1
Q
MC causes/ddx vag bleeding in OB
A
labor cervical lesion infection genital and cervical trauma placenta previa placenta abruption
2
Q
Vag bleed HPI
A
GA trauma? sex? onset severity assoc sx
3
Q
if sudden onset and large amount VB, think…
A
previa
abruption
trauma
4
Q
if chronic and small amount VB, think…
A
infection induced
5
Q
if VB with cnx, back pain, abd cramping, or leaking fluid, think…
A
LABOR
6
Q
if VB with abd pain and cnx, think
A
abruption
7
Q
VB PE
A
vitals SSE: - inspect cervix - fFN - if sx, wet mount SDE: - if no previa
8
Q
VB labs
A
if significant…
- type and screen
- PT, PTT, fibrinogen
- KB
9
Q
VB don’t forget…
A
if Rh (-) –> RHOGAM (RhIG)
10
Q
VB US
A
ABUS:
- placental location
- AFI
- fetal presentation
- biometry if unsure GA
11
Q
VB and non-reassuring FHT + freq cnx, think…
A
possible placenta abruption
12
Q
VB dispo
A
admit if:
- labor
- placenta previa
- placenta abruption
d/c if:
- infection
- genital trauma
- cevical lesions
*OB triage
flashcards
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