Bullets in OB

Maam Bem Castaneda, RN

umbilical cord- amnion
Chorion- placenta
site of uterine rupture- isthmus is
thin and passive
primigraivida indication- episiotomy
most common way to diagnose
pregnant- gravindex test or
pregnancy test
weight gain in
st
trimester-
ib!"month
lb!"wee# weight gain- $
nd
trimester
pattern of weight gain in lbs! in %
trimesters- %,$,$
internal vaginal examination is done-
$x in
st
trimester to chec# for
ballottement, $
nd
trimester is done on
last prenatal to chec# for cervical
dilatato ion and effacement!
&eopold's maneuver is done on- $
nd

trimester
routinely chec# every prenatal chec#
up- vital signs and weight gain
papsmear position- lithotomy
papsmear preparation- no
menstruation, no coitus for $( hours
before the chec# up and no douching
drug in pregnancuy that causes
staining of the teeth and long bones-
)etracycline
steroid effect- cleft lip
false labor-abdominal pain
primary source of power in labor-
uterine contraction-
st
source, $
nd

source is the abdominal muscle
point of reference in transverse-
accromium or shoulders! *acrum
+li#od,- breech presentation!
Occiput- vertex presentation
mentum of chin- face presentation
fear of losing control is the characteristics
of- active phase +(--cm,,latent +.-%cm,-
mother is tal#ative, transition+(--cm,-
mother is uncontrollable!
normal duration of neonate expulsion by a
primigravida is /. minutes
methergen is also #nown as- ergot
al#aloid-placenta out
drug given after baby out-pitocin
methergen mechanism of action- sustained
uterine contraction
location of the fundus on
st
day
postpartum- finger breathd below
umbilicus
if the uterus is dislodged to either left or
right side, what to do- bedpan
postpartal bleeding is C* patient- ...ml
early cause of postpartal bleeding- uterine
atony
cervical laceration,management- repair
suture of cervix, procedures is called-
cerclage
cervical mucus method, contraindication-
cervicitis
early within $( hours post op- uterine
atony+massage,, cervical
laceration+repair,
late after $( hours post op- retained
placental fragment +0 and C,, hematoma+
sugery at arteries,
$ types of cerclage1
shirodd#ar- permanent cerclage
Mcdonald's- temporary cerclage
placenta is composed of- 2-$. cotyledons
cervix close with bleeding, cramping,
bac#ache- threatened
placenta previa what to do- vaginal
examination
fetus dies utero but not expelled-misabortion
not a types of ectopic pregnancy-uterine-
normally
rapid or bearant growth of chorionic villi-
molar pregnancy
antidote for heparin- protamine sulfate
colostrums contains- antibodies
N*30 means- normal saline vaginal
bleeding
patients experiencing variable deceleration
or cord compression, intial action-turn to left
lateral position
latent phase of labor- $cm
overdose of calcium gluconate what to give-
magnesium s-ulfate
vomiting- metabolic al#alosis
fundus on tenth day- non palpable
disappears with ambulation- false labor
- spontaneous abortiobn
threatened- cramping, bleeding, but no
cervical dilation
imminent or inevitable- bleeding, cramping,
cervival dilation
incomplete-expulsion of some parts or only
part of product of conception
complete- complete expulsion of all product
conception
misabortion- 4056 but not expelled!
vaginal discharges1 dar# brown
or coffee brow
habitual"recurrent- % or more consecutive
abortion
$( hours with the mother-complete rooming
in
phase of puerperium wherein the mother is
passive and dependent- ta#ing in-passive
and dependent, ta#ing hold- shows increase
in infant care, letting go- mother defines her
role!
sterility is immediate- tubal ligation
organ in copulation"coitus-vagina
breastfeeding-prevents infection
fetal movement that is felt by the mother-
7uic#ening- 2 months or --$. wee#s
concealed or covert placenta- *chult8
best excercise for pregnant women-
swimming"wal#ing
lassitude, what sign of pregnancy-
presumptive
revealed or overt placenta- 0uncan
lochia is composed of the following-shreds
of deciduas, small blood with mucus, wbc,
bacteria
fre7uent menstruation-poly menorrhea
congenital deafness- streptomycin
complete expulsion of all products-
complete
syphilis can cause neonates- congenital
blindness and paralysia
congenital anomalies having extra fingers or
toes- polydactyl
route of administration for oxytocin-53 drip
drugs that relaxes uterus and treats preterm
labor-tocolytics-such as
terbutaline+bricanyl,, ritrodrine,magnesium
sulfate!
drugs for eclampsia with presence of
convulsion- dia8epam
birth registration within- %. days
triad symptoms for 95:- elevated B9,
proteinuria,edema
condition wherein there is no 4:) but
patient #eeps on vomiting- :! mole
cephalic face presentation- well extended
abnormally adherent placenta or deeply
attach can cause hemorrhage-placenta
accrete-surgery is hysterectomy
placenta stage average duration-. minutes
papsmear is done- s a year
pain in abdomen during
st
trimester cause1-
ectopic pregnancy, $
nd
trimester- preterm, %
rd
trimester- abruption placenta
thic#ened endometrium in the fertili8ed
embryo-decidua
safe to administer in a pregnant women-
)etanus toxoid
the most potent marcotics in pregnancy-
0emerol
antipruritic that causes premature-
acetaminophen
thalidomide a sedative that causes- ;melia
and phocomelia
comfort measuers given in cases of pain
during episiotomy- sit8 bath
supplement that prevents neural tube defect
+N)0,- folic acid" folate
most fre7uently abuse substance in
pregnancy that cause low birth weights and
sudden death syndrome+*50*,-tobacco,
alcohol-fetal alcohol syndrome and mental
retardation
artificial type of family planning that
chemical in nature-spermicide, depoprovera-
hormonal, condom- barrier, 56d-mechanical
drug of choice for patients with Chlamydia-
doxycycline
acyclovir indication- herpes
placenta that separates from the edges first-
duncan
most common type of ectopic pregnancy-
<.= in fallopian tube
:! mole complication-chorio carcinamo
abnormal or difficult labor- dystocia
labor or delivery accomplish in less than %
hours- precipitate
ris# og pregnancy on
st
trimester-abortion
and ectopic pregnancy, abruption placenta
and placenta previa-%
rd
trimester,
incompetent cervix and :! mole- $
nd

trimester
if weight gain in %$ lbs! indication- 95:,
>0M
weight gain considered malnutrition-less
than . lbs!
drug of choice for chorio carcinoma-
methotrexate
extrauterine pregnancy- ectopic pregnancy
basal body temperature method is best done-
upon caring in the morning without any
activity
distinct this advantage with the use of iud-
pelvic infection
removal of lump and surrounding of breast
tissue-mastectomy
removal of uterine body and cervix only-
complication of menopause- osteoporosis
herniation of the anterior wall of the vagina-
vulva is #nown as ?pudenda
lengthwise fatty fold of s#in extending from
the mons to the perineum- labia ma@ora
head of clitoris!