DISEASE

RISK FACTOR

SIGNS & SYMPTOMS

DIAGNOSIS

TREATMENT CBR PENICILLIN ( G, V) AS PROPHYLAXIS

RHEUMATIC HEART DISEASE

MAJOR: C A S E S 2 MAJOR S/SX CARDITIS 1 MAJOR & 2 MINOR ARTHRITIS SUBCUTANEOUS NODULES ERYTHMA MARGINATUM SYDENHAM'S CHOREA MINOR: FEVER ASO TITER ESR ERYTHROCYTE SEDIMENTATION RATES WBC ARTHRALGIA FASTING BLOOD SUGAR ORAL GLUCOSE TOLERANCE TEST

DIABETES MELLITUS

FHTOSAH FAMILY HISTORY HUMAN PLACENTAL LACTOGEN TRAUMA TO PANCREAS OBESITY STRESS AGE HISTORY OF LARGE BABY

DIHM DIET & EXERCISE INSULIN- NPH (NOVOLIN) & REGULAR =2:1 HYPOGLYCEMIA REACTION MONITOR COMPLICATION-PIH

HIV / AIDS

CHECK CD4 COUNT WESTERN BLOT ANALYSIS

SYMTOMATIC TREATMENT ANTIVIRAL-ZIDOVUDINE TRIMETHOPRIN WITH SULFAMETHOXAZOLE (BACTRIM) RHOGAM MONITOR I & O MONITOR DAILY WEIGHT ANTI-EMETIC DRUG ( METOCLOPROMIDE, PLASIL, REGIAN) PREVENT DEHYDRATION

RH (RHESUS) INCOMPATIBILITY HYPEREMESIS GRAVIDARUM DEFFIENCY VIT. B12 OBSTRUCTIVE DISORDER ELAVATED HCG

COOMB'S TEST INCREASE HCG LEVEL INCREASE HEMATOCRIT DECREASE VITAMIN B12 URINALYSIS

IV THERAPHY DIET AVOID PRECIPITATING FACTORS ECTOPIC PREGNANCY SMOKING AGE SCARS ECTOPIC PREGNANCY IN PAST IUD HCG ULTRASOUND MEDICAL: UNRUPTURED METHOTRIXATE MIFEPRISTOME IVF (D5LR) BT IF NECESSARY SURGICAL: OOPHRECTOMY HYSTERECTOMY SALPINGECTOMY TOTAL HYSTERECTOMY BILATERAL SALPINGO OOPHERECTOMY NURSING: MONITOT V/S, VAGINAL BLEEDING, I&O & PAIN LEVEL PROVIDE EMOTIONAL SUPPORT H-MOLE/ GESTATIONAL TROPHOBLASTIC DISEASE ASIAN HISTORY HORMONAL INBALANCE AGE <15 & >5 HYPEREMESIS GRAVIDARUM PRE ECLAMPSIA BROWNISH VAGINAL BLEEDING NO FHT ABNORMAL ABDOMINAL SIZE NO FETAL MOVEMENT NAUSEA AND VOMITTING PASSAGE OF FLUID FILLED CYST UTZ SNOW FLAKE PATTERN FLUID FILLED CYST HCG MEDICAL: METHOTREXATE AS PROPHYLAXIS NO OXYTOCIN SUCTION SURGICAL: CUTTERAGE D&C NURSING: NO PREGNANCY FOR 1 YEAR MONITOR HCG FOR 1 YEAR PREMATURE CERVICALMATERNAL AGE DILATION PAINLESS TRANSVAGINAL ULTRASOUND IVF FLUID

CONGENITAL STRUCTURE DEFECTPINK-STAINED VAGINAL DISCHARGE ( MACROSOMIA ) CERVICAL LACERATION INCREASED PELVIC PRESSURE TRAUMA IN THE CERVIC LIKE CONE BIOPSY AND MEMBRANE AND AMNIOTIC FLUID RUPTURED OF D&C UTERINE CONTRATION

OXYGEN CERVICAL CERCLAGE MC DONALD SHIRODKAR SHERIDAN NURSING: CBR TRENDELENBURG POSITION AVOID SEX INCREASE FLUID INTAKE MONITOR CONTRACTION, RUPTURE OF MEMBRANE AND FHT

