Exam 3 Abn Preggo 3 Flashcards Preview

Q4 Women's Health > Exam 3 Abn Preggo 3 > Flashcards

Flashcards in Exam 3 Abn Preggo 3 Deck (22):
1

Placenta Previa is?

Cause?

Placenta near or over cervical os
Most C cause of 3rd tri bleeding

Unclear

2

Placenta Previa risk factors? (4)

Multiples
Old mom
Smoking/Cocaine
Hx of C-Sec or uterine surgery

3

Placenta Previa: Complete?

Partial?

Marginal?

Low-lying?

os completely covered

os partially covered

edge at margin of os

near but doesn't reach os

4

Placenta Previa presentation?

PAINLESS vag bleed in late 2nd or 3rd tri

5

Placenta Previa diagnostics?

Transabdominal US -> confirm w/ TVUS

6

Placenta Previa mgmt? (3)

NEVER do bimanual/cervical exam!
Preterm w/o active bleed: corticos < 34 wks, C-Sec at 37 wks
Spont labor or hemorr: immediate C-Sec

7

Placenta Previa complications?

Preterm delivery/death
Other placental issues

8

Abruptio Placentae is?

Abn premature separation of otherwise normal placenta
Complete, partial or marginal separation

9

Abruptio Placentae risk factors? (6)

Multiples
Old mom
Smoking/Cocaine/Meth
Thrombophilias
Prior abortion
Abdominal trauma

10

Abruptio Placentae presentation? (5)

2nd/3rd tri bleed
Hemorr + abd pain most C
Fetal distress
Rigid abdomen
DIC

11

Abruptio Placentae mgmt? (3)

Stabilize
Deliver if fetus distressed
Corticos <34 wks

12

Vasa Previa is?

Fetal bv run through membranes b/w baby and cervix
Membrane rupture = fetal bv rupture and death

13

Vasa Previa risk factors? (4)

Multiples
2nd tri low-lying placenta
Bi-lobed placenta
InVitro preggo

14

Vasa Previa presentation?

Diagnostics?

Vag bleed w/ memb rupture and specific fetal heart changes

Color Doppler US

15

Vasa Previa mgmt? (3)

Inpt 3rd tri
Corticos < 34 wks
C-Sec @ 35 wks

16

Premature Rupture of Membranes (PROM) is?

Why do we care?

Rupture before labor

Risk of preterm labor, prolapsed cord, placenta separation, uterine infection

17

PROM risk factors? (6)

SMOKING
Prior PROM
Short cervix
Prior preterm
Multiples
Polyhydramnios (excess amniotic fluid)

18

PROM confirmation? (3)

Confirm fluid is amniotic (pH test)
Fetal lung maturity
Avoid vag exam

19

PROM mgmt? (3)

>34 wks -> induce
24-34 wks -> inpt steroids/ABX/Mg
+ chorioamnionitis (bacterial inf of fetal memb) = prompt delivery

20

Postterm Labor is?

Why do we care? (2)

Pregnancy 42+ wks

Risk of Stillbirth, Fetal dysmaturity synd (malnutrition)

21

Postterm Labor risk factors? (6)

Nulliparity
Previous postterm
Male baby
Fetal anecephaly
Obese mom
Old mom

22

Postterm Labor mgmt? (3)

Induce at 41 wks
Serial NST/BPP
Fetal kick counts daily