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Reproductive > Exam 1 part 6 > Flashcards

Exam 1 part 6 Flashcards

1
Q

Death per 100,000 live births

Death during pregnancy or within 42 days of pregnancy termination

A

Maternal mortality

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2
Q

directly related to the pregnancy

A

direct maternal mortality

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3
Q

not directly related to pregnancy

Ex. hypertension

A

indirect maternal mortality

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4
Q

death after 42 days

A

late maternal death

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5
Q

death before first birthday

6.1 per 100o live births

A

neonatal mortality

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6
Q

born before 32 weeks

A

very preterm

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7
Q

born 32-33 weeks

A

moderately preterm

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8
Q

born 34-37 weeks

A

late preterm

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9
Q

normal birth weight

A

2501-3999

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10
Q

low birth weight

A

1500-2500

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11
Q

very low birth weight

A

less than 1500

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12
Q

high birth weight

A

4000

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13
Q

when is it considered preterm

A

more than 20 weeks but less than 37 weeks

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14
Q

preterm births are due to

A

40 due to spontaneous PTL

40 due to PROM

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15
Q

what percent does preterm birth account for neonatal deaths

A

50-70

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16
Q

preterm and LBW occur in which ethnicity the most

A

african american

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17
Q

Symptoms of PTL

A 
uterine contractions 
Menstrual like cramps
Constant backache
Pelvic pressure
Increased vaginal discharge 
Blood stained vaginal discharge
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18
Q

a test used to determine if a women will go into preterm labor

A

Fibronectin

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19
Q

when can the fribronectin be done

A

22-35 weeks

Before digital vaginal examination

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20
Q

low implantation

A

placenta previa

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21
Q

what is used for uterine irritability

A

progesterone

22
Q

home management for PTL

A

tocolytics
Uterine monitoring
Activity restriction

23
Q

initial steps of giving tocolysis

A

IV hydration
rest
Subcutaneous terbutaline

24
Q

when can steroids be used

A

26-34 weeks

25
Q

Bethamethason dosage

A

12 mg IM Q24 X 2 dose

26
Q

Dexamethason

A

6mg IM Q12 X4

27
Q

premature dilation of cervix
usually occurs about 4-5 months
History of repeated painless abortions

A

incompetent cervix

28
Q

Incidence of incompetent cervix

A

0.1-1

29
Q

treatment used for incompetent cervix

A

Trendelenburg

Cerclage

30
Q

Spontaneous rupture of the membranes prior to the onset of labor

A

PROM

31
Q

Causes of PROM

A

Infection
Polyhydramnios or twins
Trauma
Multiple gestations

32
Q

Incidence of PROM

A

3-18%

33
Q

Inflammation of fetal membranes

Usually caused by infection

A

Chrioamnionitis

34
Q

S/S of chorioamnionitis

A

Maternal and fetal tachycardia
Fever
Uterine and abdominal tenderness
Purulent vaginal secretion

35
Q

Symtoms of cystitis

A

Dysuria
Urgency and frequency
Low grade fever
Hematuria

36
Q

Symptoms of pyelonephritis

A 
Chills
Fever
Flank pain
N and V
sign of lower UTI
37
Q

hormones related to heartburn

A

Progesterone and relaxin

38
Q

Increased blood pressure accompanied by proteinuria
BP >140/90
urine protein > 300 in 24 hour specimen

A

Preeclampsia

39
Q

The occurrence of seizures that cannot be attributed to other causes in a women with preeclampsia

A

eclampsia

40
Q

HELLP syndrome

A

Hemolysis
Elevated liver enzymes
Low platelets

41
Q

demonstrates the path changes of preeclampsia but in the absence of hypertension and proteinuria

A

HELLP syndrome

42
Q

Premature separation of the normally implanted placenta from the uterine wall

A

Abruptio Placentae

43
Q

Separation begins at the edge o placenta

Vaginal bleeding present

A

Marginal abruptio placentae

44
Q

separation occurs centrally and blood trapped between placenta and uterine wall
Concealed or occult hemorrhage

A

Central abruptio placentae

45
Q

massive vaginal bleeding evident from vaginal tone with placenta separation

A

complete abruptio placentae

46
Q

invasion of trophoblast beyond the dicidua

A

accreta

47
Q

invasion onto myometrium

A

increta

48
Q

into uterine muscular and adhere to other organs

A

percreta

49
Q

Implantation of the fertilized ovum in any location other than the uterine cavity

A

Ectopic pregnancy

50
Q

The chorine villi, instead of forming into a placenta, degenerated into edematous, cystic vesicles that hand in grape like clusters

A

Hydatidiform Mole

51
Q

A single or two sperm combining with ova which has lost DNA which replicated through mitosis
No sign of embryonic or fetal development is present
Risk of choriocarcinoma

A

Complete mole

52
Q

Occurs when an egg is fertilized by two sperm or by one sperm which reduplicates itself yielding the genotype 69 or 92
Embryonic/fetal development may be seen but the fetus is always malformed and is never viable

A

Parial mole

Reproductive (19 decks)

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