ATI PROCTORED MATERNALNEWBORN NOTES
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ATI PROCTORED MATERNALNEWBORN NOTES
SPONTANEOUS ABORTION: terminated before 20 weeks or weighs less than 500 grams
Risk factors
• Chromosomal anomalies
• Maternal illness, infection
• AMA
• Trauma/injuries
• Anomalies of the fetus or placenta
• Antiphospholipid syndrome Expected findings
• Tenderness and backache
• ROM
• Dilation of cervix
• Fever
• Signs and symptoms of hemorrhage Diagnostics/therapeutic procedures
• Ultrasound
• Cervical exam
• D&E
• D&C
• Prostaglandins and oxytocin Patient education
• Some vaginal discharge OK for 12 wk
• NO baths, tampons, or intercourse for 2 wk
ECTOPIC PREGNANCY
Risk factors
• Anything that compromises tubal patency
• STIs
• IVF
• Tubal surgery
• IUDs Expected findings
• Unilateral pain
• Light period that is late
• Scant, dark red, brown vaginal spotting
• 68 wks after last normal menses
• referred shoulder pain
• SHOCK Labs
• Elevated hCG and progesterone will rule out ectopic preg
DX/therapeutic procedures
• Transvaginal US
• CAUTION W/ VAGINAL EXAMS TX – rapid treatment necessary
• Medical management
• If rupture has not occurred and tube preservation is desired
• Methotrexate
• Inhibits cell division, dissolves pregnancy
• Salpingostomy
• Fixes the tube
• Laproscopic salpingectomy
• Removes the tube
[Solved] ATI PROCTORED MATERNALNEWBORN NOTES
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- Submitted On 20 Feb, 2022 11:16:58
- Marvellouspass
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- Solutions : 873
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- Earned : $168.70