hemorrhagic disorders Flashcards

1
Q

what are the classifications of SAbs?

A
  • threatened
  • inevitable
  • incomplete
  • complete
  • septic
  • missed
  • recurrent
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2
Q

what are the classifications for fetal viability?

A
  • 20 weeks gestation
  • fetal weight of 500g
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3
Q

abortion is the term for pregnancy loss before 20 weeks

A

true

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4
Q

among which classifications of abortion is the cervix closed?

A
  • threatened
  • missed
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5
Q

among which classifications of abortion is the cervix open?

A
  • incomplete
  • recurrent
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6
Q

among which classifications of abortion is the cervix dilated?

A
  • inevitable
  • septic
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7
Q

characteristics of threatened abortion

A
  • vaginal spotting early in gestation
  • no passage of fetal tissue
  • abdominal cramping
  • closed cervix
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8
Q

treatment for threatened abortion

A
  • activity restriction for 24-48 hours
  • sedation
  • no sex nor orgasms for 2 weeks
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9
Q

characteristics of inevitable abortion

A
  • unpreventable
  • moderate-heavy bleeding
  • fetal tissues in cervix
  • dilated cervix
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10
Q

treatments for inevitable abortion

A
  • dilation and vacuum curettage (D/C)
  • administer prostaglandin analog to evacuate uterus
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11
Q

characteristics of incomplete abortion

A
  • passage of conception products
  • U/S reveals retained products
  • open cervix
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12
Q

treatment for incomplete abortion

A

possible need for additional dilation to perform D/C

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13
Q

characteristics of complete abortion

A
  • all conception products passed in bleeding
  • U/S reveals empty uterus
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14
Q

management for complete abortion

A
  • assess if uterine contractions were adequate to prevent hemorrhage
  • check for infection
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15
Q

characteristics of septic abortion

A
  • fever
  • abdominal pain
  • tenderness
  • malodorous bleeding
  • dilated cervix
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16
Q

management for septic abortion

A
  • termination of pregnancy
  • culture and sensitivity studies
  • initiate antibiotic therapy
17
Q

characteristics of missed abortion

A
  • nonviable embryo retained for ≥ 6 weeks
  • closed cervix
18
Q

management for missed abortion

A
  • uterine evacuation
  • monitor blood clotting factors
  • monitor for possible development of DIC at week 12
19
Q

characteristics of recurrent abortion

A
  • ≥ 3 consecutive losses
  • open cervix
20
Q

treatment of recurrent abortion

A
  • prophylactic cerclage (if r/t cervical insufficiency)
21
Q

nursing interventions for abortion

A
  • monitor uterine contractions
  • initiate IV with large bore needles (≥ 18g)
22
Q

what are the symptoms that abortion may be occurring?

A
  • uterine cramping
  • backache
  • pelvic pressure
  • shock
  • malodorous discharge
  • bright red bleeding + fragments
23
Q

what are the s/s of shock?

A
  • weak pulse
  • pallor
  • hypotension
24
Q

what are the different insufficient conditions of a placenta?

A
  • previa
  • abruptio placentae
  • vasa previa
  • accreta
  • increta
  • percreta