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gyn > ch 35 postpartum uterus > Flashcards

ch 35 postpartum uterus Flashcards

1
Q

postpartum uterus appearance

A

ill defined
Open cervical os
Homogeneous myometrium
Enlargedm myometrial vessels
Thick endo
free fluid in endo
large uterus
Flacid uterine ligaments

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2
Q

Postpartum hemorrhage with vaginal delivery is blood loss greater than

A

500 mL

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3
Q

Postpartum hemorrhage for c section delivery is blood loss greater than

A

1,000 mL

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4
Q

Most common cause for postpartum hemorrhage is

A

abnormal placental attachment: Placenta accreta, increta, percreta

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5
Q

Symptoms for puerperal infection starts within

A

24 hours after delivery

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6
Q

Infection of the endometrium

A

Endometritis

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7
Q

C section complications

A

Hematoma and infection

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8
Q

POVT stands for

A

Postpartum Ovarian Vein Thrombophleblitis

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9
Q

POVT is

A

Clot within the ovarian vein

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10
Q

POVT occurs most often on the

A

right side

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11
Q

Lack of normal muscle tone

A

Atony

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12
Q

Inflammation of the amnion and chorion , owing to a bacterial infection

A

Chorioamnionitis

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13
Q

Defect in the bodies, clotting mechanism, resulting and bleeding

A

Coagulopathy

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14
Q

Portion of the uterine lining which forms the maternal portion of the placenta

A

Decidua basilis

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15
Q

Moving particles, such as thrombosis or air within the bloodstream

A

Emboli

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16
Q

Collection of blood outside the vessels

A

Hematoma

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17
Q

Removal of the uterus

A

Hysterectomy

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18
Q

Reduction of an orient to its normal size and appearance

A

Involution

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19
Q

Radiographic images of the kidneys errors and bladder after an injection of the radiopague dye

A

IVP

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20
Q

Stones within the kidney

A

Nephrolithiasis

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21
Q

Formation of a blood clot, owing to inflammation

A

Thrombophlebitis

22
Q

Radiographic examination of the vein performed after injection of the radio contrast medium

A

Venogram

23
Q

The postpartum period may also be called the

A

Puerperium

24
Q

Complications seen most frequently following
c sections are

A

Hematomas and abscesses

25
Q

Is it essential to use a __ pressure when then when imaging the nongravid uterus

A

lighter

26
Q

If a post C section patient cannot tolerate TA or TV us, the ___ or ___ imaging method should be used

A

Translabial / Transperineal

27
Q

The adnexal ligaments of the postpartum patient are ___ following delivery, usually returning to their pregravid status within ___

A

Flaccid, a month

28
Q

The cause of accreta, percreta, and increta is complete or partial absence of the ___

A

Decidual basilis

29
Q

Antepartum rupture of the uterus causes emergency delivery and

A

Hysterectomy

30
Q

U/s helps identify multiple intraplacental __ that are indicators of placental invasion of the myometrium

A

lakes

31
Q

The u/s appearance of endometritis is that of a ___ irregular endo and ___ in endocervical canal

A

thick, fluid

32
Q

Retained product of conception image as a ___ mass within a irregular shaped uterus

A

hyperechoic

33
Q

POVT images as a dilated anechoic to hypoechoic ___ structure extending superiorly from the adnexa

A

Tubular

34
Q

Hematomas found in the bladder flap region are sonographically __ with ill defined borders that range in size from less than __ to greater than ___

A

anechoic, 1 cm , 15 cm

35
Q

___ frequency transducer is used for postpartum c section hematomas

A

high

36
Q

Infections of c sections look

A

anechoic, cystic, complex, and with or without definite margins

37
Q

Lactation termination usually produces

A

Menstrual resumption

38
Q

Sonography in the puerperium period is used for all except

A

Determine whether the uterus has returned to prepregnancy state

39
Q

Select the true statement regarding the postpartum uterus

A

Sag measurements range from 14-25 cm

40
Q

During pregnancy, ovaries generally

A

remain the same as prepregnancy state with the exception of a few more cysts in the first trimester

41
Q

A placenta that completely invades the uterine myometrium extending into the serosa is

A

Placenta percreta

42
Q

What conditions are related to postpartum hemorrhage

A

Shock, decreased hematocrit, hysterectomy

43
Q

What condition is not related to postpartum hemorrhage

A

Hypertension

44
Q

RPOC has a similar sonographic appearance to

A

highly echogenic mass in the endometrial canal

45
Q

The first indication of uterine infection is

A

Uterine tenderness

46
Q

The only infection not related to postpartum infection is

A

Salpingitis

47
Q

What is not identified with uterine atony

A

Oligohydramnios

48
Q

The most common signs of POVT are

A

fever, rt sides pelvic mass, and pelvic pain

49
Q

C- section delivery has an

A

increased risk of infection

50
Q

The most frequent site of postpartum thrombophlebities is

A

Right ovarian vein

51
Q
A

gyn (7 decks)

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