OB Key Topics May 2019 by Nicole Giancaterino https://padlet.com/nicolegiancaterino1/ov6zv9d88iw7 Key Topics Based on recent ATI Reports en-us 2019-05-03 13:46:22 UTC 2026-03-10 02:56:33 UTC hello@padlet.com https://padletuploads.blob.core.windows.net/prod/80264060/cdf38ae2d21ee13c036196e76c1eb262/Backback.png STIs nicolegiancaterino1 https://padlet.com/nicolegiancaterino1/ov6zv9d88iw7/wish/356596849 Gonorrhea--test early in pregnancy and retest if the patient is at risk.
Antibiotic treatment
Treat partner
Erythromycin Ointment for Newborn
(Murray, S. S., McKinney, E. S., Holub, K.S, & Jones, R. (2019)]]> 2019-05-03 13:46:22 UTC https://padlet.com/nicolegiancaterino1/ov6zv9d88iw7/wish/356596849 Newborn Pain nicolegiancaterino1 https://padlet.com/nicolegiancaterino1/ov6zv9d88iw7/wish/356596851 Common Signs of Pain in Infants

-Increased or decreased heart and respiratory rates, apnea
Increased blood pressure
--Decreased oxygen saturation
--Color changes—Red, dusky, pale
-High Pitched Cry

Talking softly, holding, rocking, and restraining the extremities to prevent flailing . Sucrose, skin-to-skin contact and breastfeeding may increase effectiveness (Academy of Breastfeeding Medicine, 2010).
 
]]> 2019-05-03 13:46:22 UTC https://padlet.com/nicolegiancaterino1/ov6zv9d88iw7/wish/356596851 Post Dural Headache nicolegiancaterino1 https://padlet.com/nicolegiancaterino1/ov6zv9d88iw7/wish/356596852 If the dura is unintentionally punctured with the needle used to introduce the epidural catheter, leakage of CSF can occur, which may result in a post–dural puncture (“spinal”) headache. 
--Postural
--Worse when a woman is upright and may disappear when she is lying flat. 
--Headache is less likely if a small-gauge needle is used.
--Bed rest with oral or IV hydration helps relieve pain
--Caffeine is another oral therapy.
-- A blood patch may provide definitive relief. The blood patch involves injection of a small amount of the woman’s blood (obtained with sterile technique) into the epidural space. The blood causes a tamponade effect and may form a gelatinous seal over the hole in the dura, stopping spinal fluid leakage. 
( Murray, S. S., McKinney, E. S., Holub, K.S, & Jones, R. (2019)

]]> 2019-05-03 13:46:22 UTC https://padlet.com/nicolegiancaterino1/ov6zv9d88iw7/wish/356596852 Pudendal Block nicolegiancaterino1 https://padlet.com/nicolegiancaterino1/ov6zv9d88iw7/wish/356596853 Regional pain management. 
Patient can participate in birth--still has pressure and some discomfort. 
Fetal affect is based on how the mother is impacted.  
(Murray, S. S., McKinney, E. S., Holub, K.S, & Jones, R. (2019)]]> 2019-05-03 13:46:22 UTC https://padlet.com/nicolegiancaterino1/ov6zv9d88iw7/wish/356596853 Mastitis nicolegiancaterino1 https://padlet.com/nicolegiancaterino1/ov6zv9d88iw7/wish/356630561
Mastitis--  flulike with fatigue and aching muscles. Symptoms progress to include a temperature of 39°C (102.2°F) or higher, chills, malaise, and headache. 

