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OB Emergencies
| Question | Answer |
|---|---|
| How do you measure the fundal height of a pregnant female | distance from the pubic symphysis to the highest part of the uterus 1cm = 1 week |
| Dysmenorrhea | Discomfort during menstruations |
| Dyspareunia | Pain during sex |
| Menorrhagia | excessive menstrual flow |
| Mittelschmerz | pain from ovulation |
| GPAL | G: How many pregnancies P: deliveries A: abortion L: living |
| Supine Hypotension Disorder | baby is resting on inferior vena cva causing hypotension turn mom to her left lateral side |
| Cystitis | UTI, peeing a lot, burning, pain, kidney infection |
| Endometritis | endometrial tissue found outside the uterus |
| Post delivery steps for baby | Dry - stimulate - clear suction airway (suction mouth and nose with a bulb) - place baby on moms chest - cut cord 4 inches away from baby, second clamp 2 inches from the first |
| Ectopic Pregnancy | unilateral pain, pain management 1 trimester |
| APGAR Score | 1 and 5 min points Rated from 0 to 2 Activity - Pulse (100-160) - Grimace (stimulation/reflex) - Appearance (color) - Respiratory |
| How many blood vessels are normally contained in the umbilical cord | 2 arteries (deoxygenated blood) 1 vein (oxygenated blood) |
| Placenta Previa | Painless Bright red blood Placenta comes first |
| Abruptio Placentae | Placenta prematurely rupurts from uterine wall sharp tearing pain |
| Preeclampsia | 30+ in systolic or -15 in diastolic HYPERTENSION |
| Eclampsia | SEIZURES Treatment: Bolus Mag Sulfate 2g - 5g in 50mL to 100mL bag |
| Braxton hicks contractions | fake contractions |
| Where are you Supposed to clamp and cut the umbilical cord? | 4 : 2 wait until 1 minute marker minimum |
| Breech Presentation | butt or both feet first |
| Prolapsed cord | umbilical cord pops out take pressure off the cord |
| Limb presentation | DO NOT DELIVER |
| Shoulder dystocia | shoulders are stuck on pelvic bone, turn baby sideways |
| Causes for meconium staining | fetal distress |
| Uterine rupture | see baby parts through the skin like a horror movie |
| Uterine inversion | Wet your gloves and put it back up in there |
| Hyperemesis Gravidarum | Sever morning sickness Treatment: Fluids Zofran (antiemetics) |