Fisdap Ob/Gyn and Pediatrics questions and answers latest

Gravida - # of pregnancies Para or Parity - # of deliveries Abortion - Pregnancy ending Prior to 20 weeks of gestation Oral Contraceptive Complications - HTN, MI, Stroke, pulmonary embolism IUD Complications - Uterine Perforation, uterine infection, irregular uterine bleeding; probability of complications increase if they are in longer than maufacturer recommended Estimated excessive blood loss - More than 2 sanitary pads per hour is considered to be significant 3 months fetus location - Uterus barely palpable above logic symphysis 4 month fetus location - Uterus palpable midway between the umbilicus and the pubic symphysis 5 month (20 weeks) fetus location - Uterus palpable at the bellybutton Pelvic Inflammatory Disease - Infection of female reproductive tract caused from bacteria, virus, or fungus usually from gonorrhea or chlamydia PID hx - Multiple sexual partners, prior history of PID, recent gynecologic procedure, or IUD; women of child bearing years; shuffled gait; pain during intercourse PIS Assessment - Lower diffuse abdominal pain that is tense with obvious rebound tenderness; severe: septic, fever, chills, n/v; foul smelling yellow d/c irregular menses, midcycle bleeding; normal bp, tachycardic Ruptured Ovarian Cyst - Cyst replaces egg after ovulation and fills with blood when it ruptures the blood irritates the peritoneum Ruptured Ovarian Cyst assessment - Unilateral Abdominal pain and rebound tenderness; pain may radiate to back, vaginal bleeding Ruptured Ovarian Cyst hx - Dyspareunia, irregular bleeding, delayed menstrual period; may rupture during sex or physical activity Dyspareunia - Difficult or painful sex UTI - Bacterial infection that enters through the urethra into the bladder and uterus; if untreated can affect kidneys UTI Assessment - Pain over pubic symphysis, frequent urination, dysuria, Low grade fever! Urine may be tinged with blood Dysuria - Pain or burning with urination