-Antibiotic therapy 
-Continued emptying of the breast by breastfeeding or breast pump constitute the first line of treatment. 
-Mastitis usually resolves within 24 to 48 hours. 
Antibiotics should be continued for 7 to 10 days (Duff, 2014). -Women who develop a breast abscess are treated with surgical drainage and antibiotics.
(Murray, S. S., McKinney, E. S., Holub, K.S, & Jones, R. (2019)]]> 2019-05-03 14:56:38 UTC https://padlet.com/nicolegiancaterino1/ov6zv9d88iw7/wish/356630561 CST- Contraction Stress Test nicolegiancaterino1 https://padlet.com/nicolegiancaterino1/ov6zv9d88iw7/wish/356637421 CSTs are typically performed in a hospital environment where interventions such as administration of intravenous medication or an immediate delivery can occur in the event of an emergency. 
--Contraindications for performing the test include patients in whom vaginal delivery is not recommended at the time of the test (placenta previa, preterm premature rupture of membranes, preterm labor, history of preterm delivery, previous classic cesarean section, or multiple gestations (Freeman et al., 2012). 
Procedure steps are exactly the same as for an NST.
Initial monitoring will determine whether at least three spontaneous contractions (40 sec or greater) within a 10-minute period.
--May use Oxytocin or may spontaneously contract. 
(Murray, S. S., McKinney, E. S., Holub, K.S, & Jones, R. (2019)]]> 2019-05-03 15:11:25 UTC https://padlet.com/nicolegiancaterino1/ov6zv9d88iw7/wish/356637421 Birth Control Methods nicolegiancaterino1 https://padlet.com/nicolegiancaterino1/ov6zv9d88iw7/wish/356639114 Can you discuss risk factors and teaching key points about this list?
https://www.plannedparenthood.org/files/9514/0918/3520/Birth_Control_Kit_Order_Form.pdf

Why is it important to be refitted for a diaphragm post delivery? ]]> 2019-05-03 15:15:08 UTC https://padlet.com/nicolegiancaterino1/ov6zv9d88iw7/wish/356639114 Mitral Valve Prolapse nicolegiancaterino1 https://padlet.com/nicolegiancaterino1/ov6zv9d88iw7/wish/356639920 Benign condition, and most women are asymptomatic and tolerate pregnancy well. Some women experience palpitations, syncope, fatigue, shortness of breath, chest pain, or anxiety (Cunningham et al., 2014). ACOG (2016f) does not recommend antibiotic prophylaxis for mitral valve prolapse. Beta-blockers may be given for chest pain or palpitations (Cunningham et al., 2014).

]]> 2019-05-03 15:17:12 UTC https://padlet.com/nicolegiancaterino1/ov6zv9d88iw7/wish/356639920 Hyperemesis nicolegiancaterino1 https://padlet.com/nicolegiancaterino1/ov6zv9d88iw7/wish/356642850 **Weight loss
** Electrolyte Imbalance
**High protein
**Small frequent meals
(Murray, S. S., McKinney, E. S., Holub, K.S, & Jones, R. (2019)]]> 2019-05-03 15:23:37 UTC https://padlet.com/nicolegiancaterino1/ov6zv9d88iw7/wish/356642850 Tubal-Sterilization nicolegiancaterino1 https://padlet.com/nicolegiancaterino1/ov6zv9d88iw7/wish/356644481 Counsel Patient--advanced discussion and consent required.---can not make an elective last minute decision.

Unethical to mandate it--and illegal, but this is a hot topic.
Offer guidance regarding family planning.  
(ACOG, 2019)]]> 2019-05-03 15:27:11 UTC https://padlet.com/nicolegiancaterino1/ov6zv9d88iw7/wish/356644481 Hypoglycemia-Newborn nicolegiancaterino1 https://padlet.com/nicolegiancaterino1/ov6zv9d88iw7/wish/356680057 Plasma glucose level of less than 30 mg/dL (1.65 mmol/L) in the first 24 hours of life and less than 45 mg/dL (2.5 mmol/L) thereafter. (Check hospital protocol.)
Feed immediately! Based on level --IV glucose may be necessary. 

 ****Infants exposed to stressors such as asphyxia or infection may exhaust their stores of glycogen. The cold-stressed infant may deplete glycogen to increase metabolism and raise body temperature.
(AAP.org, 2019)]]> 2019-05-03 16:46:23 UTC https://padlet.com/nicolegiancaterino1/ov6zv9d88iw7/wish/356680057 nicolegiancaterino1 https://padlet.com/nicolegiancaterino1/ov6zv9d88iw7/wish/356691293 2019-05-03 17:12:00 UTC https://padlet.com/nicolegiancaterino1/ov6zv9d88iw7/wish/356691293 nicolegiancaterino1 https://padlet.com/nicolegiancaterino1/ov6zv9d88iw7/wish/362706028 2019-05-22 20:18:51 UTC https://padlet.com/nicolegiancaterino1/ov6zv9d88iw7/wish/362706028