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OB/GYN Scanning > Fetal Lie & Puerperium > Flashcards

Fetal Lie & Puerperium Flashcards

(47 cards)

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1
Q

This condition occurs when a large heavy gravid uterus compresses the IVC.

A

IVC syndrome

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2
Q

What info should be gained from taking an OB patient history?

A
  1. LMP
  2. pregnancy test
  3. clinical problems
  4. pertinent medical history
  5. EDD
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3
Q

This is the most accurate pregnancy test.

A

serum beta hCG

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4
Q

Serum pregnancy tests can be positive as early as…

A

6 days post conception.

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5
Q

Urine pregnancy test will be positive around…

A

4-6 weeks post LMP.

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6
Q

This is the linear distance between the symphysis pubis and the uterine fundus.

A

fundal height

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7
Q

When FH is at umbilicus, gestation age should be about…

A

20 weeks.

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8
Q

If FH is less than 19 cm, gestation age should be…

A

the # of cm + 1 weeks.

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9
Q

If FH is greater than 19 cm, gestational age should be…

A

the same as the # of cm.

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10
Q

What two pieces of info are required to determine fetal position?

A
  1. maternal plane of section

2. fetal plane of section

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11
Q

This is the relation of fetal parts to one another independent of the mother.

A

fetal attitude

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12
Q

Normal fetal attitude is…

A

chin tucked, arms and legs drawn in.

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13
Q

This is the relation of the fetal parts to the mother.

A

fetal lie

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14
Q

This describes the fetal part closest to the internal cervical os.

A

fetal presentation

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15
Q

This is the most common fetal presentation.

A

cephalic 95%

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16
Q

Name four varieties of cephalic.

A
  1. vertex
  2. sinciput
  3. brow
  4. face
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17
Q

Three types of breech presentation…

A
  1. footling
  2. frank
  3. complete
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18
Q

Frank breech is when…

A

the baby is in the ‘pike’ position - knees straight, feet by the head.

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19
Q

Complete breech in when…

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A

the baby is in the ‘cannonball’ position - knees bent, feet by the hips.

20
Q

Footling breech is when…

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A

one or both feet are presenting.

21
Q

This happens when part of the cord slips down through the cervix before the baby does.

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A

prolapsed umbilical cord

22
Q

This is the period after delivery.

23
Q

Indications for sonography during postpartum?

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A
  1. retained products
  2. PPH
  3. post surgical hematomas
  4. ovarian vein thrombosis
24
Q

This is the process by which the uterus returns to its normal size.

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A

uterine involution

25
The size of a postpartum uterus.
14 x 7 x 7 cm
26
AP endometrial thickness postpartum.
5-13 mm
27
Common postpartum complications...
1. hemorrhage 2. infections 3. venous thrombosis 4. c/s complications
28
PPH is blood loss exceeding ___ for a normal delivery and __ for a surgical delivery.
500 ml, 1000 ml
29
This is potentially the most lethal postpartum complication.
PPH
30
This is a lack of tone or strength in the uterus following birth.
uterine atony
31
Polyhydramnios or multiple gestation can cause this postpartum uterine complication.
uterine overdistention
32
What may be left behind after birth as a retained product of conception?
succenturiate lobe of the placenta
33
This is the most common route of infection into the uterine cavity.
vagina
34
This is suspected when the patient experiences high temps on any two of the first 10 days postpartum.
puerperal infection
35
Uterine infections are associated with...
1. poor nutrition and hygiene 2. anemia 3. vaginits or cervicitis 4. PROM 5. invasive devices 6. c/s 7. prolonged labor
36
Clinical signs of uterine infections...
1. elevated temperature 2. increased WBC 3. tachycardia 4. uterine tenderness 5. malaise
37
This is a rare complication of puerperium in which an iliac or ovarian vein becomes thrombosed.
venous thrombosis
38
T/F? Venous thrombosed is more common in patients who deliver vaginally.
FALSE, by cesarean
39
Virchow's Triad is responsible for...
venous thrombosis.
40
What's the Virchow's Triad?
1. hypercoagulability of blood 2. venous stasis 3. alterations of the venous endothelium
41
Predisposing factors for venous thrombosis...
1. endometritis 2. increased age or parity 3. obesity 4. on high doses of estrogen 5. heart disease 6. anemia
42
The majority of of venous thrombosis cases occur within __ of delivery.
1 week
43
A venous thrombosis is most likely to occur in the...
right ovarian vein. (80-90%)
44
The main treatments for venous thrombosis are...
anticoagulation drugs and IV antibiotics.
45
Hematomas are most commonly found __ to the uterine incision and __ the bladder.
anterior, behind
46
Clinical signs of uterine hematoma..
1. fever 2. pelvic mass 3. decreased hematocrit
47
T/F? A postpartum hematoma can be seen anywhere in the pelvic cavity and may include gassy shadowing.
true

OB/GYN Scanning (14 decks)

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