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OB Practice questions
PTL and Diseases
33
Nursing
Undergraduate 4
03/23/2010

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Cards

Term
Preterm Labor (PTL)
Definition
20-37 wks
Term
PTL risk factors
Definition
Smoke
Sex
Short
Age
Abuse
Anemia
Poor Nut.
Multigravida
PROM
Infection
Social
Term
Fibronectin
Definition
Glues sac + uterus lining
24-34 = PTL
Lube, soap, disinfectant, blood, sex, cervical manipulation
Term
Endocervical Length
Definition
Empty bladder
<35 mm @ 24-28 wks
Term
PT; Call if...
Definition
Vagina leaks
Odorous D/C
Term
PT; Call if...
Definition
Vagina leaks
Odorous D/C
Term
Tocolytics
Definition
MgSo4: Stop HTN seizing, 24 h flaccid baby
Pulmonary edema: 1500-2400 ml
Term
Antenatal Glucocorticoids
Definition
1 round ONLY!
Contra w/ chorioamnionitis
Betameth/Dextameth (increases lung maturity 24-34 wks)
Term
Premature PROM (PPROM)
Definition
<37 wks
Daily FMC
No bath tub
Term
Chlamydia
Definition
*TRANSVAGINAL*

Vague
Erythromycin
Systemic IV Abx
Term
Gonorrhea
Definition
*TRANSVAGINAL*

Anal
Chlamydia/syph test
Erythromycin
Term
Syphilis
Definition
*TRANSPLACENTAL*

PCN
Screen: VDRL, EIA, RPR
Dx: FTA-ABS, TPPA
Term
Acronym Syphilis
Definition
VERy Freakish Transmissions!
Term
Pelvic Inflammatory Disease (PID)
Definition
Broad IV Abx
NO IUD
Reduce pelvic exams
Term
HPV
Definition
*TRANSVAGINAL*

Cryotherapy
Pap smear
Laryngeal papillomata
Term
HIV transmission
Definition
TRANSPLACENTAL
TRANSVAGINAL
BREAST FEEDING
C/S
Term
HIV
Definition
>2 PCR
6 wk Zidovudine
Antiretrovir 3-4 mo
No abrupt halt to med = Increases viral load

Vag: <1000 36 wks
Bloodless CS: >1000 36 wks
Term
HIV treatment
Definition
HAART
Vaccines: Hep. B, Pneum, Flu B, Viral Flu
Term
GBS
Definition
*TRANSVAGINAL*

Unknown: <37 wk, ROM >18 h, >100.4 F
PCN, Ampicillin, Clindamycin, Erythromycin
Term
Bacterial vaginosis
Definition
Fishy, milky, gray
NS/K smear
Flagyl: No alcohol, no breastfeed
Term
Candidiasis
Definition
Cottage cheese
Antifungal; Fluconazole (NO PREG)
Term
Trichonomiasis
Definition
Strawberry spots
Metronidazole
Term
Toxoplasmosis
Definition
*TRANSPLACENTAL*

Cat litter, meat, transplant, transfusion
Spiramycin, Sulfadine
Term
Hep. A
Definition
Droplet
Term
Hep. B
Definition
*TRANSPLACENTAL/VAG*

Can breastfeed
14d, HBIG 12 h
Term
Hep. C
Definition
No vaccine
Term
Rubella
Definition
Droplet
No pregnant 3 mo
<1:8 = Non-immune
Term
Cytomegalovirus (CMV)
Definition
*TRANSPLACENTAL/VAG*

Droplet, breast transmission
Day care/healthcare
Term
Herpes simplex (HSV)
Definition
*TRANSVAGINAL*

Needs a C/S
Term
Parvo/Fifth's
Definition
*TRANSPLACENTAL*

<20 wks = HRF
Infectious 5-10 days b4 rash/arthtop
Slapped face
Hydrops fetalis
Term
Varicella
Definition
*TRANSPLACENTAL*

VZIG 72 h
Term
Transplacental diseases
Definition
Syphilis
HIV
Hep. B
CMV
Toxoplasmosis
Parvo
Term
Acronym transplacental
Definition
Six Hoochies Have Crossed The Placenta!
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