tailieunhanh - Obstetrics and Gynecological Emergencies

Significant enlargement of the clitoris may signify excess androgens and a likely adrenal or ovarian tumor. After child- birth, prolapse or scarring from an episiotomy may be present. Bartholin’s glands may swell and become palpable from a retention cyst, infection, or trauma. In elderly patients, a swollen Bartholin’s gland should raise the possibility of an underlying cancer. After menopause, atrophic changes may include a urethral caruncle, which appears as a cherry red polypoid mass extending from the urethral opening and represents prolapse of the ure- thral mucosa | 10 7 2009 Chapter 24 Obstetrics and Gynecological Emergencies BRADY Limmer et al. Emergency Care 11 ih Edition 2009 by Pearson Education Inc. Upper Saddle River NJ . DOT Objectives Directory . DOT Objectives are covered and or supported by the PowerPoint Slide Program and Notes for Emergency Care 11th Ed. Please see the Chapter 24 correlation below. KNOWLEDGE AND ATTITUDE Identify the following structures uterus vagina fetus placenta umbilical cord amniotic sac perineum. Slides 6-7 Identify and explain the use of the contents of an obstetrics kit. Slides 13 20 Identify predelivery emergencies. Slides 17 57-76 State indications of an imminent delivery. Slides 13-16 Differentiate the emergency medical care provided to a patient with predelivery emergencies from a normal delivery. Slides 18 22-26 State the steps in the predelivery preparation of the mother. Slides 19 21 Establish the relationship between body substance isolation Standard Precautions and childbirth. Slide 13 State the steps to assist in the delivery. Slides 22-26 Describe care of the baby as the head appears. Slides 22-24 cont. BRADY Limmer et al. Emergency Care 11 th Edition 2009 by Pearson Education Inc. Upper Saddle River NJ . DOT Objectives Directory KNOWLEDGE AND ATTITUDE Describe how and when to cut the umbilical cord. Slides 27-28 Discuss the steps in the delivery of the placenta. Slide 38 List the steps in the emergency medical care of the mother postdelivery. Slides 39-40 Summarize neonatal resuscitation procedures. Slides 30-35 Describe the procedures for the following abnormal deliveries breech birth prolapsed cord limb presentation. Slides 9 42-49 Differentiate the special considerations for multiple births. Slides 42 50 52 Describe special considerations of meconium. Slides 42 55-56 Describe the special considerations of a premature baby. Slides 42 5354 Discuss the

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