Chapter 19-bleeding disorders Flashcards

1
Q

what is a miscarriage

A

a pregnancy that ends as a result of natural causes before 20 weeks of gestation

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2
Q

what is an inevitable miscarriage

A

have more bleeding than normal, cramping, and the OS is open

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3
Q

what is an incomplete miscarriage

A

retained placenta

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4
Q

what is a missed miscarriage

A

No HB but all the products are still inside

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5
Q

what is a recurrent miscarriage

A

three or more miscarriages

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6
Q

what is a threatened miscarriage

A

any vaginal bleeding

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7
Q

what is a complete miscarriage

A

all pregnancy tissues are passed

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8
Q

after 20 weeks a miscarriage is often called a

A

stillbirth

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9
Q

what kind of test do you take after a miscarriage

A

HCG levels every 2-3 days until it is all the way down to zero

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10
Q

how long should you wait to get pregnant again after a miscarriage

A

6 weeks

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11
Q

what is an ectopic pregnancy

A

the fertilized ovum is implanted outside the uterine cavity

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12
Q

when do s/s of an ectopic pregnancy occur

A

6-8 weeks after the last normal menstrual period

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13
Q

what are the three classic symptoms of an ectopic pregnancy

A

abdominal pain, delayed menses, and abnormal vaginal bleeding

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14
Q

who is at high risk for ectopic pregnancy

A

smoking, advanced maternal age and ppl who drop two eggs

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15
Q

what medical management is used for ectopic pregnancy

A

methotrexate

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16
Q

what is placenta previa

A

when the placenta is implanted in the lower uterine segment near pro over the internal cervical os

17
Q

what are the degrees of placenta previa

A

complete, marginal, and low lying

18
Q

what is abruptio placentae

A

premature separation of the placenta (placental abruption) after 20 weeks

19
Q

what is the number one cause of abruptio placentae

A

hypertension, but other risk factors include cocaine

20
Q

what do you do when abruptio placentae is recognized

A

get the baby out ASAP

21
Q

what are the S/s of placental abruption

A

vaginal bleeding, abdominal pain, uterine tenderness, and contractions, board-like abdomen, couvelaire uterus