Random OB

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Author:
Anonymous
ID:
220289
Filename:
Random OB
Updated:
2013-05-19 19:01:59
Tags:
extras
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Description:
Miscellaneous OB
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  1. What needs to be ruled out when hemorrhoids are suspected?


    What
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    • LESIONS
    • CONDYLOMATA
    • ANAL FISSURES
    • ANAL POLYPS
    • ABSCESS



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  2. What are causes of urinary frequency?
    Mechanical compression by uterus

    Vascular engorgement of pelvis

    Progesterone relaxation of bladder
  3. Causes of fatigue
    • Fetal movement
    • ↑ CO and 02 use
    • ↑ progesterone

    • weight gain
    • nocturia
    • increased metabolic rate
  4. Causes of dizziness
    Vasomotor instability (blood pooling in lower extremities and pelvis

    Hypoglycemia

    Vena caval compression
  5. With dizziness rule out
    • Middle ear problem
    • Orthostatic hypotension
    • cardiac insufficiency
    • anemia
    • ocular strain
    • MS
  6. With nausea rule out:
    • hyperemesis
    • hiatal hernia
    • eating disorder
    • molar pregnancy
    • DKA
    • hyperthyroidism
    • ↑ ICP
  7. Obstetric history includes:
    • Gest age at deliver, preterm labor, prenatal complications (GDM, previa, GYN, abruption
    • Vag or C/S
    • Status of infant
  8. OB physical includes
    • HEENT
    • Thyroid
    • CV and respiratory
    • Abdominal (fundal height), FHTs
    • Pelvic: Pap, cultures, pelvimentry, uterine size
  9. What are some adverse outcomes related to smoking?
    • LBW
    • Perinatal death (SAB)
    • Carbon monoxide (deactivates Hgb)
    • Nicotine - vasoconstriction and ↓ placental perfusion
    • Reduced appetite
    • Decreased plasma volume
  10. Fetal Alcohol Syndrome
    • Pre/Postnatal growth deficiency
    • Behavioral disorders and mental retardation
    • Atypical facial features
    • Congenital heart defects

  11. Functions of amniotic fluid
    • Allows movement
    • cushions and protects fetus
    • Temperature maintenance
    • barometer for health and maturity
  12. Stage I of labor
    • Cervical changes
    • 0-3 - early
    • 4-7- active
    • 8-10 - transition
  13. Stage II
    Pushing and Delivery of baby
  14. Stage III
    Expulsion of placenta

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