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SICK OF MATERNAL > MIDTERM > Flashcards

MIDTERM Flashcards

1
Q

when does late pph occur

A

more than 24 hours but less than 6 weeks postpartum

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2
Q

Failure of blood to clot or remain clotted indicates

A

coagulopathy

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3
Q

Causes of Uterine Atony

A

High parity
o Hydramnios
o Macrosomic fetus
o Multifetal gestation
o Traumatic birth
Rapid or prolonged
labor
o Chorioamnionitis
o Use of halogenated
anesthesia
o Use of oxytocin for
labor induction and
augmentation.

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4
Q

this suggests venous origin, varices, or
superficial lacerations of the birth canal

A

Dark blood

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5
Q

arterial; indicates deep lacerations of
the cervix

A

Bright blood

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6
Q

Risk factors/Causes of Lacerations

A

Primigravidas
o Large infant (>9lbs)
o Use of lithotomy position and instruments

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7
Q

Lacerations of the perineum: vaginal mucous membrane and skin of the perineum to the fourchette

A

First degree

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8
Q

Lacerations of the perineum: (vagina, perineal skin, fascia, levator ani muscle, perineal body)

A

Second degree

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9
Q

Lacerations of the perineum: (entire perineum, external sphincter of
the rectum)

A

Third degree

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10
Q

Lacerations of the perineum: (entire perineum, rectal sphincter, mucous membrane of the rectum

A

Fourth degree

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11
Q

ligation of bleeding vessels

A

Episiorrhapy

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12
Q

bleeding can be detected through

A

ultrasonography
serum HCG levels

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13
Q

Coagulopathies
assessed when laboratory results

A

Increased prothrombin time & partial
thromboplastin time

Prolonged bleeding time

Decreased platelet
Decreased fibrinogen

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14
Q

ITP meaning

A

Immune Thrombocytopenic

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15
Q

autoimmune disorder, in which platelet
antibodies decrease the lifespan of platelets.

A

Idiopathic or Immune Thrombocytopenic
purpura (ITP)

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16
Q

treatment for Idiopathic or Immune Thrombocytopenic
purpura (ITP)

A

Corticosteroids, IV immunoglobulins,
Platelet transfusion

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17
Q

Disseminated Intravascular Coagulation (DIC) consumes large amounts of clotting factors, including

A

platelets, fibrinogen, prothrombin, and
factors V and VII.

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18
Q

Disseminated Intravascular Coagulation
(DIC) is associated with

A

abruption placenta,

missed or early miscarriage,

severe pre-eclampsia
septicemia

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19
Q

treatment for Disseminated Intravascular Coagulation
(DIC)

A

volume replacement,

blood component therapy,

protecting injury

UO monitoring

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20
Q

the most common cause of heart
attacks and strokes.

A

Arterial thrombosis

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21
Q

the most common cause of a pulmonary embolism

A

Venous thrombosis

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22
Q

they both join at the injury site
to form a clot to stop the bleeding.

A

Platelets and proteins

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23
Q

blood clot other term

A

thrombus

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24
Q

the travelling of thrombus

A

embolus

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25
Risk Factors of Thrombosis
Diabetes Over age 60 Autoimmune Disease Using birth control pills containing estrogen Using hormone replacement for menopause symptoms.
26
Thrombosis: Lungs
Pulmonary embolism
27
Thrombosis: Brain:
Transient ischemic attack (TIA) or stroke
28
Thrombosis: Heart
Myocardial Infarction (MI)
29
Thrombosis: Neck
(coronary artery): TIA or stroke
30
Thrombosis: Belly
Mesenteric ischemia
31
direct way to remove a clot is for a surgeon
Thrombectomy
32
vein inflammation: pain and swelling occur when a blood clot forms in one of your veins.
Thrombophlebitis
33
Thrombophlebitis Predisposing factors
Cesarean birth Maternal age over 35 Multiparity Smoking
34
Thrombophlebitis: Precipitating factors
Increased fibrinogen level Dilation of lower extremity pressure of the fetal head Inactivity/ prolonged delivery- pooling and stasis
35
blood clots happen in major veins, usually in one of the legs.
Deep Vein Thrombosis (DVT)
36
blood clots in ovarian, uterine, or hypogastric veins
Pelvic vein thrombosis
37
Management of Thrombophlebitis
Early ambulation Side-lying or back-lying Never massage
38
Management of Thrombophlebitis drugs
Pain Medications Anticoagulants Thrombolytic agents Antibiotics
39
fibrinolytic agents; drugs that break up blood clots. treat strokes, pulmonary embolisms, and myocardial infarctions.
Thrombolytic agents
40
a blood thinner, is a medication that prevents blood clots from forming
anticoagulant
41
clot-busting drug example
Streptokinase
42
blood thinners examples
Heparin & Warfarin
43
infection of the lining of the uterus.
Endometritis
44
Endometritis laboratory findings
Leukocytosis (>20,000 mm³) Anemia
45
Blood cultures or intracervical or intrauterine bacterial cultures reveal the offending pathogens within
36 to 48 hours.
46
Treatment of Endometritis
cool compresses, warm blankets, perineal care, and sitz baths. IV Broad spectrum antibiotic therapy
47
Urinary Tract Infection o Risk factor
C/S birth Epidural anesthesia
48
Urinary Tract Infection urine culture:
Escherichia coli
49
Management Urinary Tract Infection
Analgesia Antibiotic therapy
50
defined as the gradual replacement of breast milk with other sources of nutrition for your baby
Weaning
51
Predisposing Factors Mastitis
Sudden decrease in the # of feedings, abrupt weaning Wearing underwire bras
52
Mastitis type of microorganisms
Staphylococcus aureus
53
Management for mastitis
Expose to air-dry Vit E (to soften nipples daily) Broad-spectrum antibiotic Breastfeeding continued
54
Breast emptying should occur in which interval
2-3 HOURS
55
CRH meaning
corticotrophin-releasing hormone
56
body’s coordinator for stress response
corticotrophin-releasing hormone (CRH)
57
An actual separation from reality and Woman appeals exceptionally sad.
Postpartal Psychosis
58
a protein in the blood that helps form clots to stop bleeding
Fibrinogen
59
when blood flow to your intestine is decreased or blocked
Mesenteric ischemia
60
Can be used to monitor a patient's response to unfractionated heparin
Partial Thromboplastin time
61
Can be used to monitor individuals who are being treated with warfarin
Prothrombin time (PT)
62
a cofactor in the conversion of prothrombin to thrombin
Factor V
63
crucial for initiating the coagulation cascade by activating tissue factor when exposed to injury
Factor VII
64
normal WBC
4,000 to 10,000 cells per mcL
65
normal RBC
4.5 to 6.1 million cells
66
Hct normal % level
36-55
67
Normal Platelet count
150,000 to 400,000 cells per mcL
68
Injected and Blocks the production of thrombin and fibrin ; emergent situations
Heparin
69
taken orally, depletes vit k; maintenance
Warfarin
70
Warfarin is not safe during pregnancy because it can cause birth defects and fetal bleeding T/F
True

SICK OF MATERNAL (17 decks)

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