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Reproductive > Exam 2 part 3 > Flashcards

Exam 2 part 3 Flashcards

1
Q

PP hemorrhage that happens in the 24 hours after delivery

Highest risk

A

early PP hemorrhage

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2
Q

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

A

late PP hemorrhage

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3
Q

when is most blood lost

A

during delivery or immediately after

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4
Q

assessment for late or delayed hemorrhage related to

A

Fundal height not where expected

Failure of lochia progression

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5
Q

treatment of subinvolution

A

remove placental frags

Methergine

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6
Q

Dose for methergine

A

0.2 mg IM

PO Q3-4 X24-48 hrs

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7
Q

acts on uterine smooth muscle to increase tone

A

methergine

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8
Q

placenta adheres to myometrium

A

placenta accreta

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9
Q

placenta invades the myometrium

A

placenta increta

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10
Q

placenta penetrates the myometrium

A

placenta percreta

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11
Q

accounts for the most of retained fragments

A

accerta

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12
Q

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

A

PP hematomas

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13
Q

treatment for small hematomas

A

ice and pressure after 24 hours heat

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14
Q

treatment for large hematomas

A

incision and drainage (vessel ligated)

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15
Q

first pharacological treatment for hemorrhage

A

oxytocin

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16
Q

do not give methergine to people with

A

heart problems

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17
Q

do not give hemabate to people with

A

asthma

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18
Q

assessment of uterine rupture

A

severe abdominal pain
Hard to palpation
Bleeding may be hidden

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19
Q

mastitis is most commonly caused by

A

staph aureus

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20
Q

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

A

puerperal pyrexia

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21
Q

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

A

GBS

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22
Q

genital tract infection in late onset is

A

Chlamydia

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23
Q

treatment for genital tract infection

A 
penicillins 
Amoxicillian clavulanate (beta-lactam inhibitors)
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24
Q

pelvic cellulitis or infection of parametrial structures

A

parametritis

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25
Q

causes of PP UTI

A

urine stasis
Bladder trauma during birth
Catherterization

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26
Q

Treatment for PP UTI

A

Bactrim
Nitrofurantoin
Keflex

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27
Q

when is thromboembolic disease most common

A

PP 10-20 days

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28
Q

what effect can the psyche have on labor

A

can cause stress hormones to be formed and impead labor

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29
Q

antacid and dose used during for preparation for c-section

A

Bicitra 30 ml PO

Reglan IV

30
Q

treatment for spinal headache

A

blood patch

31
Q

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

A

Pfannensteil (skin)

32
Q

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

A

Kerr (uterine)

33
Q

vertical incision in lower uterine segment

Can VBAC

A

selheim (uterine)

34
Q

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

A

classical (uterine)

35
Q

placental aging triggers

A

contractions

36
Q

fetal membranes synthesize prostaglandins cause

A

contractions

37
Q

what would you suspect with green discharge

A

meconium

38
Q

what would you suspect with bright red discharge

A

placenta previa

Abruption

39
Q

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

A

engagement

40
Q

is the widest upper portion of the body pelvis

A

false pelvis

41
Q

is the entrance to the true pelvis

A

inlet (linea terminalis)

42
Q

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

A

true pelvis

43
Q

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

A

station

44
Q

what to do with ROM/ BOM

A

immediately assess FHT

45
Q

what to do with a cord prolapse

A

Trendelenburg position and lift presenting part off cord

46
Q

Factors affecting labor (5ps)

A 
Power
Passage
passenger
Psyche
Postion
47
Q

Beginning of one contraction to the beginning of the next

A

Frequency

48
Q

beginning of a contraction to the end of the contraction

A

duration

49
Q

increment build up of contraction

A

cresendo

50
Q

the peak of the contraction

A

apex/ acme

51
Q

decrement of contraction

A

decrescendo

52
Q

thinning and shortening of the cervix that occurs during labor

A

effacement

53
Q

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

A

Dilatation/ dilation

54
Q

why does dilation occur

A

contraction

The fluid filled membranes press agains the cervix

55
Q

types of pelviss

A

gynecoid
android
anthropoid
platypelloid

56
Q

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

A

Gynecoid

57
Q

pelvis that is ape like

Long a-p

A

anthropoid

58
Q

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

A

tissue dystocia

59
Q

low lying placenta may cause the baby to assume a

A

transverse lie

60
Q

placenta previa can be associated with

A

breech presentation

61
Q

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

A

fetal lie

62
Q

head first

A

vertical/longitudinal (normal)

63
Q

breech

A

vertical/longitudinal (variation)

64
Q

transverse

oblique lie

A

perpendicular (abnormal)

65
Q

the leading or most dependent portion of the fetus

A

fetal presentation

66
Q

vertex, brow, face presentation

A

cephalic

67
Q

feet up presentation

A

frank breech

68
Q

both feet and sacrum presentation

A

complete breech

69
Q

just a foot/ feet presentation

A

footling breech

70
Q

manipulating the fetus in order to turn it to head first

A

external version

Reproductive (19 decks)

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