Name the gynecology complication…
- infection of reproductive organs
- can be bacterial, viral, or fungal
- most common cause is gonorrhea or chlamydia
- predisposing factors include multiple sex partners, prior hx, recent gynecological procedure, IUD
- acute or chronic, usually within 1 week of menstrual cycle
- most common complaint is diffuse lower abdominal pain
- may or may not have fever
- vaginal discharge
Pelvic Inflammatory Disease
Name the gynecology complication…
- sudden onset of severe lower abdominal pain on one side
- pain may radiate to back
- possible vaginal bleeding
Ruptured Ovarian Cyst
Name the gynecology complication…
- suprapubic tenderness
- frequent painful urination
- blood or cloudy urine
Cystitis
Name the gynecology complication…
- mild to severe lower abdominal pain
- bloody or foul smelling vaginal discharge
- fever of 101-104
- usually within 48-72 hours of miscarriage, childbirth, or gyno procedure
Endometritis
Name the gynecology complication…
-severe pain during or immediately following intercourse and bowel movement
Endometriosis
Name the gynecology complication…
- severe unilateral abdominal pain which may radiate to the shoulder on the affected side
- late or missed menstrual period
- occasional vaginal bleeding
- abdomen may be rigid
- history of using IUD
Ectopic Pregnancy
Name the gynecology complication…
- usually occurs in third trimester
- presents with painless, bright red vaginal bleeding
Placenta Previa
Name the gynecology complication…
-characterized by sharp abdominal pain with or without bleeding
Abruptio Placentae
If no baseline, what is the minimum BP to be considered preeclamptic during pregnancy? What is the increase systolic and diastolic if you have a baseline?
140/90, if baseline then increase of systolic BP by 30 and/or diastolic by 15
Neonate resuscitation order
- If respirations <60, begin compressions
- IV, fluid resuscitation, and meds
- Transport
If birth presents with prolapsed cord…
Insert 2 gloved fingers to raise the fetus off of the cord, place mother trendelenburg or knees-chest, give O2, transport immediately. DO NOT attempt delivery.
If birth presents with limb presentation…
Place mother in knee-chest position, give O2, and transport immediately. DO NOT attempt delivery. DO NOT touch extremity.
Name the gynecological complication…
- sudden onset of severe dyspnea
- sharp chest pain
- tachycardia, tachypnea, JVD
- in severe cases, hypotension
- one of the most common causes of maternal death and is more frequent post c-section
Pulmonary Embolism
What is the most important indicator of neonatal distress?
Heart Rate (compressions if <60)
Any neonate with a fever should be considered to have what?
Meningitis
What is primary apnea?
Apnea at birth that is fixed with stimulation
What is secondary apnea?
Apnea not fixed with stimulation, baby too tired or hypovolemic
What is the cutoff date for a premature neonate?
37 weeks
Name the gynecological complication…
- acute, tearing abdominal pain sometimes during active labor, shock
- abdominal assessment reveals rigidity/pain, in some cases fetal parts
Uterine Rupture
What are the risk factors for uterine rupture?
Trauma or previous C-Section
What are the 5 APGAR scoring factors?
Appearance (2-pink, 1-cyanotic chest, 0-blue)
Pulse (2-HR>100, 1-100-60, 0-<60)
Grimmace (2-cough, 1-weak cry, lethargic, 0-no response)
Activity (2-lots of motion, 1-some flexion, 0-none)
Respiration (2-strong/reg, 1-weak/irreg, 0-none)
