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Women's Health > Abnormal pregnancy II > Flashcards

Abnormal pregnancy II Flashcards

1
Q

Placenta location over/close to cervical os

A

Placenta previa

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2
Q

pt presentation for placenta previa

A

Painless vaginal bleeding in 3rd trimester

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3
Q

Degrees of placenta previa

A
  • Complete: os completely covered
  • Partial: os partially covered
  • Marginal: edge of placenta at margin of os
  • Low lying placenta: lower uterine segment w/ edge any 2cm from os
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4
Q

diagnostic test for placenta previa

A

*Transabd -> TVU/S

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5
Q

How early can placenta previa be recognized

A

2nd trimester U/S

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6
Q

Which types of placenta previa could potentially spontaneously resolve

A

Partial, marginal and low lying at 33-35 wks

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7
Q

What should you never do in a pt w/ placenta previa

A

Bimanual exam

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8
Q

Placenta previa mgt w/out active bleed

A

Hospitalize, corticosteroids if

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9
Q

Placenta previa mgt w/ active bleed/spontaneous labor

A

Immediate C-section

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10
Q

Placenta accreta

A

Growing into uterine wall

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11
Q

Placenta increta

A

Invasion of myometrium

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12
Q

Placenta percreta

A

Perforate uterus into bladder and rectum

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13
Q

Abn. premature separation of membranes in

A

Placenta abruptio

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14
Q

pt presentation of placenta abruptio

A

+/- painful hemorrhage w/ fetal distress

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15
Q

Risk factors of placental abruption

A

preeclampsia/chronic HTN, cocaine/amphetamine use, abdominal trauma

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16
Q

Types of abruption

A

Complete
Partial
marginal

17
Q

What coagulopathy do you watch for in placental abrution

A

DIC

18
Q

placenta abruptia mgt

A
  • marginal: watch and tx hemodynamic instability

* Fetal distress: C-section + corticosteroids if

19
Q

Fetal blood vessels running unsupported through the membranes over cervix and under presenting fetal part

A

Vasa previa

20
Q

pathophys of vasa previa

A
  • Velamentous insertion of cord

* cord insertion btn 2 lobes of accessory lobed placenta

21
Q

Pt presentation of vasa previa

A

Painless vaginal bleeding at ROM w/ fetal distress (∆ in fetal heart tracing)

22
Q

Diagnostics for vasa previa

A 
U/S w/ color doppler
Apt test (if risk factors)
23
Q

Mgt of vasa previa

A

Hospitalization in 3rd trimester, corticosteroids, pelvic rest
C-section at 35wks

24
Q

Risk factors for vasa previa

A

Multiple gestation
Low lying placenta
bilobed/accessory lobed placenta
IVF pregnancy

25
Q

Spontaneous ROM before onset of labor

A

PROM

26
Q

How long after PROM should labor start

A

within 24hrs

27
Q

What could happen if labor doesnt start within 24hrs following PROM

A

Chrorioamonitis

28
Q

Risks due to PROM

A

Prolapse of cord (biggest risk)
preterm labor
intrauterine infection

29
Q

PROM before 37 wks

A

PPROM

30
Q

potential pathophys for PROM

A

STIs

BV

Women's Health (4 decks)

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