Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Repro Exam 1 > 3rd trimester and post-partum bleeding > Flashcards

3rd trimester and post-partum bleeding Flashcards

1
Q

What is placenta previa?

A

Implantation of the placenta either partially or completely over the cervical os.

  1. Complete
  2. Partial
  3. Marginal
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Which placenta previa types need C-section delivery?

A

Complete and most partials

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is placenta abruption?

A

Premature separation of the placenta from the uterine wall.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Illicit drug that can cause placenta abruption.

A

Cocaine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Main risk factor for a uterine rupture.

A

Previous C-section

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is the definition of post-partum hemorrhage?

A

Excess of 500mL blood loss after vaginal delivery

Excess 1000mL blood loss after C-section

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Name and describe the 3 types of abnormal placenta attachments.

A

Accreta: attachment to the myometrium
Increta: invasion of the myometrium
Percreta: penetration thru the serosa or beyond

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

How much does maternal blood volume increase in pregnancy?

A

40%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What happens to maternal blood pressure and HR in pregnancy?

A

BP decreases

HR increases

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Top 3 causes of maternal death in the U.S.

A
  1. Embolism
  2. Hypertensive Disease
  3. Obstetrical Hemorrhage
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

How much blood loss can occur in obstetrical hemorrhage before symptoms arise?

A

1000mL

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

2 most common causes of antepartum bleeding.

A
  1. Placenta Abruptio

2. Placenta Previa

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is important to remember before examining a patient with antepartum hemorrhage?

A

DO NOT check the cervix until placenta previa has been ruled out.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Most accurate means of determining cause of antepartum bleeding.

A

Ultrasound, very good at detecting placenta previa but not abruption

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What should a physician considered if a patient had painful vagina bleeding antepartum that was temporarily relieved?

A

Uterine Rupture

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What should a physician consider if a patient has painless bright red antepartum vaginal bleeding?

A

Placenta Previa

17
Q

What should a physician consider if a patient has painful red antepartum vaginal bleeding?

A

Placenta Abruptio

18
Q

How is a placenta previa case handled with a preterm infant and a stable mother?

A

Amniocentesis to test for lung maturity

Deliver by C-section (unless lungs immature, then bed rest for mother with possible transfusion)

Rhogam if mother is Rh(-)

19
Q

What is the Kleihauer-Betke test?

A

Test to see what dose of Rhogam is needed to cover the amount of blood mixing that occurs between the mother and fetus in an Rh(-) mother

20
Q

How is a placenta previa case handled in an unstable mother or baby?

A

Immediate C-section

21
Q

2 biggest risk factors for placenta abruptio.

A
  1. Maternal HTN

2. Cocaine abuse

22
Q

What is Couvelaire Uterus?

A

Bluish purple discoloration of the uterus caused by blood dissecting the myometrium after placenta abruptio.

23
Q

How is placenta abruptio managed?

A

Primary goal is to stabilize the mother. Keep blood products on hand in case of DIC. Vaginal delivery preferred.

24
Q

What is the treatment of choice for a Uterine Rupture?

A

Total Abdominal Hysterectomy

uterus and cervix removed

25
Q

Main cause of post-partum hemorrhage.

A

Uterine Atony

-failure of uterine contraction preventing myometrium blood vessels that were supplying the placenta from closing off.

26
Q

How is postpartum hemorrhage diagnosed?

A

Insepction/palpation for all causes except coagulation defects.

27
Q

Best 3 medications to treat postpartum bleeding caused by uterine atony.

A

Pitocin (IV)
Methergine (ergonovine)
PG F2-alpha

28
Q

Second most common cause of postpartum bleeding.

A

Genital Tract Trauma

uterus will be hypertonic on palpation, as opposed to atony where it will be soft

29
Q

What is the management strategy for postpartum bleeding due to a “retained placenta”?

A

Manual removal or D&C.
-often caused by accreta, increta, or percreta in which case evaluation may be necessary to determine if a hysterectomy is needed.

30
Q

Main cause of a uterine inversion.

A

Delivering placenta too early, leads to vasovagal shock.

31
Q

Treatment for a uterine inversion.

A

OMT

32
Q

Medications used in management of uterine inversion.

A

Halothan or terbutaline for anesthesia

Pitocin after uterus is put back in place

33
Q

Most lethal form of a coagulation disorder leading to postpartum bleeding.

A

Amniotic Fluid Embolism

-leads to DIC (80% mortality)

Repro Exam 1 (18 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions