NCLEX-PN

●​ Signs and Symptoms: Rapid onset of symptoms, including pulmonary hypertension, hypoxia, respiratory distress, hemorrhage, uterine atony, finger numbness, panic, hypotension, coagulopathy, nausea, vomiting, and chest pain. ●​ Interventions and Treatments: Oxygen, intravenous fluids, intubation, mechanical ventilation, hypotension management, coagulopathy treatment, corticosteroids, fetal monitoring, emergency cesarean section, and post-mortem cesarean section if necessary. ●​ Complications: Myocardial damage, heart failure, DIC, coagulopathy, cardiac arrest, fetal death, and maternal death. 2.​ Vaginal Bleeding ●​ Description: Abnormal vaginal bleeding, including primary dysmenorrhea, dysfunctional uterine bleeding, and abnormal uterine bleeding. ●​ Signs and Symptoms: Cramps, heavy bleeding (dysmenorrhea), irregular cycles, bleeding outside menstruation (dysfunctional/abnormal uterine bleeding). ●​ Interventions and Treatments: Oral contraceptives, NSAIDs, heating pads, exercise, acupuncture, hypnosis, transcutaneous electrical nerve stimulation (TENS) for dysmenorrhea; hormonal therapies, hysterectomy, and endometrial ablation for dysfunctional/abnormal uterine bleeding. ●​ Complications: Sterility (with hysterectomy), hemorrhage, hypovolemic shock. 3.​ Pelvic Inflammatory Disease ●​ Description: Infection involving salpingitis, pelvic peritonitis, tubo-ovarian abscess, or endometritis, often due to Neisseria gonorrhoeae and Chlamydia trachomatis. ●​ Signs and Symptoms: Acute pelvic pain, fever, abdominal pain, guarding, rebound tenderness, abnormal vaginal bleeding, elevated WBC count. ●​ Interventions and Treatments: Hospitalization for pregnant women and severe cases, antibiotics (ceftriaxone, azithromycin, metronidazole, doxycycline). ●​ Complications: Fallopian tube scarring, infertility, ectopic pregnancies, sepsis, septic shock, and death if left untreated. 4.​ Ovarian Hyperstimulation Syndrome ●​ Description: T ypically follows in vitro fertilization, resulting in enlarged ovaries with fluid accumulation. ●​ Signs and Symptoms: Decreased urinary output, abdominal pain, shortness of breath, diarrhea, thirst.

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