gestational complications

Question 1

abortion

Answer 1

pregnancy that does not reach 20 wks

Question 2

abortion symptoms

Answer 2

vaginal bleeding (heavy)
no bleeding (missed abortion)
cramping/backache
declining HCG levels

Question 3

ectopic

Answer 3

egg implants in a spot other than endometrial lining

Question 4

ectopic symptoms

Answer 4

vaginal spotting
lower quadrant pain
shoulder pain possible
abnormally low HCG levels

Question 5

hydatiform mole

Answer 5

abnormal growth replaces fetus, looks like fluid filled sacs (grape clusters)
no longer a fetus, just cluster of cells

Question 6

hydatiform mole symptoms

Answer 6

brown prune juice colored discharge
no pain
excessive vomitting
abnormal HCG replication
abnormally large uterus

Question 7

monochorionic

Answer 7

1 placenta

Question 8

dichorionic

Answer 8

2 placentas

Question 9

monoamniotic

Answer 9

1 amnion sac

Question 10

diamniotic

Answer 10

2 amnion sacs

Question 11

fraternal twins

Answer 11

2 eggs 2 sperm

Question 12

identical twins

Answer 12

1 egg, 1 sperm, then seperates

Question 13

gestational diabetes mellitus

Answer 13

caused by HPL hormone
insulin requirements increase due to increase in HPL
insulin antagonist

Question 14

placenta abruptio

Answer 14

central: no beeding
complete : fetal mortality 100%
premature seperation of placenta from uterine wall

Question 15

placenta previa

Answer 15

low-lying: possible vaginal delivery
partial/complete: need c-section

Question 16

implants over cervix

Question 17

placenta abruptio manifestations

Answer 17

uterine tenderness
hypovolemia
board like abdomen
fetal distress
***vaginal bleeding

Question 18

placenta previa manifestations

Answer 18

bright red bleeding
painless bleeding
soft uterine body

Question 19

placenta previa interventions

Answer 19

NO vaginal exams
IV access
c-section (term)
type/cross

Question 20

placenta abruptio interventions

Answer 20

c-section
manage hypovolemia