Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

CMCA LEC PRELIMS > HIGH RISK PREGNANCY > Flashcards

HIGH RISK PREGNANCY Flashcards

1
Q

always a deviation from the normal

A

bleeding during pregnancy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

primary causes of bleeding during pregnancy

A
  1. ABORTION/MISCARRIAGE
  2. ECTOPIC PREGNANCY
  3. H-MOLE
  4. PLACENTA PREVIA
  5. ABRUTIO PLACENTA
  6. ABDOMINAL PREGNANCY
  7. CERVICAL INSUFFICIENCY
  8. DIC
  9. PRETERM LABOR
  10. PROM
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

medical term for any interruption of pregnancy before fetus becomes viable (below 20 weeks).

A

abortion/miscarriage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

early miscarriage is before

A

16th week

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

late miscarriage is between

A

16-24th week

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q
  1. Teratogenic factors
  2. Chromosomal Aberrations
  3. Abnormal fetal development
  4. Implantation abnormalities
  5. Failure to produce enough progesterone
  6. Infection
A

CAUSES OF ABORTION

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Vaginal bleeding/spotting

A

PRESENTING SX OF ABORTION

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

WHAT ARE THE TYPES OF ABORTION

A
  1. Threatened Spontaneous Abortion
  2. Imminent Abortion
  3. Missed Abortion
  4. Incomplete Abortion
  5. Complete Abortion
  6. Habitual Abortion
  7. Septic Abortion
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Spotting, slight cramping

A

Threatened Spontaneous Abortion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Threatened Spontaneous Abortion CAUTIONS

A

Do not use tampons to halt bleeding as this can cause infection.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

May possibly be caused by poor placental attachment.

PRESENTING SX; Spotting, Cramping, cervical dilatation

A

Imminent Abortion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Spotting, cramping, no apparent loss of pregnancy

A

Missed Abortion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Missed Abortion is rarely associated with

A

DIC

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Spotting, Cramping, cervical dilatation, incomplete expulsion off uterine contents

A

Incomplete Miscarriage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Incomplete Miscarriage is high risk for

A
  1. Uterine Infection
  2. Hemorrhage
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Spotting, Cramping, cervical dilatation, complete expulsion off uterine contents

A

Complete Miscarriage

17
Q

Women had 3 spontaneous miscarriage.

A

Habitual Abortion/ Recurrent Pregnancy Loss

18
Q

Caused by
1. Defective spermatozoa and ova
2. Endocrine Factors
3. Uterine Deviations
4. Uterine Infections
5. Autoimmune Disorders

A

Habitual Abortion/ Recurrent Pregnancy Loss

19
Q

abortion complicated by infection

A

septic abortion

20
Q

Implantation occurs outside the uterine cavity associated with tubal constructures.

A

ECTOPIC (TUBAL) PREGNANCY

21
Q
  1. Sudden Unilateral lower abdominal pain
  2. minimal spotting
  3. possible signs of hypovolemic shock / hemorrhage
A

ECTOPIC (TUBAL) PREGNANCY assessment:

22
Q

due to
1. fallopian tube scarring
2. adhesion of ft due to previous infection (CS & PID)
3. congenital malformations
4. uterine tumor

these slow the travel of the zygote.

A

ECTOPIC (TUBAL) PREGNANCY

23
Q
  1. Missed Period (amenorrhea)
  2. Usual s/sx of pregnancy
    • hcg testing / pt
A

sx of EP

24
Q
  1. Sharp stabbing pain in lower abdominal quadrant
  2. Scant vaginal spotting
  3. May lead to shock
  4. falling hcg level
  5. blood loss = hypovolemic shock (lightheadedness, increased PR
A

s/sx of ruptured EP

25
Q
  1. cullen’s sign
  2. dull vaginal & abdominal pain
  3. excruciating pain by movement of cervic during pelvic examination
  4. pain radiates to shoulders due to irritation of the phrenic nerve by blood
A

if px delays time seeking help when having ruptured EP, may develop:

26
Q

UNRUPTURED EP management

A
  1. Methotrexate, IM
  2. Leucovorin
  3. mifepristone (abortifacient)
    - (abortifacients)
  4. IV FLUIDS ADMINISTRATION
  5. CBC
27
Q

shrinks the embryo and halts growth of fetus

A
  1. Methotrexate
28
Q

increases potency of methotrexate

A

leucovorin

29
Q

halts secretions of progesterone

A

mifepristone

30
Q

management of RUPTURED EP

A

LAPAROSCOPY

31
Q

done to ligate the vessel and to remove or repair damaged FT.

A

LAPAROSCOPY

CMCA LEC PRELIMS (2 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions