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MATERNAL LEC > HIGH RISK PREGNANCY > Flashcards

HIGH RISK PREGNANCY Flashcards

1
Q

a woman who develops a complication of pregnancy

A

high risk pregnancy

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2
Q

signs of hypovolemic shock

A

rapid and weak pulse. low bp, clammy skin

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3
Q

causes of bleeding in 1st trimester

A

abortion and ectopic pregnancy

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4
Q

causes of bleeding 2nd trimester

A

hydatidiform mole and premature cervical dilatation of cervix

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5
Q

causes of bleeding 3rd trimester

A

placenta previa, abruptio placenta, preterm labor

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6
Q

any interruption of pregnancy before fetus is viable

A

abortion

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7
Q

fetus is viable (weeks or weight)

A

20 weeks 500 grams

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8
Q

types of abortion

A

spontaneous, threatened, imminent, complete, incomplete, missed, recurrent

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9
Q

threatened : under __ weeks; late __ to __ weeks

A

16, 16 to 24

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10
Q

complications of abortion (HISIP)

A

hemorrhage, infection, septic abortion, isoimmunization, powerlessness or anxiety

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11
Q

implantation outside uterine cavity (in ampulla)

A

ectopic pregnancy

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12
Q

bluish tinge discoloration

A

cullen’s sign

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13
Q

signs of ectopic pregnancy

A

stabbing pain in lower abd quadrants, rapid rr, weakness, boggy and tender uterus

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14
Q

management for ectopic pregnancy

A

methotrexate and mifepristone

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15
Q

management if ruptured ectopic pregnancy

A

cbc, hgb, IV and laparoscopy

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16
Q

ligate bleeders and repair damaged fallopian tube

A

laparoscopy

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17
Q

abnormal proliferation and degeneration of trophoblastic villi

A

Hydatidiform mole

18
Q

hydatidiform mole assessment

A

abnormally large uterus, high hcg, no fetal heart sounds, hyperemesis gravidarum

19
Q

incompetent cervix - cervix dilates prematurely

A

premature cervix dilatation

20
Q

causes of incompetent cervix

A

congenital development factors, endocrine factors, trauma to cervix

21
Q

signs and symptoms of incompetent cervix

A

presence of show and uterine contractions, rupture of membranes and painless cervical dilatation.

22
Q

management for incompetent cervix

A

cervical cerclage (mcdonald or shirodkar procedure)

23
Q

low implantation of placenta

A

placenta previa

24
Q

types of placenta previa

A

low-lying, marginal partial, complete

25
Q

placenta previa bleeding

A

abrupt, painless and bright red

26
Q

management for placenta previa

A

bedrest or side-lying position, do not attempt internal examinations, monitor intake and output, obtain vital signs, weigh perineal pads, external fetal monitor, blood works, O2 therapy

27
Q

drug lung surfactant for placenta previa

A

methamethasone or dexamethasone

28
Q

predisposing factors of placenta previa

A

increasing parity, advanced maternal age and rapid succession if pregnancies

29
Q

premature separation of placenta

A

abruptio placenta

30
Q

signs and symptoms of abruptio placenta

A

sharp stabbing pain high in fundus, dark red painful bleeding

31
Q

predisposing factors of abruptio placenta

A

high parity, advanced maternal age, short umbilical cord, chronic hypertensive disease, PIH, direct trauma, cigarette use and autoimmunity

32
Q

assessment for abruptio placenta

A

couvelaire uterus, signs of shock, uterus is tense and firm, DIC syndrome

33
Q

management for abruptio placenta

A

blood works, IV, O2 by mask, side-lying position, no vaginal examination, monitor intake and output, monitor bleeding, monitor vs and fht, IV administration of fibrinogen and cryoprecipitate

34
Q

acquired disorder of blood clotting - easy bruising

A

disseminated intravascular coagulation

35
Q

management for DIC

A

dilatation and curettage, dilatation and evacuation, IV administration of heparin, blood or platelet transfusion

36
Q

preterm labor is associated with..

A

dehydration, uti and chorioamnionitis

37
Q

common symptoms of preterm labor

A

persistent dull low backache, vaginal spotting, pelvic pressure, uterine contractions, increased vaginal discharge, intestinal cramping

38
Q

how to rule out infection in preterm labor

A

cervical and vaginal cultures and clean catch urine sample

39
Q

oral tocolytic

A

duvadilan and duphaston

40
Q

drug administration for preterm labor

A

antibiotic for group b streptococcus prophylaxis, administration of corticosteroid to fetus (dexamethasone), magnesium sulfate

MATERNAL LEC (2 decks)

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