Gestation Flashcards

1
Q

Most common place for ectopic pregnancies

A

lumen of tube

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2
Q

Biggest risk for ectopic pregnancy

A

scarring of tube
PID
endometriosis

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3
Q

Spontaneous abortions are usually caused by

A

chromosomal abnormalities in fetus

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4
Q

When no chromosomal abnormalities, spontaneous abortions are normally caused by

A

hypercoagulable states ie SLE

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5
Q

Placenta previa

A

preview of placenta, sitting over cervial os
compression of fetal blood supply during delivery
C-section that baby out

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6
Q

Placental abruption
etiology
complications

A

caused by separation of placenta from decidua

common cause of stillbith–fetal compromise

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7
Q

Placenta accreta

A

placenta bound up into myometrium
requires surgical removal of placenta
or she is going to bleed like crazy

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8
Q

Preeclampsia definition

A

hypertension and proteinuria due to placental vessle compromise

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9
Q

Preeclampsia

pathological finding in placenta

A

fibrinoid necrosis of placental vessels

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10
Q

HELLP syndrome

A
complication of pre-eclampsia
hemolysis
elevated liver enzymes
low platelets
(microthrombi in liver --> liver tissue damage and using up of platelets --> thrombocytopenia and microangiopathic hemolysis)
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11
Q

Risk factors for SIDS

A

cigarette exposure
sleeping on stomach
prematurity

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12
Q

Complete mole formation

A

2 sperm fertilize an empty ovum

  • absent fetal tissue
  • edematous/hydropic villi
  • lots of trophoblasts
  • 2-3% risk of choriocarcinoma
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13
Q

Partial mole formation

A

normal ovum fertilized by 2 sperm or 1 sperm that duplicates

  • fetal tissue present
  • some edematous/hydropic villi
  • focal trophoblast formation
  • low risk of choriocarcinoma
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14
Q

Tests that makes you think it might be a molar pregnancy

A

very, very high hCG
because molars are basically just a ton of trophoblasts
trophoblasts form hCG

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15
Q

No prenatal care

molar pregnancy presentation

A

passing grape-like masses of tissue

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16
Q

What molar pregnancy looks like when you catch it on ultrasound

A

snowstorm look of uterus

17
Q

Feared complication in molar pregnancies

A

development of choriocarcinoma

18
Q

Two pathways of choriocarcinoma

A

germ cell tumor: poor response to chemo

gestation-related: good response to chemo