ABORTION

CLAUDINE VAGINAL BLEEDING CONGENITAL STRUCTURAL DEFECT PELVIC CRAMPING LOW PROGESTERONE LOW BACK PAIN A-RH INCOMPATIBILITY CERVICAL DILATION UNDERNUTRITION UTERINE CONTRACTION DRUG INGESTION "ABORTIFACIENT" INFECTION NOT COMPETENT CERVIX EXISTING DISEASE

AT 12 WKS AOG (-) FHT UTZ GESTATIONAL SAC

MEDICAL: ANTIBIOTICS (SEPTIC) IVF BT OF NECESSARY SURGICAL: D&C NURSING: MONITOR V/S WOF S/SX OF SHOCK DECREASE IN BP INCREASE PR, RR DECREASE IN TEMP-CLAMMY EXTREMITIES PALLOR SAVE ALL CLOTS AND PADS ABSTINENCE/ FP MONITOR LOCHIA FLOW

PLACENTA PREVIA

MULTIPARITY ADVANCE MATERNAL AGE

VAGINAL BLEEDING, SUDDEN PAINLESS

UTZ

MEDICAL: BETAMETHASONE (CELESTONE)

SMOKING, COCAINE PAST UTERINE CURETTAGE PAST CS MUTIPLE GESTATION MULTIPLE INDUCED ABORT ASIAN/ AFRICAN

BRIGHT RED FHT NORMAL SOFT UTERUS NORMAL (-) ENGAGEMENT

HASTEN FETAL LUNG MATURITY IVF BT OXYGEN SURGICAL: NORMAL DELIVERY CS AT TERM NURSING: CBR NO IE NO COITUS AVOID HEAVY OBJET

ABRUPTIO PLACENTAESMOKING SHORTCORD MULTIPARITY ADVANCED MATERNAL AGE PIH

BLEEDING: DARK RED PAIN: PAINFUL FETAL DISTRESS FHT: IRREGULAR TO ABSENT SHOCK: SEVERE

UTZ

MEDICAL: IVF BLOOD TRANSFUSION GIVE OXYGEN NURSING: MONITOR V/S, BLOOD LOSS & FHT SURGICAL: EMERGENCY CS

PREMATURE RUPTURE OF MEMBRANE

FLUID LEAK IN CERVIX SPECULUM EXAM POOLING IN THE PERMIX OF THE VAGINA ULTRASPUND POSSIBLE PROTRUSSION MEMBRANEBIOPHYSICAL PROFILE PROLAPSE CORD NITRAZINE TEST PINK NORMAL BLUE (+) YELLOW (-) URINE FERNING TEST

MEDICAL: HOSPITALIZATION PROPHYLACTIC ANTIBIOTIC -AMPICILLIN IV -ERYTHROMYCIN (ORALLY) ANTENATAL GLUCOCORTICOID INDUCTION OF LABOR

SURGICAL: EMERGENCY CS NURSING: POSITION: TRENDELENBURG, KNEE CHEST, LATERAL V/S (TEMPERATURE) MONITOR UTERINE CONTRACTION AVOID IE FHT PREGNANCY INDUCED PRIMIGRAVIDA HYPERTENSION PRE ECLAMPSIA AGES >2O, <40 ECLAMPSIA LOW SOCIO ECONOMIC STATUS AFRICAN-AMERICAN DM 24 HRS URINE PROTEINURIA MAGNESIUM SULFATE CBC-EAVALUATES PLATELETS HYDRALAZINE LABS- SUCH AS ALT, AST, URIC ACID, SERUM CREATINE DIAZEPAM UTZ CALCIUM GLUCONATE NURSING: BED REST- LEFT SIDE LYING INSPECT FOR EDEMA MEASURE I&O- OLIGURIA HELLP HEMOLSIS ELEVATE LIVER ENZYME LOW PLATELET COUNT DYSTOCIA

EGULAR =2:1

METHOXAZOLE (BACTRIM)

LOPROMIDE, PLASIL, REGIAN)

ERAL SALPINGO OOPHERECTOMY

DING, I&O & PAIN LEVEL

PTURE OF MEMBRANE AND FHT

MY EXTREMITIES

KNEE CHEST, LATERAL