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ObGyn Lecture > 8/27 Lecture > Flashcards

8/27 Lecture Flashcards

1
Q

For post term pregnancies especially, what is an indirect measure of placenta function. Most important assessment for fetal well-being

A

BPP (biophysical profile)

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2
Q

What does the BPP look at?

A

Fetal movement
Amniotic fluid
Fetal Tone
Fetal Breathing (diaphragm contracting)

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3
Q

What is the first 6 weeks of post partum

A

Puerperium

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4
Q

What is the vaginal discharge 14 days after giving birth?

A

Lochia

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5
Q

If a women isn’t lactating when will ovulation return?

A

45 days

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6
Q

If a women is lactating when will ovulation return?

A

6 months (189 days)

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7
Q

What is the major reason women die from postpartum?

A

Post partum hemorrhage

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8
Q

What are some etiology for peripertum cardiomyopthay?

A 
inflammatory cytokines
myocarditis
abnormal immunity
genetic
hemodynaic factors
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9
Q

What are some risks for peripartum cardiomyopathy?

A 
>30 
multiparity
morbid obesity
multigravida 
maternal cocaine abuse
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10
Q

What is the test for postpartum thyroiditis?

A

Antithyroid peroxidase antibody

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11
Q

What is postpartum thyroiditis often misdiagnosed as?

A

Postpartum depression

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12
Q

What is normal bleeding for a vaginal birth?

A

500 mL

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13
Q

What is normal bleeding for a C-Section?

A

1,000 mL

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14
Q

What does each 1% drop in HCT about equal?

A

100 mL blood loss

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15
Q

What are some signs of postpartum hemorrhage?

A

Tachycardia
tachypnea
orthostatic changes
oliguria

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16
Q

What is the biggest reason for postpartum hemorrhage?

A

Uterine atony

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17
Q

What are some risk factors of uterine atony?

A

Over distention of utreus
augmented labor
protracted labor
C-section

18
Q

How do you treat uterine atony?

A

Empty bladder
Give uterotonic agents (pitocin)
Bimanual uterine massage
Surgical

19
Q

Another reason for postpartum hemorrhage, not as common, involved placenta.

A

Retained placenta

20
Q

What should you look at the placenta for?

A

Whole placenta

Look for incomplete separation of placenta

21
Q

How do you treat a retained placenta?

A

Manual removal

22
Q

When should you give prophylactic antibiotics?

A

After manual removal of the placenta

23
Q

When is a hematoma of the lower tract acceptable?

A

<5 cm and stable

treat with ice packs

24
Q

If a hematoma is >5 cm what do you do?

A

Incision and Drain

25
Q

When can uterine rupture happen?

A

Protracted/ arrest labor

Previous C/S incision or other surgical procedure

26
Q

A C-section in what section is more likely to result in uterine rupture?

A

Upper uterine section

27
Q

What puts a mom at risk for amniotic fluid embolism?

A

PROM

28
Q

What is the prevention of thrombophelbitis and DVT?

A

Have the mom move around or put compression hose on

29
Q

What is a Homan’s sign?

A

Have them pull back their foot and will have calf pain

30
Q

If a women has a temp x 2 during first 10 days PP, tachy, dyspnea, malodorous Lochi, uterine tenderness what should you suspect?

A

Postpartum infection

31
Q

How do you treat urinary retention?

A

Catheterization

32
Q

What is a common post partum problem with the bladder?

A

Stress incontinence

33
Q

When does stress incontinence usually resolve?

A

12 weeks PP

34
Q

When does post partum depression occur?

A

8-20 weeks after

Anorexia, depressed, insomnia, loss of libido, cognitive issues/ lapses

35
Q

What is where women have anxiety, restless, manic w/ paranoia or delusions. Abnormal responses to family. Onset at 1st or 2nd week postpartum.

A

PP psychosis (need to be admitted)

36
Q

How long should women breast feed?

A

Exclusively for 1st 6 months

encourage for the first year

37
Q

How do you know a baby is getting enough food?

A

6-8 wet diapers per day

38
Q

How many times should you breast feed in 24 hours?

A

8-12 times

39
Q

What causes engorded breasts?

A

Baby not emptying the milk fully

40
Q

What is reddened/ painful breast, chills, malaise, body aches? caused by S. aureus

A

Puerperal mastitis

41
Q

How do you treat puerperal mastitis?

A

Warm soaks
Analgesia
check breast feeding technique
antibiotics PRN

42
Q

What are some contraindications for breast feeding?

A

Illicit drug use
untreated active TB, HIV/ AIDS
Chemo Rx
radioactive dyes/ contrast dyes

ObGyn Lecture (21 decks)

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