PP COMP PART 2 (THROMBO-CARDIO)

Question 1

• a blockage in one of the pulmonary arteries in the lungs
• caused by blood clots that travel to the lungs from
  deep veins in the legs or, rarely, from veins in other
  parts of the body

Answer 1

pulmonary embolism

Question 2

s/sx of pulmonary embolism

Answer 2

SOB
sudden, knife-like chest pain
coughing blood
tachycardia, tachypnea
cyanosis

Question 3

in pulmo embolism, when there is SOB you should?

Answer 3

adminster O2

Question 4

pulmo embolism - auscultate for breath sounds ad presence of ___

Answer 4

crackles

Question 5

pulmo embolism - assist with ___ and encourage ambulation

Answer 5

frequent position change

Question 6

pulmo embolsim - bed rest with head ___

Answer 6

slightly elevated

Question 7

pulmo embolism - always monitor ___ and ___

Answer 7

o2 sat and ABG

Question 8

emergency medications for pulmo embolism

Answer 8

dopamine, streptokinase, urokinase

Question 9

a medical procedure, either surgical or minimally invasive, to remove a blood clot (embolus) or other foreign material that has lodged in a blood vessel

Answer 9

embolectomy

Question 10

true or false - Many anticoagulants can be used during breastfeeding because they do not
accumulate in breast milk

Answer 10

true

Question 11

___ may be due to persistence of
antepartum or
intrapartum
hypertension or may
be of new onset

Answer 11

postpartum hypertension

Question 12

Most cases of postpartum preeclampsia
develop within ___ hours of childbirth.

Answer 12

48

Question 13

Postpartum preeclampsia sometimes develops up to six weeks or later after
childbirth known as late ___

Answer 13

postpartum preeclampsia

Question 14

risk factors for postpartum preeclampsia

Answer 14

• high bp in recent pregnancy
• obesity
• multiples
• chronic high bp
• diabetes

Question 15

• New onset postpartum preeclampsia is often
  associated with ____ and ___

Answer 15

persistent headaches, visual changes

Question 16

Cardinal symptoms are those of prenatal PIH:

Answer 16

proteinuria, edema, & hypertension

Question 17

Seizures that occur postpartally as a symptom of eclampsia, typically develop ___ hours after birth

Answer 17

6-24

Question 18

complications of postpartum preeclampsia

Answer 18

postpartum eclampsia
stroke
thromboembolism
HELLP

Question 19

postpartum preeclampsia - what meds?

Answer 19

mag sul and antihypertensives

Question 20

management for postpartum preeclampsia

Answer 20

bed rest
quiet atmosphere
monitoring of VS and UO

Question 21

• Inflammation of the lining of a blood vessel
  with the formation of blood clots
• Usually an extension of endometrial
  infection

Answer 21

thrombophlebitis

Question 22

thrombophlebitis can be classified as

Answer 22

superficial vein disease
deep vein thrombosis

Question 23

*Occurs with arterial spasm
often diminishing arterial
circulation, along with
edema giving the leg a
white or drained
appearance
* The femoral, saphenous, or
popliteal veins are involved

Answer 23

superficial leg vein disease or femoral thrombophlebitis

Question 24

s/sx for femoral thrombophlebitis

Answer 24

• elevated temp, chills, redness of leg
• swelling of leg
• (+) homan’s signe
• shiny and white skin

Question 25

how to diagnose femoral thrombophlebitis

Answer 25

doppler ultrasound contrast venography

Question 26

mgmt femoral thrombophlebitis

Answer 26

- bed rest, leg elevated - anticoags - moist heat - analgesics, antibiotics - wrinkle free linens

Question 27

* Frequently seen in women with a history of thrombosis *Occurs between postpartum days 10 to 20

Answer 27

dvt

Question 28

s/sx of dvt

Answer 28

- edema - low grade fever then high temp - pain in lower leg and foot - inguinal tenderness - pain in lower abd - decreased peripheral pulse

Question 29

Complete occlusion of deep veins resulting in pain, swelling and whitening of the leg

Answer 29

phlegmasia alba dolens

Question 30

Progression of the previous + occlusion of superficial veins + arterial flow Ischaemia and gangrene

Answer 30

phlegmasia caerulea

Question 31

* Complication that develops in conjunction with infection of the reproductive tract * Involves the ovarian, uterine, or hypogastric veins

Answer 31

pelvic thrombophlebitis

Question 32

* Occurs later than femoral thrombophlebitis, often around the 14th or 15th day of the puerperium * Occurs around the 14th or 15th day of puerperium

Answer 32

pelvic thrombophlebitis

Question 33

s/sx of pelvic thrombophlebitis

Answer 33

- extremely ill - high fever - malaise - pelvic, lung, kidney, heart valve abscess - presence of paremetrial mass

Question 34

mgmt of pelvic thrombo

Answer 34

- total bed rest - anticoags - antibiotics - laparotomy

Question 35

true or false pelvis thrombo runs a course of 6-8 weeks, and may cause fertility problems

Answer 35

true

Question 36

prevention of pelvic thrombo

Answer 36

- side lying or back lying birth - do not sit with knees bent sharply - dont wear constricting clothing - ambulate asap - support stockings

Question 37

* Infection of the breast * C.A. usually enter through cracked & fissured nipples * C.A. usually come from the nasaloral cavity of the infant

Answer 37

mastitis

Question 38

factors associated with the development of mastitis

Answer 38

- milk stasis - multiplication of bacteria - breast nipple trauma - obstruction of ducts - failure to empty breast - lowered maternal defenses

Question 39

s/sx mastitis

Answer 39

- localized pain - swelling - erythema - fever - scanty breast milk

Question 40

mgmt mastitis

Answer 40

- antibiotics - cont. BF - cold compress for pain - warm compress for inflammation

Question 41

*Occurs postpartally when the woman is unable to empty her bladder

Answer 41

overdistention of bladder

Question 42

s/sx of oversdistended bladder

Answer 42

- large pass displacing fundus - vaginal bleeding - boggy fundus - cramping - backache - restlessness

Question 43

*Occurs as a result of inadequate bladder emptying *If allowed to continue, permanent damage may occur from loss of bladder tone, leading to permanent incontinence

Answer 43

urinary retention

Question 44

s/sx urinary retention

Answer 44

- does not void - percussed or palpated bladder distention

Question 45

*If a void is less than ___ml, urinary retention should be suspected

Answer 45

100

Question 46

*Dysuria *Hematuria * Feeling of frequency or that she always has to void * Low-grade fever * Lower abdominal pain

Answer 46

UTI

Question 47

mgmt of UTI

Answer 47

- amoxicillin, ampicillin - increase OFI - analgesics

Question 48

Infection of the peritoneal cavity or inflammation of the peritoneum

Answer 48

peritonitis

Question 49

Major cause of death from puerperal infection

Answer 49

pertonitis

Question 50

* Common location of abscess formation * Lowest point of the peritoneal cavity

Answer 50

cul de sac of douglass

Question 51

complication of peritonitis

Answer 51

* Paralytic Ileus * Fertility Problems

Question 52

s/sx peritonitis

Answer 52

- rigid abd - abd pain - high fever - rapid pulse - vomiting

Question 53

the hallmark of peritonitis

Answer 53

diffuse abd pain

Question 54

mgmt of pertonitis

Answer 54

- ngt insertion (paralytic ileus) - ivf/tpn - analgesics - antibiotics