8/27 Lecture Flashcards Preview

ObGyn Lecture > 8/27 Lecture > Flashcards

Flashcards in 8/27 Lecture Deck (42):
1

For post term pregnancies especially, what is an indirect measure of placenta function. Most important assessment for fetal well-being

BPP (biophysical profile)

2

What does the BPP look at?

Fetal movement
Amniotic fluid
Fetal Tone
Fetal Breathing (diaphragm contracting)

3

What is the first 6 weeks of post partum

Puerperium

4

What is the vaginal discharge 14 days after giving birth?

Lochia

5

If a women isn't lactating when will ovulation return?

45 days

6

If a women is lactating when will ovulation return?

6 months (189 days)

7

What is the major reason women die from postpartum?

Post partum hemorrhage

8

What are some etiology for peripertum cardiomyopthay?

inflammatory cytokines
myocarditis
abnormal immunity
genetic
hemodynaic factors

9

What are some risks for peripartum cardiomyopathy?

>30
multiparity
morbid obesity
multigravida
maternal cocaine abuse

10

What is the test for postpartum thyroiditis?

Antithyroid peroxidase antibody

11

What is postpartum thyroiditis often misdiagnosed as?

Postpartum depression

12

What is normal bleeding for a vaginal birth?

500 mL

13

What is normal bleeding for a C-Section?

1,000 mL

14

What does each 1% drop in HCT about equal?

100 mL blood loss

15

What are some signs of postpartum hemorrhage?

Tachycardia
tachypnea
orthostatic changes
oliguria

16

What is the biggest reason for postpartum hemorrhage?

Uterine atony

17

What are some risk factors of uterine atony?

Over distention of utreus
augmented labor
protracted labor
C-section

18

How do you treat uterine atony?

Empty bladder
Give uterotonic agents (pitocin)
Bimanual uterine massage
Surgical

19

Another reason for postpartum hemorrhage, not as common, involved placenta.

Retained placenta

20

What should you look at the placenta for?

Whole placenta
Look for incomplete separation of placenta

21

How do you treat a retained placenta?

Manual removal

22

When should you give prophylactic antibiotics?

After manual removal of the placenta

23

When is a hematoma of the lower tract acceptable?

<5 cm and stable
treat with ice packs

24

If a hematoma is >5 cm what do you do?

Incision and Drain

25

When can uterine rupture happen?

Protracted/ arrest labor
Previous C/S incision or other surgical procedure

26

A C-section in what section is more likely to result in uterine rupture?

Upper uterine section

27

What puts a mom at risk for amniotic fluid embolism?

PROM

28

What is the prevention of thrombophelbitis and DVT?

Have the mom move around or put compression hose on

29

What is a Homan's sign?

Have them pull back their foot and will have calf pain

30

If a women has a temp x 2 during first 10 days PP, tachy, dyspnea, malodorous Lochi, uterine tenderness what should you suspect?

Postpartum infection

31

How do you treat urinary retention?

Catheterization

32

What is a common post partum problem with the bladder?

Stress incontinence

33

When does stress incontinence usually resolve?

12 weeks PP

34

When does post partum depression occur?

8-20 weeks after
Anorexia, depressed, insomnia, loss of libido, cognitive issues/ lapses

35

What is where women have anxiety, restless, manic w/ paranoia or delusions. Abnormal responses to family. Onset at 1st or 2nd week postpartum.

PP psychosis (need to be admitted)

36

How long should women breast feed?

Exclusively for 1st 6 months
encourage for the first year

37

How do you know a baby is getting enough food?

6-8 wet diapers per day

38

How many times should you breast feed in 24 hours?

8-12 times

39

What causes engorded breasts?

Baby not emptying the milk fully

40

What is reddened/ painful breast, chills, malaise, body aches? caused by S. aureus

Puerperal mastitis

41

How do you treat puerperal mastitis?

Warm soaks
Analgesia
check breast feeding technique
antibiotics PRN

42

What are some contraindications for breast feeding?

Illicit drug use
untreated active TB, HIV/ AIDS
Chemo Rx
radioactive dyes/ contrast dyes