Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

OB GYNE 4 > 11 Postpartum > Flashcards

11 Postpartum Flashcards

1
Q

Postpartum Period is from

A

Placental expulsion to restoration of UT to pre-pregnant state

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

_ week postpartum the UT fundus is just inferior to the umbilicus. The size is about ___ of what it was just after delivery

A

1 ; 1/2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

UT to return to pre-pregnant state take __ - ___ weeks

A

6-8

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Biochemical and physiological changes occur from the withdrawal of

A

hormones from pregnancy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Ultrasound Postpartum to look for? (4)

A

Postpartum hemorrhage
Retained products of conception- placenta
Infection
C-section incision infection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Normal length of a postpartum Ut

A

15-25cm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Postpartum Ut has prominent

A

vessels

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Endometrium measures between?

A

5-13mm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Look in the adnexa for? (2)

A

Broad ligaments

ovaries - breast feeding mothers will have large ovaries due to hormones.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Postpartum Abnormalities (3)

A

Hemorrhage (excessive bleeding)
Infection
Retained products of conception (placenta)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Causes of Postpartum Hemorrhage

A

1) Acute Atony- lack of uterine muscle
bleeding controlled by contractions of uterus
&
2) Lochia - vaginal discharge of mucous and blood tissue
normal occurrence

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Uterine Atony

A

Uterus fails to return to pre-gravid tone

flaccid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Uterine Atony is associated with (7)

A 
Multi fetal pregnancy 
Macrosomia 
Prologned labour
More than 5 full term births
Rapid labor
Polyhydramnios 
Chorioamnionitits
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Postpartum Hemorrhage Risks

A 
Prior C section
Prior placenta abnormality 
Maternal age >35
Prior myomectomy (fibrods removed)
Endometrial defects - decidual basalis
Anterior placental previa with prior c-section
Placental Accreta ****
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Placental Accreta means?

A

Huge blood loss can happen at delivery

Invasion of placenta into myo or peri

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

AIP stands for?

A

Abnormal Invasive Placenta

If AIP could have to have hysterectomy post delivery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Mortality of accreta (AIP)

A

7%

*need to diagnoses placental accreta before delivery,for transfusions.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Placental Accreta can occur with damage to the Endo-Myo interface. List 4 things that can cause this?

A

C section
D&C
Manual removal of placenta
postpartum endometriosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Placental Accreta can also occur in moms with no previous hx of surgery but have uterus pathology such as?

A

Bicornuate uterus
Andenomyosis. (endometriosis of the endo cavity)
submucosal fibroids
Myotonic dystrophy ( MD)

20
Q

Placenta attaching to the endometrium is normal the discidum if attache to myometrium with accreta or preccreta

A

Anterior placenta

or c section scar

21
Q

Use transducer and use pressure

check for clear zone between placenta and myo, does it bounce? This means that it is ______ Deemed acess into decidua

A

Normal

22
Q

What are 2 signs of placenta accreta

A

Numerous placental lacunae

Placenta bulge with Endo <1 mm

23
Q

Retained products of conception what is a strong indicator

A

Echogenic mass is a strong indicator for retained products
Heterogenous mass, blood clots or significant material
(no deliniation of the endometrium)

24
Q

Clinical Indication of Infection

A

Temp greater than >38 c, 100.4 F
Pain
Endometritis

25
Q

How is Infection (Endometritis) treated?

A

D&C or antibiotics

26
Q

Endometritis Sonographically

A

Overlapping appearance of endometritis and retained products

Can look Normal or dilated Ut cavity with fluid or gas

27
Q

What is a strong indicator in the endo of an infectious process?

A

Gas (looks like little flecks)

28
Q

Complications from C-section

A

Infection at incision site

Herniation of C -section scar. weakening of myo tissue causes this. bulging

29
Q

C -Section sonographically?

A

small rounded anechoic area in anterior UT wall

Look between anterior wall of the bladder and the lower Ut segment

30
Q

Potential space between the bladder and Uterus with a complex mass >2cm adjacent to scar/ or skin incision site is a?

A

Hematoma

If you see a bulging area into the bladder wall (denting the bladder wall) = hematoma

31
Q

Wound infection, similar appearance to hematoma but may see gas bubbles is a?

A

Abscess

32
Q

With and abscess the patient is ___ and increased ___

A

Febrile (fever)

WBC

33
Q

Where is a transplant kidney often put?

A

RLQ

May see lymphoma or Urinoma

34
Q

Malignant Ascities is? and caused by?

A 
Distended abdomen (6-7th decade)
usually caused by malignant mass of ovaries
35
Q

Find a mass in pelvis pateint will be booked for ____ exam looking for?

A

Abdomen, lymph nodes and liver mets

36
Q

TAHBSO

A

Total abdominal hyseterectomy and bilateral oopherectomy

37
Q

TAHBSO all you will see is?

A

Vagina, and sweep adnexa (Sag and Trans)

will see lots of Bowel

38
Q

TAHBSO look for?

A

Tumor reoccurance

39
Q

FGM stands for

A

Female Genital Mutilation

often under 15 years old

40
Q

How many Types of FGM?

A

4

41
Q

Type 1 FGM

A

Removal of the clitoral glands

42
Q

Type 2 FGM

A

Removal of the clitoral glands and labia minor

43
Q

Type 3 FGM*

A

Narrowing of vaginal opening by cutting labia minor and major
No EV

44
Q

Type 4 FGM

A

All other harmful procedures to female genitalia for non medical reasons

45
Q

Complications of FGM

A

Infection
UTI
Menstural retention - Hematometrocolpos

OB GYNE 4 (11 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions