Women's Health OBGYN

if I am 21 wks what trimester am I in?

2nd Trimester

How often do you schedule an OB pt who is 28-36 wks?

every 2 weeks

How often do you schedule an OB pt who is 36-40 wks?

Every Week

What test are offered for a NOB visit? (Under 24 Wks)

UA,Urine Culture, Prenatal Reflexive Panal, GC/CT, Ultrasound,Pap w/ NO cyto brush,NOB packet(prov. pref.)

If I am 34 wks what Trimester am I in?

3rd

How do you reset the ultrasound machine?

2D+End Exam buttons

Approximately what week do you begin to experience fetal movement/Stomach Flutters?

18 weeks

What supplies do you need for a NOB visit?

Doppler and rag

When is a Group B Strep test (GBS) offered?

36 weeks

What labs do you order/use for a Vaginal or cervix Swab(GC/CT) ?

Orange AND blue Aptima Swabs

When is BP too HIGH?

140/90

What should you ALWAYS offer at the end of the rooming process?

Food or Water

What are the basic questions + Vitals to check for EVERY visit?

Tobacco Use,Allergies,Pharmacy,Hx,Learning Assessment,Immunizations,Mychart,AVS,Depression,Height,Weight,Temp,BP,O2,HR,Pain Scale

What questions do you ask a ROB pt?

Any Contractions/Bracs or hics + How often and are they sporatic,Any irrgular discharge/spotting? Leaking Fluid?Any symptoms of headaches or swelling? Any issues with vision at all? Is baby moving?

What supplies do you need for a ROB pt visit?

Doppler+Gel for Ultrasound (IF 12wks +) + Measuring Tape

Which of the following do you screen for if NOB?

Advanced Maternal Age (AMA) - 35yr+, High BP (HTN),Gestational Diabetes (GDM)

What are questions you ask to a GYN pt?

first day of LMP, when was last pap, any hx of abnormal paps,if currently sexually active,

What specific questions do you ask a GYN pt who is 40yrs+?

Last mammogram and if they have had a colonoscopy

What questions do you ask a C-section PP pt?

any pain or abnormal bleeding,breastfeeding issues, voiding or urinating issues, if sexually active, if interested in BC, any signs of infection, any puss or leaking fluid

What questions do you as a vaginal delivery PPE pt?

any pain or abnormal bleeding,breastfeeding issues, voiding or urinating issues, if sexually active, if interested in BC

How soon should you see a CS PP pt?

2wks for first PPE visit + 6 Weeks PPE

How soon should you see a Vaginal delivery PP pt?

6 wks PPE

what is a pap smear in spanish?

papinicolau

What is hysterectomy in spanish?

Histerectomía

what is weight scale in spanish?

Bascula

How should you introduce yourself to a spanish speaking pt?

hola mi nombre es alexandra y boy a ser to assistente medical, puedes subir en la bascula? y nomas to boy a checkiar la temperatura y ba ser aca en este lado

How should you introduce yourself to a english speaking pt?

Hello! how are you? My name is Alex i'm going to be your medical assitant today is it okay if I have you step onto the scale? okay and i'm just going to grab your temperature.

What are the different types of birth control we offer?

Nexplanon, IUD, Oral BC

What supplies are needed for a Colposcopy?

1. POC Pregnancy Test

2. Consent Form

3. Chux( Bottom and Top)

4. 2 Lube Packets

5. Speculum

6. Vinegar + Urine cup

7. Lugols’ Iodine (Brown Soap) + Urine Cup

8. Scopettes + Small Q-tips

9. ECC + Cytobrush

10. Tishler to collect tissue from the cervix (size based off of Provider Preference)

11. Forceps (to collect as much material from the Tishler

12. Multiple Specimen Cups (Label it by Clock site)

13. Toothpicks to push Biopsy Material into the Testing Cup

14. 2 Testing cups (LABELED BY CLOCK SITE)

15. Monsels/silver nitrate for Bleeding

what is ALWAYS required before any procedures done in clinic?

a filled out consent form with pt label

what is the reason for getting a colposcopy?

Abnormal pap results

Explain what a colposcopy is

procedure where doctor takes a closer look at the cervix, vagina, or vulva

What should you order for a colposcopy?

colposcopy,surgical pathology tissue,monsels,lugols,pregnancy test

What is a endometrial Biopsy and what is the reason for the procedure?

small sample of tissue is taken from the lining of the uterus, done when abnormal uterine bleeding

What should you order for a endometrial biopsy?

endometrial biopsy,surgical pathology tissue, pregnancy test

What supplies are needed for a nexplanon REMOVAL?

iodine swabs,lidocaine,steri strips, gauze, coban, #11 scalpal, alcohol wipes, suture set, pads/wipes, consent form

If pt is 2wks pp c-sec is a vaginal exam done?

no, vaginal exam done at 6 wks

What else is screened for at the 6 wks PPE visit?

EPDS (Depression Screening)

What is a intrauterine Pregnancy?

A pregnancy taking place INSIDE of the uterus (normal)

What supplies should be set out for a cervical exam?

Sheet,Chux,gel,rag

What supplies do you need for a pap smear?

A speculum, gloves, lubricant, endocervical brushes + orange and or purple Test

What are the different types of IUDs?

Hormonal (different levels) and Copper IUD(non-hormonal)

When is BP too Low?

90/40

What should you always do before ANY procedure?

Set up for a PAP SMEAR

What is a helpful tool to use for ordering IUD

Smartset tool section

What should you do to help set up for procedures?

Walk yourself through the steps

Which IUD is nonhormonal?

Copper IUD (paraguard)

Which IUD uses copper to inflame the cervix and makes periods heavier?

