Exam 2 part 3

Question 1

PP hemorrhage that happens in the 24 hours after delivery

Highest risk

Answer 1

early PP hemorrhage

Question 2

PP hemorrhage that happens between 24 hours and 6 weeks after delivery

Answer 2

late PP hemorrhage

Question 3

when is most blood lost

Answer 3

during delivery or immediately after

Question 4

assessment for late or delayed hemorrhage related to

Answer 4

Fundal height not where expected

Failure of lochia progression

Question 5

treatment of subinvolution

Answer 5

remove placental frags

Methergine

Question 6

Dose for methergine

Answer 6

0.2 mg IM

PO Q3-4 X24-48 hrs

Question 7

acts on uterine smooth muscle to increase tone

Answer 7

methergine

Question 8

placenta adheres to myometrium

Answer 8

placenta accreta

Question 9

placenta invades the myometrium

Answer 9

placenta increta

Question 10

placenta penetrates the myometrium

Answer 10

placenta percreta

Question 11

accounts for the most of retained fragments

Answer 11

accerta

Question 12

collection of blood, may be caused by injury to a vessel or inadequate hemostasis w/ laceration

Answer 12

PP hematomas

Question 13

treatment for small hematomas

Answer 13

ice and pressure after 24 hours heat

Question 14

treatment for large hematomas

Answer 14

incision and drainage (vessel ligated)

Question 15

first pharacological treatment for hemorrhage

Answer 15

oxytocin

Question 16

do not give methergine to people with

Answer 16

heart problems

Question 17

do not give hemabate to people with

Answer 17

asthma

Question 18

assessment of uterine rupture

Answer 18

severe abdominal pain
Hard to palpation
Bleeding may be hidden

Question 19

mastitis is most commonly caused by

Answer 19

staph aureus

Question 20

Temp 100.4 or higher on any two days during PP day 2-10, then suspect

Answer 20

puerperal pyrexia

Question 21

Genital tract infection in early onest (24-36) is

Answer 21

GBS

Question 22

genital tract infection in late onset is

Answer 22

Chlamydia

Question 23

treatment for genital tract infection

Answer 23

penicillins 
Amoxicillian clavulanate (beta-lactam inhibitors)

Question 24

pelvic cellulitis or infection of parametrial structures

Answer 24

parametritis

Question 25

causes of PP UTI

Answer 25

urine stasis Bladder trauma during birth Catherterization

Question 26

Treatment for PP UTI

Answer 26

Bactrim Nitrofurantoin Keflex

Question 27

when is thromboembolic disease most common

Answer 27

PP 10-20 days

Question 28

what effect can the psyche have on labor

Answer 28

can cause stress hormones to be formed and impead labor

Question 29

antacid and dose used during for preparation for c-section

Answer 29

Bicitra 30 ml PO | Reglan IV

Question 30

treatment for spinal headache

Answer 30

blood patch

Question 31

the skin and the subcutaneous are incised using lower transverse, slightly curvilinear incision

Answer 31

Pfannensteil (skin)

Question 32

Cut where lower segemnt transverse Area less likely to transverse Least morbid and most common 1% risk of rupture with VBAC

Answer 32

Kerr (uterine)

Question 33

vertical incision in lower uterine segment | Can VBAC

Answer 33

selheim (uterine)

Question 34

Vertical cut through fundus Cannot VBAC 6% risk for rupture Skin scar does NOT = uterine incision type

Answer 34

classical (uterine)

Question 35

placental aging triggers

Answer 35

contractions

Question 36

fetal membranes synthesize prostaglandins cause

Answer 36

contractions

Question 37

what would you suspect with green discharge

Answer 37

meconium

Question 38

what would you suspect with bright red discharge

Answer 38

placenta previa | Abruption

Question 39

occurs when the biparietal diameter is at or below the inlet of true pelvis

Answer 39

engagement

Question 40

is the widest upper portion of the body pelvis

Answer 40

false pelvis

Question 41

is the entrance to the true pelvis

Answer 41

inlet (linea terminalis)

Question 42

is that portion of the pelvis below the linea terminals or the inlet

Answer 42

true pelvis

Question 43

the relationship of the presenting part of the fetus to an imaginary line drawn between the ischial spines of the maternal pelvis

Answer 43

station

Question 44

what to do with ROM/ BOM

Answer 44

immediately assess FHT

Question 45

what to do with a cord prolapse

Answer 45

Trendelenburg position and lift presenting part off cord

Question 46

Factors affecting labor (5ps)

Answer 46

``` Power Passage passenger Psyche Postion ```

Question 47

Beginning of one contraction to the beginning of the next

Answer 47

Frequency

Question 48

beginning of a contraction to the end of the contraction

Answer 48

duration

Question 49

increment build up of contraction

Answer 49

cresendo

Question 50

the peak of the contraction

Answer 50

apex/ acme

Question 51

decrement of contraction

Answer 51

decrescendo

Question 52

thinning and shortening of the cervix that occurs during labor

Answer 52

effacement

Question 53

widening of the cervical external OS from less than 1cm to full dilation (about 10cm) to allow birth of a full term

Answer 53

Dilatation/ dilation

Question 54

why does dilation occur

Answer 54

contraction | The fluid filled membranes press agains the cervix

Question 55

types of pelviss

Answer 55

gynecoid android anthropoid platypelloid

Question 56

pelvis that has ideal wide sacrum, flat iliac bone, >basin

Answer 56

Gynecoid

Question 57

pelvis that is ape like | Long a-p

Answer 57

anthropoid

Question 58

if tissue doesnt respond how it is suppose to during a contraction

Answer 58

tissue dystocia

Question 59

low lying placenta may cause the baby to assume a

Answer 59

transverse lie

Question 60

placenta previa can be associated with

Answer 60

breech presentation

Question 61

the relationship of the fetal long axis to the long axis of the mother

Answer 61

fetal lie

Question 62

head first

Answer 62

vertical/longitudinal (normal)

Question 63

breech

Answer 63

vertical/longitudinal (variation)

Question 64

transverse | oblique lie

Answer 64

perpendicular (abnormal)

Question 65

the leading or most dependent portion of the fetus

Answer 65

fetal presentation

Question 66

vertex, brow, face presentation

Answer 66

cephalic

Question 67

feet up presentation

Answer 67

frank breech

Question 68

both feet and sacrum presentation

Answer 68

complete breech

Question 69

just a foot/ feet presentation

Answer 69

footling breech

Question 70

manipulating the fetus in order to turn it to head first

Answer 70

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