CHAP 21 - 109 Flashcards

1
Q

C: MOSOMAL OR UTERINE ABNORMALITIES

A

Threatened
spontaneous
miscarriage (eraly:
under 16 weeks; late:
16-24 weeks)

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2
Q

FIRST AND SECOND TRIM

A

TIMICE
THREATENED SM
IMMINENT M
MISSED M
INCOMPLETE SPON MIS
COMPLETE SPON MIS
ECTOPIC PREGNANCY

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3
Q

A: VAGINAL SPOTTING AND SLIGHT CRAMPING

A

Threatened
spontaneous
miscarriage (eraly:
under 16 weeks; late:
16-24 weeks)

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4
Q

CAU: NOT USE TAMPONS TO HALT BLEEDING AS THIS CAN LEAD TO INFECTION

A

Threatened
spontaneous
miscarriage (eraly:
under 16 weeks; late:
16-24 weeks)

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5
Q

C: POOR PLACENTAL ATTACHMENT

A

Imminent (inevitable)
miscarriage

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6
Q

A: VAGINAL SPOTTING, CRAMPING, CERVICAL DILATION

A

Imminent (inevitable)
miscarriage

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7
Q

MIC SAME CAUSE

A

chromosomal or
uterine abnormalities

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8
Q

Vaginal soptting
perhaps slight
cramping; no
apparent loss of
pregnancy

A

Missed miscarriage

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9
Q

CAU: Rarely, disseminatedintravascular
coagulationisassociatedwithmissedmiscarriage

A

MISSED MISCARRIAGE

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10
Q

A: Vaginal spotting, cramping, cervical
dilatation, but
incomplete expulsion
of uterine contents

A

Incomplete
spontaenous
miscarriage

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11
Q

CAU: High risk of uterineinfection and hemorrhage

A

INCOMPLETE SPON MIS

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12
Q

A: Vaginal spotting, cramping cervical
dilatation, and
complete expulsion of
uterine contents

A

COMPLETE SPON MIS

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12
Q

Implantation of zygote
at site other than in
uterus, associated with
tubal constrictures

A

ECTOPIC PREG

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13
Q

Sudden unilateral
lower abdominal
quadrant pain;
minimal vaginal
bleeding, possible
signs of hypovolemic
shock or hemorrhage

A

ECTOPIC PREG

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14
Q

May haverepaetectopic pregnancyinfuture if tubal scarringis bilateral

A

ECTOPIC PREGNANCY

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15
Q
A
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16
Q

SECOND TRIM

A

GESTATIONAL TROPHOBLASTIC DISEASE (HYDATIDIFORM MOLE)

PREMATURE CERVICAL DILATATION

16
Q

C: Abnormal proliferation
of trophoblasts cells;
fertilization or division
defect

A

Gestational
trophoblastic disease
(hydatidiform mole)

16
Q

CAU: Retained trophoblasttissue may becomemalignant
(choriocarcinoma);
followup for extendedmonitoring withhCGtesting.

A

Gestational
trophoblastic disease
(hydatidiform mole)

16
Q

A: Overgrowth of uterus;
highly positive human
chorionic
gonadotropin (hCG)
test; no fetus present
on ultrasound;
bleeding from vagina
of old or fresh blood
accompanied by cyst
formation

A

Gestational
trophoblastic disease
(hydatidiform mole)

16
Q

C: Low implantation of
placenta possibly
because of uterine
abnormality

A

Placenta previa

16
Q

Cervix begins to dilate
and pregnancy is lost
at about 20 weeks;
unknown cause but
cervical trauma from
prior cervical
procedures may be
associated.

A

Premature cervical
dilatation

16
Q

A: Painless bleeding
leading to expulsion of
fetus

A

Placenta previa

16
Can have cervical sutures placed subsequent pregnancy to help prevent recurrence
Premature cervical dilatation
17
Painless bleeding leading to expulsion of fetus
Premature cervical dilatation
17
CAU: Don’t allowavaginal examinationtominimize placental trauma
Placenta previa
17
C: Unknown cause; associated with hypertension and cocaine use; placenta separates from uterus before birth of fetus
ABRUPTIO PLACENTA
17
Show (pink-stained) vaginal discharge accompanied by uterine contractions becoming regular and effective
PRETERM LABOR
17
CAU: Disseminated intravascular coagulation Is associated with condition
ABRUPTIO PLACENTA
17
Sharp abdominal pain followed by uterine tenderness; vaginal bleeding; signs of hypovolemic shock, fetal distress
ABRUPTIO PLACENTA
17
Preterm labor may be halted If the cervix is less than 4 cm dilated and the membranes are intact. Corticosteroids are administered to aid fetal lung maturity
PRETERM LABOR
17
ASSESSING A PREGNANT PT WITH HYPOVOLEMIC SHOCK
 Confusion  Pallor  Tachypnea  Increased pulse  Decreased blood pressure  Decreased cardic output  Peripheral vasoconstriction (placenta reacts as a peripheral organ)  Fetal bradycardia  Decreased urinary output  Cold extremities
17
C: Many possible etiologic factors such as trauma, substance use, hypertension of pregnancy, or cervicitis; increased chane in multiple gestation, illness during pregnancy
PRETERM LABOR
17
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SIGNS AND SYMPTOMS OF HYPOVOLEMIC SHOCK
1. INCREASED PR 2. DECREASED BP 3. INCREASED RR 4. COLD, CLAMMY SKIN 5. DECREASED URINE OUTPUT 6. DIZINESS OR DECREASED LEVEL OF CONSCIOUSNESS 7. DECREASED CENTRAL VENOUS PRESSURE
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