What are the hallmark symptoms of Trichomonas vaginalis
Frothy green discharge, vaginal itching/burning, strawberry cervix, foul odor, possibly emotional distress
What is the primary teaching point for a client diagnosed with HSV-2?
No cure, manage outbreaks with antivirals, transmission still possible when asymptomatic, avoid sex during outbreaks, emotional support
Difference between complete, incomplete, and missed abortion?
- Complete: all products expelled, cervix closed
- Incomplete: some products remain, cervix open
- Missed: fetal demise but no expulsion, cervix closed
How can you tell if a contraction is true labor or Braxton Hicks?
- True: regular, painful, cervical dilation
- False: irregular, mild, no cervical change
What’s the immediate priority if your client with an epidural becomes hypotensive?
Turn on left side, increase IVF, monitor FHR, notify provider
What causes vaginal pH changes in menopause?
Decreased estrogen –> thin vaginal mucosa –> increased pH –> risk of infection & dryness
Sildenafil “didn’t work”. What should you ask?
Timing with food, arousal, med interactions, mental state, expectation setting
What’s a priority assessment with Magnesium Sulfate?
Deep tendon reflexes, respiratory rate, urine output (to avoid toxicity)
What does Betamethasone do in pregnancy?
Promotes fetal lung maturity in preterm labor (stimulates surfactant)
Should you do a vaginal exam on a client with placenta previa?
NO, risk of hemorrhage. Use ultrasound for placental position
“How much weight should I gain”? - BMI normal
25-35lbs total over pregnancy
What confirms pregnancy for sure?
Fetal heartbeat, fetal movement or ultrasound confirming gestational sac/fetal pole
Client has mastitis. What did you find on assessment?
Localized breast pain, warmth, redness, fever, flu-like symptoms
Define macrosomic newborn. Risks?
> 4,000g. Risk for shoulder dystocia, C-section, maternal lacerations, uterine atony
STI prevention tips for sexually active client?
Condoms, regular testing, limit partners, HPV vaccination, education
Do mom and baby’s blood mix during pregnancy?
No. Nutrients/O2 passed via placenta; blood stays separate (usually)
Rh-negative client? What next?
Give RhoGAM and 28wks and PP if baby is Rh+
Explain the morning after pill to teens
Emergency contraception, delays ovulation, works best within 72hrs, NOT abortion
Cervix 5cm, 80% effaced, station -2 means?
Active labor, progressing, head is still floating a bit
You feel the umbilical cord during vaginal exam, do what?
Call for help, lift presenting part, Trendelenburg/knee-chest, prep for emergency delivery
What’s a normal FHR
110-160bpm, moderate variability, no late decels = good
What are signs of PP depression
Lasts longer than 2wks, affects bonding, hopelessness, intrusive thoughts
What’s oxytocin used for?
Stimulates labor contractions and prevents PP hemorrhage
Side effects of Carboprost (Hemabate)?
Diarrhea, vomiting, bronchospasm, HTN
