Medical-surgical Nursing Demystified

(Sean Pound) #1

CHAPTER 14 Women’s Health^523


HALLMARK SIGNS AND SYMPTOMS



  • Bloody show which is the mucous plug, expelled from the vagina

  • Rupture of membranes, which releases amniotic fluid (commonly referred to
    as water breaking)


INTERPRETING TEST RESULTS



  • CBC to assess any anemia.

  • Blood typing.

  • Rh factor.

  • Urinalysis to look for protein and glucose.


TREATMENTS



  • Some medications may be administered to stimulate uterine contractions:

    • oxytocin

    • prostaglandins



  • Pain medications may be administered, but always with the safety of the fetus
    in mind. The risk versus the benefit must be weighed.

  • Analgesia and sedation:

    • stadol

    • butorphanol

    • meperidine

    • fentanyl

    • nalbuphine



  • General anesthesia:

    • nitrous Oxide inhalation



  • Regional anesthesia:

    • pudendal block

    • paracervical block

    • spinal block



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