maternal complications

Question 1

preterm labour?

Answer 1

• regular uterine contractions that cause dialation of the cervix before 37 weeks GA

Question 2

main complications with preterm labour?

Answer 2

• prematurity

- associated neonatal complications

Question 3

what is chorioamnionitis?

Answer 3

• maternal infection that affects the placenta and membranes that surround the growing baby

Question 4

cervical length that indicates shortened cervix?

Answer 4

cervical length <25mm

Question 5

preterm labour- funneling of internal os?

Answer 5

> 5mm before 30 weeks

Question 6

postpartum complications?

Answer 6

• uterine bleeding
• uterine atony
• lacerations
• retained placental fragments
• inversion of the uterus
• placenta accreta
• uterine infection

Question 7

75-80% of postpartum hemorrhages are due to?

Answer 7

uterine atony

Question 8

what is uterine entrapment syndrome?

Answer 8

acute problem of early pregnancy due to pelvic entrapment of retroberted or retroflexed uterus

Question 9

clinical classification of hypertensive disorders?

Answer 9

• chronic hypertension
• pregnancy-induced hypertension
• preclampsia
• eclampsia
• HELLP syndrome

Question 10

3 common types of gestational hypertension?

Answer 10

1. chronic hypertension
2. gestational hypertension
3. preeclampsia

Question 11

chronic hypertension?

Answer 11

• BP 140/90

Question 12

what is gestational hypertension?

Answer 12

High blood pressure that develops after week 20 in pregnancy and goes away after delivery.

Question 13

what is preeclampsia?

Answer 13

Both chronic hypertension and gestational hypertension can lead to this severe condition after week 20 of pregnancy

Question 14

s/s of preeclampsia?

Answer 14

• high BP

- protein in the urine

Question 15

The following may increase the risk of developing gestational hypertension?

Answer 15

• 1st time mom
• genetics
• multiples
• <20 years old or >40 years old
• High BP or kidney disease prior to pregnancy

Question 16

pregnancy-induced hypertension S/S?

Answer 16

1. Blood Pressure > 140/90 mmHg
2. Proteinurea > 5 gm/24 hours
3. Oliguria < 400 ml in 24 hours
4. Edema (Positive)
5. Weight gain > 3.6 kg/week after 20th week of pregnancy
6. Headaches, visual disturbance

Question 17

Gestational hypertension can lead to a serious condition called?

Answer 17

preeclampsia

Question 18

preclampsia is sometimes referred to as?

Answer 18

toxemia

Question 19

define preeclampsia?

Answer 19

• hypertension with proteinuria

- generalized edema or both

Question 20

mild preeclampsia symptoms?

Answer 20

• high BP
• water retension
• protein in urine

Question 21

severe preeclampsia?

Answer 21

• headaches
• blurred vision
• inability to tolerate bright light
• fatigue
• N & V
• urinating small amounts
• RUQ pain
• shortness of breath
• tendency to bruise easily

Question 22

what is eclampsia?

Answer 22

development of seizure or coma without an underlying neurologic or febrile origin in a patient with preeclampsia

Question 23

HELLP syndrome affects about ___% of women with eclampsia or severe preeclampsia?

Answer 23

15%

Question 24

HELLP syndrome s/s?

Answer 24

• tiredness
• headache
• nausea
• stomachache
• blurry vision
• nosebleeds
• seizures

Question 25

HELLP is a complication of pregnancy characterized by? (3)

Answer 25

• hemolysis
• elevated liver enzymes
• low platelet count (thrombocytopenia)