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RDS Test 1 > B8-019 Maternal/Fetal Health > Flashcards

B8-019 Maternal/Fetal Health Flashcards

1
Q

within the first hour following delivery, what changes are occurring in the maternal cardiovascular system?

A

cardiac output and SV increase dramatically as blood from uterus reenters main circulation (autotransfusion)

(presents a problem for patients with preexisting CVD)

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2
Q

main mechanism to prevent post-partum hemorrhage

A

uterine involutions

(myometrial muscles contract)

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3
Q

fundus should be at the level of […] about 24 hours after delivery

A

umbilicus

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4
Q

main cause of postpartum hemorrhage

A

uterine atony

(myometrium doesn’t contract like its supposed to)

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5
Q

treatment for uterine atony

A

medications
uterine balloon tamponade
surgery to remove uterus

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6
Q

it is normal for lochia to occur up to […] weeks postpartum

A

6

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7
Q

pregnancy is a hypercoagulable state and remains elevated for […] weeks following delivery

A

12

(increases risk for PE or DVT after chidlbirth)

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8
Q

hCG levels return to zero within […] weeks after delivery

A

2-4

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9
Q

effects of estrogen and progesterone levels plummeting after delivery [2]

A

aids in lactation
may lead to hot flashes

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10
Q

mean postpartum weight retention per pregnancy is […] lbs

A

11.8

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11
Q

depression screening tool validated in pregnancy

A

Edinburgh Postpartum Depression Scale

(PHQ misses anxiety component)

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12
Q

conditions that develop in pregnancy […] the risk for development of that condition later on in life

A

increase

(i.e., gestational diabetes increases risk of DM2, post partum depression increases risk of depression, etc)

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13
Q

greatest incidence of new PPD occurs […] months postpartum

A

2-3

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14
Q

WHO recommends initiation of breastfeeding within […] of life

A

1st hr

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15
Q

WHO recommends exclusive breastfeeding within […] of life

A

6 months

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16
Q

breast is composed of […] lobes

A

15-25

17
Q

when does mature milk appear after delivery?

A

3-7 days

18
Q

first milk secretions after delivery

A

colostrum

19
Q

death of a woman while pregnant or anytime within one year of pregnancy regardless of cause

A

pregnancy-associated death

20
Q

death of a woman while pregnant or anytime within one year of pregnancy from a pregnancy complication or chain of events related to pregnancy

A

pregnancy-related death

21
Q

death of a woman while pregnant or anytime within one year of pregnancy from a cause that is not related to pregnancy

A

pregnancy-associated but not-related death

(MVA)

22
Q

death of a woman while pregnant or anytime within one year of pregnancy due to a cause that could not be determined to be related to pregnancy

A

pregnancy-associated but unable to determine pregnancy relatedness

23
Q

number of pregnancy associated deaths per 100,000 live births

A

pregnancy associated mortality ratio (PAMR)

24
Q

number of pregnancy related deaths per 100,000 live births

A

pregnancy-related mortality ratio (PRMR)

25
Q

PAMR in the state of Kansas

A

56 deaths per 100,000 live births

(SUD, obesity, and mental health contributed to deaths)

26
Q

PRMR in the state of Kansas

A

15 deaths per every 100,000 live births

leading cause is CVD conditions

27
Q

when LMP is in question, […] is the most accurate way to establish an estimated gestational age

A

first trimester US

28
Q

[T:F] soft cheese are safe in pregnancy if pasteurized

A

true

29
Q

recommended weight gain in pregnancy for someone with a BMI > 30

A

11-20lbs

30
Q

vaccine recommended between 27 and 36 weeks of pregnancy

A

Tdap

allows for passive immunity to the fetus against pertussis

31
Q

lactogenenis can take up to […] to occur postpartum

A

one week

32
Q

when should women resume exercise postpartum?

A

return gradual as is comfortable

33
Q

bedrest is contraindicated in the postpartum period due to increased risk of

A

thromboembolic event

34
Q

only nutrient missing in breastmilk

A

vitamin D

(mom can take large amounts herself or give the baby the supplement)

35
Q

death while pregnant or within 42 days of pregnancy

A

maternal mortality

36
Q

any death while pregnant or within the year following

A

pregnancy associated death

37
Q

death due to a pregnancy related complication, or chain of events initiated by pregnancy

A

pregnancy related death

38
Q

ideal mechanism to stop a postpartum hemorrhage

A

improve contractility of the myometrium of uterus

39
Q

most likely cause of post partum hemorrhage

A

uterine atony

RDS Test 1 (23 decks)

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