Ch33 study guide, PP (PP Complications/Hemorrhagic) exam 3 Flashcards

1
Q

loss of 500mL of blood or more after vaginal birth or of 1000mL of blood or more after c-section
OR
a 10% change in hct between admission for labor and PP
OR
the need for erythrocyte transfusion)

A

postpartum hemorrhage (PPH)

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2
Q

classification of postpartum hemorrhage (PPH) if it occurs within 24hrs of birth

A

early (acute, primary)

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3
Q

classification of postpartum hemorrhage (PPH) if it occurs more than 24hrs, but less than 6 weeks, after birth

A

late (secondary)

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4
Q

marked hypotonia of the uterus

it is the leading cause of early PPH

A

uterin atony

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5
Q

most common of all injuries in the low portion of the genital tract
(they are classified as first, second, third, and fourth degree)

A

perineal lacerations

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6
Q

accumulation of blood in the connective tissue as a result of blood vessel damage

A

hematoma

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7
Q

most common hematoma following birth

A

vulvar hematoma

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8
Q

term used to refer to slight penetration of the myometrium by the placenta

A

placenta accreta

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9
Q

term used to refer to deep penetration of the myometrium by the placenta

A

placenta increta

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10
Q

term used to refer to perforation of the uterus by the placenta

A

placenta pecreta

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11
Q

turning of the uterus inside out after birth

it can be incomplete, complete, or prolapsed

A

inversion of the uterus

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12
Q

delayed return of the enlarged uterus to normal size and function following birth

A

subinvolution

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13
Q

recognized caused of subinvolution

A

retained placental fragments and pelvic infection

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14
Q

emergency situation in which profuse blood loss can result in severely compromised perfusion of body organs (death may occur)

A

hemorrhagic (hypovolemic) shock

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15
Q

disorder in which coagulation is compromised, resulting in continuous bleeding

A

coagulopathy

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16
Q

abnormally low platelet level (150-450)

A

thrombocytopenia

17
Q

autoimmune disorder in which antiplatelet antibodies decrease the life span of platelets

A

idiopathic thrombocytopenic purpura (ITP)

18
Q

type of hemophilia (it is probably the most common of all hereditary bleeding disorders)

A

von Willebrand disease

19
Q

formation of a blood clot or clots inside a blood vessel

A

venous thromboembolism (VTE)

20
Q

formation of a clot in a blood vessel as a result of inflammation

A

thrombophlebitis

21
Q

thromboembolic condition that involves the superficial saphenous venous system

A

superficial venous thrombosis

22
Q

thromboembolic condition in which involvement varies but that occurs most often in the lower extremities (it can extend from the foot to the iliofemoral region)

A

deep venous thrombosis (DVT)

23
Q

complication of DVT that occurs when a part of a blood clot dislodges and is carried to the pulmonary artery, where it occludes the vessel and obstructs blood flow to the lungs

A

pulmonary embolism

24
Q

any clinical infection of the genital canal that occurs within 28 days after miscarriage, induced abortion, or childbirth

A

postpartum (puerperal) infection

25
infection located in the lining of the uterus (it is the most common postpartum infection) - it usually begins as a localized infection at the placental site but can spread to involve the entire lining
endometritis
26
infection of the breast soon after childbirth, most often affecting primiparous breastfeeding women
mastitis
27
symptoms of shock
- Rapid thready pulse - Pallor - Hypotension (late sign) shallow respirations, cool/clammy skin, decreased output, lethargy - > coma, anxiety - > coma, decreased CVP, boggy fundus, rapid blood loss
28
1gram =
1mL of blood (so weigh pads dry and then wet)
29
shock interventions
- GET HELP - need IV - check airway - monitor VS, uterus, and bleeding