Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Obstetrics > Complicated Pregnancy > Flashcards

Complicated Pregnancy Flashcards

1
Q

Spontaneous abortion

A

MIscarriage of pregnancy less than 20 weeks.
20% of recognized pregnancies miscarry
80% in first trimester, usually do to chromosomal abnormality

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Spontaneous abortion S/S

A 
Bleeding, bright red
MIdline cramping
Low back pain
Expulsion of products of conception
os open OR closed
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Threatened abortion

A 
Slight bleeding
abd vramping
Cervical os CLOSED
Uterine size compatible w/ dates
No products of conception passed
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Incomplete abortion

A

Usually the placenta stays in uterus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Complete abortion

A

All contents passed including placenta

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Threatened abortion mgmt

A 
Bed rest 24-48 hrs
No work or responsibilities
No intercourse
Rest in horizontal position
Hydration
NO hormones
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Ectopic pregnancy

A

Implantation of fertilized ovum outside uterine cavity.
Fallopian tube is most common
Rupture is inevitable
1 in 80 pregnancies
Major cause of maternal death in first tri

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Ectopic preg s/s

A 
1-2 months of amenorrhea
DIarrhea, urge to defecate
Mower abd pain, sudden and severe, adnexal
Referred pain to shoulder
Tender adnexal mass
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

B-hCG in ectopic

A

Will be lower than a normal pregnancy of same duration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Ectopic tx

A

Laproscopy

Methotrexate for stable pt’s

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Hydatidiform Mole

A

Benign neoplasm of chorion where villi become transparent vessicles.
Occurs when a single sperm fertilizes egg w/o nucleus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Hydatidiform Mole S/S

A 
Bleeding, enlarged uterus
Pelvic pain, anemia
Hyperemesis gravidarum
Preeclampsia
Passage of hydropic vesicles
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

B-hCG for Hydatidiform Mole would be

A

Very high for gestational age

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Hydatidiform Mole US

A 
Absence of gestational sac
SNowy uterus (multiple echogenic regions)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Hydatidiform Mole pregnancy delay

A

Should not get pregnant until B-hCG levels are normal for a YEAR.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Choriocarcinoma

A

Rare, highly malignant
Causes ulcerating surfaces into endometrial cvity
Mets to lung, brain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Choriocarcinoma Tx

A

Highly sensitive to chemo (TOC)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Placenta Previa

A

Placenta implanted in lower segment of uterus and lies near cervical os

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Placenta Previa presentation

A

Painless bleeding in 3rd tri (bright red)
fetal heart tones normal
Dx best made w/ US

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Should a pelvic exam be done on suspected placenta previa?

A

No, do an US

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Abruptio Placentae

A

Placental abruption
Partial or complete detachment or normally implanted placenta
Usually 3rd tri

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Abruptio Placentae risks`

A 
Abd trauma
Cocaine
SMoking
Eclampsia
HTN
23
Q

Abruptio Placentae S/S

A

Vaginal bleeding
Abd, back pain
Uterine contractions
abnormal Fetal heart pattern

24
Q

All pregnant women with abd pain, contractions and bleeding need to have what ruled out?

A

Abruptio Placentae

25
Q

Abruptio Placentae complications

A

Hemorrhage and shock
Coagulopathy, DIC
Fetal harm or death

26
Q

Classic imaging finding for Abruptio Placentae

A

Retroplacental hematoma

27
Q

Placanta Accretas

A

The placenta attaches itself too deeply into the wall of the uterus.
1 in 2500

28
Q

Placanta Accretas risks

A

Previous C-section
uterine surgery
Placenta previa

29
Q

Placanta Accretas complications

A

Preterm delivery

Severe post-partum hemorrhage

30
Q

Placanta Accretas Tx

A

Not much can be done

Try to spare uterus upon delivery … but may need historectomy

31
Q

Hyperemesis Gravidarum

A

Persistent, severe intractable vomiting
peak incidence 8-12 wks
Should resolve by 20 wks

32
Q

Hyperemesis Gravidarum Tx

A

Hosp. w/ bedrest
NPO x 48 hrs
IV Hydration

33
Q

Meds for Hyperemesis Gravidarum

A

Pyridoxine (Vitamin B6)
Promethazine rectally
Zofran

34
Q

Preeclampsia

A

Presence of HTN and proteinuria during pregnancy.

Caused by vasospasm and endothelial dysfxn

35
Q

preeclampsia dx

A

HTN >140 systolic or 90 diastolic after 20 wks gest.
Proteinuria of >300 mg in 24 hrs
Edema

36
Q

Preeclampsia range

A

After 20 wks gest to 6 wks postpartum

37
Q

Who most frequently has preeclampsia?

A

Primiparas (first time pregnancy)
Extremes of maternal age
Multiple gestation

38
Q

Preeclampsia Patho

A

Placenta produced far more thromboxane than prostacycline causing dysfunction

39
Q

Preeclampsia of 36 wks gest or more tx?

A

Delivery

40
Q

Mgmt of severe preeclampsia

A

Hospitalize

Delivery

41
Q

Factors suggesting delivery is needed in preeclampsia

A

VIsual changes
Thrombocytopenia
Epigastric pain

42
Q

Mild preeclampsia tx

A

bedrest
60-80 mg ASA daily
Hydralazine or methyldopa

43
Q

If delivery is not possible in severe preeclampsia then what bed should be given to pervent seizures?

A

Magnesium Sulfate drip

44
Q

HELLP

A

Variant of severe preeclampsia
Hemolysis
Elevated liver enzymes
Low platelets

45
Q

HELLP S/S

A 
Mildly elevated BP
\+/- proteinuria
Malaise (100%)
GI sx
RUQ tenderness
46
Q

HELLP lab dx

A

Burr cells, schistocytes
Increased LDH, bili, SGOT
Low platelets

47
Q

HELLP mgmt

A

delivery

48
Q

WHen does preeclampsia become eclampsia

A

When seizures are present

prevent w/ mag sulfate drip

49
Q

Eclampsia emergency care

A

Turn on side of seizing

Mag sulfate bolus followed by drip

50
Q

What reverses magnesium toxicity?

A

Calcium gluconate

51
Q

Most reliable indicator for resolution of eclampsia postpatrum?

A

Diuresis

52
Q

Preterm labor (PTL)

A

Labor that begins before 37th week

53
Q

Fetal fibronectin (fFN)

A

Trophoblast glue

Taken from cervix. if present in 2nd or 3rd trimester it is a serious warning sign of PTL

54
Q

Amniotic fluid ferning pattern

A

Light and delicate

Obstetrics (6 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions