,000 mL amniotic fluid at term  Vag. birth requires 2 cm pocket of fluid around fetus o 140  1 hr glucose test done at 24-28 week o 3 hr test if fail 1 hour test  Glucose optimal levels o Fasting: 60-90 o 1 hr. postprandial: 100-120 o 2 hr. postprandial- 60-120 o Cardiac Do  HTN >140/90  Preeclampsia o Severe preeclampsia can trigger DIC  Cause bleeding gums, petechia, purpura  Eclampsia  HELLP o Hemolysis o Elevated o Liver enzyme o Low o Platelet (...