ch 35 postpartum uterus

Question 1

postpartum uterus appearance

Answer 1

ill defined
Open cervical os
Homogeneous myometrium
Enlargedm myometrial vessels
Thick endo
free fluid in endo
large uterus
Flacid uterine ligaments

Question 2

Postpartum hemorrhage with vaginal delivery is blood loss greater than

Answer 2

500 mL

Question 3

Postpartum hemorrhage for c section delivery is blood loss greater than

Answer 3

1,000 mL

Question 4

Most common cause for postpartum hemorrhage is

Answer 4

abnormal placental attachment: Placenta accreta, increta, percreta

Question 5

Symptoms for puerperal infection starts within

Answer 5

24 hours after delivery

Question 6

Infection of the endometrium

Answer 6

Endometritis

Question 7

C section complications

Answer 7

Hematoma and infection

Question 8

POVT stands for

Answer 8

Postpartum Ovarian Vein Thrombophleblitis

Question 9

POVT is

Answer 9

Clot within the ovarian vein

Question 10

POVT occurs most often on the

Answer 10

right side

Question 11

Lack of normal muscle tone

Answer 11

Atony

Question 12

Inflammation of the amnion and chorion , owing to a bacterial infection

Answer 12

Chorioamnionitis

Question 13

Defect in the bodies, clotting mechanism, resulting and bleeding

Answer 13

Coagulopathy

Question 14

Portion of the uterine lining which forms the maternal portion of the placenta

Answer 14

Decidua basilis

Question 15

Moving particles, such as thrombosis or air within the bloodstream

Answer 15

Emboli

Question 16

Collection of blood outside the vessels

Answer 16

Hematoma

Question 17

Removal of the uterus

Answer 17

Hysterectomy

Question 18

Reduction of an orient to its normal size and appearance

Answer 18

Involution

Question 19

Radiographic images of the kidneys errors and bladder after an injection of the radiopague dye

Answer 19

IVP

Question 20

Stones within the kidney

Answer 20

Nephrolithiasis

Question 21

Formation of a blood clot, owing to inflammation

Answer 21

Thrombophlebitis

Question 22

Radiographic examination of the vein performed after injection of the radio contrast medium

Answer 22

Venogram

Question 23

The postpartum period may also be called the

Answer 23

Puerperium

Question 24

Complications seen most frequently following
c sections are

Answer 24

Hematomas and abscesses

Question 25

Is it essential to use a __ pressure when then when imaging the nongravid uterus

Answer 25

lighter

Question 26

If a post C section patient cannot tolerate TA or TV us, the ___ or ___ imaging method should be used

Answer 26

Translabial / Transperineal

Question 27

The adnexal ligaments of the postpartum patient are ___ following delivery, usually returning to their pregravid status within ___

Answer 27

Flaccid, a month

Question 28

The cause of accreta, percreta, and increta is complete or partial absence of the ___

Answer 28

Decidual basilis

Question 29

Antepartum rupture of the uterus causes emergency delivery and

Answer 29

Hysterectomy

Question 30

U/s helps identify multiple intraplacental __ that are indicators of placental invasion of the myometrium

Answer 30

lakes

Question 31

The u/s appearance of endometritis is that of a ___ irregular endo and ___ in endocervical canal

Answer 31

thick, fluid

Question 32

Retained product of conception image as a ___ mass within a irregular shaped uterus

Answer 32

hyperechoic

Question 33

POVT images as a dilated anechoic to hypoechoic ___ structure extending superiorly from the adnexa

Answer 33

Tubular

Question 34

Hematomas found in the bladder flap region are sonographically __ with ill defined borders that range in size from less than __ to greater than ___

Answer 34

anechoic, 1 cm , 15 cm

Question 35

___ frequency transducer is used for postpartum c section hematomas

Answer 35

high

Question 36

Infections of c sections look

Answer 36

anechoic, cystic, complex, and with or without definite margins

Question 37

Lactation termination usually produces

Answer 37

Menstrual resumption

Question 38

Sonography in the puerperium period is used for all except

Answer 38

Determine whether the uterus has returned to prepregnancy state

Question 39

Select the true statement regarding the postpartum uterus

Answer 39

Sag measurements range from 14-25 cm

Question 40

During pregnancy, ovaries generally

Answer 40

remain the same as prepregnancy state with the exception of a few more cysts in the first trimester

Question 41

A placenta that completely invades the uterine myometrium extending into the serosa is

Answer 41

Placenta percreta

Question 42

What conditions are related to postpartum hemorrhage

Answer 42

Shock, decreased hematocrit, hysterectomy

Question 43

What condition is not related to postpartum hemorrhage

Answer 43

Hypertension

Question 44

RPOC has a similar sonographic appearance to

Answer 44

highly echogenic mass in the endometrial canal

Question 45

The first indication of uterine infection is

Answer 45

Uterine tenderness

Question 46

The only infection not related to postpartum infection is

Answer 46

Salpingitis

Question 47

What is not identified with uterine atony

Answer 47

Oligohydramnios

Question 48

The most common signs of POVT are

Answer 48

fever, rt sides pelvic mass, and pelvic pain

Question 49

C- section delivery has an

Answer 49

increased risk of infection

Question 50

The most frequent site of postpartum thrombophlebities is

Answer 50

Right ovarian vein