Gabbe Obstetrics 6th Edition.pdf

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Obstetrics: Normal and Problem Pregnancies 6th Edition (ebay). Obstetrics: Normal and Problem Pregnancies In the management of the pregnant patient, obstetricians must be able to recognize the normal and abnormal processes of pregnancy, labor, and delivery. The obstetrician must be familiar with the characteristics of normal and abnormal labor, the management of complications, and the procedure for termination of pregnancy. These criteria are derived from a) the physical examination of the woman, b) the history of the woman, c) the records of other physicians involved in the patient’s care, d) laboratory data, e) ultrasound studies, and f) radiologic studies, and g) other data deemed important to the case. The initial decision to obtain a pregnancy test is based on the possibility of identifying the pregnancy, the potential risk to the patient, and the setting in which the pregnancy is sought. A decision to perform a pregnancy test should be made with the approval of the patient, the patient’s family, and the patient’s physician, in consultation with the OBG nurse. The indications for a pregnancy test may vary with the pregnancy setting. The objective of the test is to identify the presence or absence of pregnancy. Although the test itself is usually done by the use of a urine or blood sample, the results may be obtained by visual examination of the vaginal discharge. Procedure. The procedure for obtaining a pregnancy test should be performed in a sterile fashion, and under the supervision of the nurse on call and the attending physician. The procedure for testing a pregnant patient should be as follows: First, a urine or blood sample is obtained by the nurse for pregnancy testing. The nurse may also obtain blood or urine samples for an initial workup in other medical situations. The timing of the sample depends on the setting in which the pregnancy test is being done. If a urine specimen is obtained for a pregnancy test, the patient must be standing, in a private place, and using a sterile container. First, the midstream collection of urine is obtained by asking the patient to void, and having the patient urinate in a sterile container. After collection, the urine is analyzed. It is usually best to have this done at the clinic, or at another site, because it is not always possible to have the patient urinate in a specific location. The urine should be collected in

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