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OB/GYN Scanning > Fetal Lie & Puerperium > Flashcards

Fetal Lie & Puerperium Flashcards

1
Q

This condition occurs when a large heavy gravid uterus compresses the IVC.

A

IVC syndrome

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2
Q

What info should be gained from taking an OB patient history?

A
  1. LMP
  2. pregnancy test
  3. clinical problems
  4. pertinent medical history
  5. EDD
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3
Q

This is the most accurate pregnancy test.

A

serum beta hCG

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4
Q

Serum pregnancy tests can be positive as early as…

A

6 days post conception.

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5
Q

Urine pregnancy test will be positive around…

A

4-6 weeks post LMP.

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6
Q

This is the linear distance between the symphysis pubis and the uterine fundus.

A

fundal height

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7
Q

When FH is at umbilicus, gestation age should be about…

A

20 weeks.

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8
Q

If FH is less than 19 cm, gestation age should be…

A

the # of cm + 1 weeks.

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9
Q

If FH is greater than 19 cm, gestational age should be…

A

the same as the # of cm.

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10
Q

What two pieces of info are required to determine fetal position?

A
  1. maternal plane of section

2. fetal plane of section

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11
Q

This is the relation of fetal parts to one another independent of the mother.

A

fetal attitude

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12
Q

Normal fetal attitude is…

A

chin tucked, arms and legs drawn in.

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13
Q

This is the relation of the fetal parts to the mother.

A

fetal lie

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14
Q

This describes the fetal part closest to the internal cervical os.

A

fetal presentation

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15
Q

This is the most common fetal presentation.

A

cephalic 95%

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16
Q

Name four varieties of cephalic.

A
  1. vertex
  2. sinciput
  3. brow
  4. face
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17
Q

Three types of breech presentation…

A
  1. footling
  2. frank
  3. complete
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18
Q

Frank breech is when…

A

the baby is in the ‘pike’ position - knees straight, feet by the head.

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19
Q

Complete breech in when…

A

the baby is in the ‘cannonball’ position - knees bent, feet by the hips.

20
Q

Footling breech is when…

A

one or both feet are presenting.

21
Q

This happens when part of the cord slips down through the cervix before the baby does.

A

prolapsed umbilical cord

22
Q

This is the period after delivery.

A

puerperium

23
Q

Indications for sonography during postpartum?

A
  1. retained products
  2. PPH
  3. post surgical hematomas
  4. ovarian vein thrombosis
24
Q

This is the process by which the uterus returns to its normal size.

A

uterine involution

25
Q

The size of a postpartum uterus.

A

14 x 7 x 7 cm

26
Q

AP endometrial thickness postpartum.

27
Q

Common postpartum complications…

A
  1. hemorrhage
  2. infections
  3. venous thrombosis
  4. c/s complications
28
Q

PPH is blood loss exceeding ___ for a normal delivery and __ for a surgical delivery.

A

500 ml, 1000 ml

29
Q

This is potentially the most lethal postpartum complication.

30
Q

This is a lack of tone or strength in the uterus following birth.

A

uterine atony

31
Q

Polyhydramnios or multiple gestation can cause this postpartum uterine complication.

A

uterine overdistention

32
Q

What may be left behind after birth as a retained product of conception?

A

succenturiate lobe of the placenta

33
Q

This is the most common route of infection into the uterine cavity.

34
Q

This is suspected when the patient experiences high temps on any two of the first 10 days postpartum.

A

puerperal infection

35
Q

Uterine infections are associated with…

A
  1. poor nutrition and hygiene
  2. anemia
  3. vaginits or cervicitis
  4. PROM
  5. invasive devices
  6. c/s
  7. prolonged labor
36
Q

Clinical signs of uterine infections…

A
  1. elevated temperature
  2. increased WBC
  3. tachycardia
  4. uterine tenderness
  5. malaise
37
Q

This is a rare complication of puerperium in which an iliac or ovarian vein becomes thrombosed.

A

venous thrombosis

38
Q

T/F? Venous thrombosed is more common in patients who deliver vaginally.

A

FALSE, by cesarean

39
Q

Virchow’s Triad is responsible for…

A

venous thrombosis.

40
Q

What’s the Virchow’s Triad?

A
  1. hypercoagulability of blood
  2. venous stasis
  3. alterations of the venous endothelium
41
Q

Predisposing factors for venous thrombosis…

A
  1. endometritis
  2. increased age or parity
  3. obesity
  4. on high doses of estrogen
  5. heart disease
  6. anemia
42
Q

The majority of of venous thrombosis cases occur within __ of delivery.

43
Q

A venous thrombosis is most likely to occur in the…

A

right ovarian vein. (80-90%)

44
Q

The main treatments for venous thrombosis are…

A

anticoagulation drugs and IV antibiotics.

45
Q

Hematomas are most commonly found __ to the uterine incision and __ the bladder.

A

anterior, behind

46
Q

Clinical signs of uterine hematoma..

A
  1. fever
  2. pelvic mass
  3. decreased hematocrit
47
Q

T/F? A postpartum hematoma can be seen anywhere in the pelvic cavity and may include gassy shadowing.

OB/GYN Scanning (14 decks)

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