Copper IUD (paraguard)

What prerequisites should a pt have before placing a paraguard?

light/ little to no period

What items do you need for PART ONE of an IUD insertion?

1. Speculum

2. Surgical Lube

3. Tenaculum

4. Betadion

5. Sound

What items do you need for PART TWO of an IUD insertion?

1. Silver Nitrate

2. Lidocaine

3. Scopettes

4. (PREFERRED) Controlled Syringe

5. Regular needle

6. Spinal Needle

What should you NEVER do with an IUD?

NEVER open before uterus has been sounded

For IUD insertion what should you offer pt post-procedure?

A heat pack

What should you ask IUD pt’s before procedure?

If they have had ibuprophen

what is vital in not scaring a pt off during a IUD insertion?

Placing the instruments face down

What are the ESSENTIAL TOOLS for a IUD insertion?

Tenaculum to hold the cervix and long scissors to cut the strings of the IUD

What should you let pt know before administering Ibuprofen?

Clinic CHARGES for ibuprofen - Pharmacy sells it for cheaper

Before administering Ibuprofen what should you do?

Confirm with both the pt and provider that it is okay to take before procedure

What should you do AFTER administering any drug

Create a nursing note and place it into the MAR

What is offered to PP pts experiencing issues with breastfeeding?

Lactation specialist is offered in clinic

What is Macrosomia?

happens in GBS where baby may grow larger than normal

How long is the Glucose Tolerance Test?

1 hour

What are the risks to developing Gestational Diabetes?

• Baby may grow too large

• Baby’s organs might not be fully developed

• Baby’s blood sugar might be low

• Baby could be born stillborn

Why are LEEPs done?

to remove abnormal tissue inside of the cervix

IUD insertion Dx

Encounter for IUD insertion

For lidocaine what should you make sure it should say for administration?

CLINIC administration

Pap Dx

Screening for Neoplasm of Cervix

How long is a REGULAR PPE?

20-30 min (provider Pref)

How long is a ROB visit

15 min

How long is a NOB visit

30 min

How long does a NEWGYN take up in the schedule?

30 min

How long does a RGYN take up in the schedule?

30 min

How long does a PPE + Procedure take up in the schedule?

30-40 min

What does the Urine Culture (Grey tube) test for?

This test checks for bacterial infection in the urine by identifying specific pathogens, helping diagnose urinary tract infections (UTIs) or other kidney-related issues.

What does the UA Micro (Basic Yellow Tube) test for?

The UA Micro test checks for the presence of bacteria, yeast, and other microorganisms in urine, providing information on urinary tract infections and other urinary abnormalities.

What does the Urine GCCT (bigger yellow tube) test for?

This test screens for gonorrhea and chlamydia infections in the urine, providing essential information for diagnosing sexually transmitted infections (STIs).

What does the orange aptima swab test for

Screens for BV, yeast or Chlamydia/ gonorhea (GCCT)

Trachomatis (vaginitis panel)

Source: VAGINAL

What does the purple/blue/clear Aptima swab test for

screens for chlamydia/ ghonnerea

source = CERVIX

When do we start asking ROBs if they want their cervix checked?

37 weeks

What do you document after a trophon cycle has been completed?

Cycle #, pass/no, your initials + pt label

What does the Eswab screen for?

Group B Strep (GBS)

What supplies do you need for a nexplanon insertion?

1. POC Pregnancy Test

2. Consent Form

3. Iodine swabs (brown soap)

4. Measuring tape + Marking pen

5. lidocainen WITH Epi

6. Scalpal

7. Nexplanon

8. Alcohol Wipes/ Bottle

9. Steri-Strips OR glue

10. 4X4 gauze

11. Coban

What is ALWAYS done before a BC procedure?

1. POC Pregnancy Test

2. SIGNED CONSENT

What are the supplies needed for a EMB?

1. Chux (Bottom AND Top)

2. Regular lube

3. Speculum

4. Scopettes

5. Cup for biopsy material

6. Tenaculum

7. Urine cup for Iodine (brown Soap)

8. Pipettes (Comes inside of the Kit)

How many MLs of Lidocaine should you draw up for a Nexplanon procedure?

10 MLs

How many MLs of Lidocaine should you draw up for a IUD Procedure?

8 MLs

What lube should you use for pap smears?

Surgical Lube ONLY

What are two items to use during a EMB that are provider preference

Tenaculum + Silver Nitrate

What is does this kit test for?

HSV

MIRENA

Hormonal (52 mg) - rare periods/spotting OR no period at all

Nexplanon

Hormonal (68mg) - Mood symptoms, weight gain, irregular bleeding

What is HPV?

a common viral infection that can cause various health problems. It's the most common sexually transmitted infection and can affect both men and women and may lead to genital warts and certain cancers, including cervical cancer.

What DX would you put in for a nexplanon insertion

Encounter for Nexplanon Insertion

What supplies are needed for a LEEP?

1. Metal Speculum

2. Cable for connection to machine

3. Shaver (Shaves off abnormal cells in cervix)

4. Pack for pt protection during procedure

what should always be done to a specimen cup during a colposcopy?

LABELED: on lid, label, and side

what is the pill for dilation called during IUD insertion for NO speculum use?

Misoprostol

If I am contracting every 5-10 minutes what does that mean?

Sign of labor

What is GBS

Group B Streptococcus, a type of bacteria that can be found in the intestines or vagina. It can cause infections in newborns if passed during delivery.

What are the risks of developing GBS?

Infections in newborns, meningitis, pneumonia, sepsis, and UTI’s in pregnant women.

What are treatments for GBS?

Antibiotics during labor and delivery to prevent transmission to the baby.