chapter 33

Question 1

the leading cause of early pph

Answer 1

uterine atony

Question 2

early pph

Answer 2

occurs within 24 hours of birth

Question 3

late pph

Answer 3

occurs more than 24 hours but less than 6 weeks after birth

Question 4

pph for a vaginal delivery

Answer 4

500 ml or more of blood loss

Question 5

pph for a c section

Answer 5

1000 ml or more of blood loss

Question 6

placenta accreta

Answer 6

slight penetration of myometrium (by the placenta)

Question 7

placenta increta

Answer 7

deep penetration of myometrium (by the placenta)

Question 8

placenta percreta

Answer 8

perforation of the uterus (by the placenta)

Question 9

the primary sx of uterine inversion

Answer 9

hemorrhage, shock, pain

Question 10

incomplete inversion

Answer 10

a smooth mass can be palpated through the dilated cervix

Question 11

complete inversion

Answer 11

the lining of the fundus crosses through the cervical os and forms a mass in the vagina

Question 12

prolapsed inversion

Answer 12

a large red rounded mass protrudes 20 - 30 cm outside the introitus

Question 13

von Willebrand Disease

Answer 13

a type of hemophilia; the most common of all hereditary bleeding disorders; the treatment of choice is desmopressin

Question 14

superficial venous thrombosis

Answer 14

pain and tenderness in the lower extremity; physical assessment may find warmth redness and enlarged hardened vein over the site of thrombosis

Question 15

DVT

Answer 15

unilateral leg pain, calf tenderness, swelling, redness and warmth, positive homans

Question 16

PE

Answer 16

dyspnea, tachypnea, tachycardia, apprehension, cough, hemoptysis, fever, syncope

Question 17

most common diagnostic test for VTE

Answer 17

venous u/s w/ or w/out color doppler

Question 18

superficial venous thrombosis treatment

Answer 18

analgesia (NSAIDS), rest w/ elevation of affected leg, elastic compression stockings, heat applied locally

Question 19

DVT treatment

Answer 19

anticoagulant therapy (heparin IV), bed rest w/ affected leg elevated, analgesia, compression stockings, eventually oral anticoagulants

Question 20

PE treatment

Answer 20

anticoagulant therapy (continuous IV heparin)

Question 21

what med should not be given to women on anticoagulant therapy?

Answer 21

aspirin

Question 22

endometriosis treatment

Answer 22

antibiotics, hydration, rest, pain relief

Question 23

wound infection treatment

Answer 23

antibiotic therapy w/ wound debridement, analgesics, sitz baths, warm compresses, and perineal care

Question 24

UTI treatment

Answer 24

antibiotics, analgesia, hydration