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REIGN 109 > Midterms Bleeding Disorders in Pregnancy > Flashcards

Midterms Bleeding Disorders in Pregnancy Flashcards

1
Q

This is rapid loss of more than 1% of body weight
- deprivation of glucose & oxygen in the tissues
- build-up of waste products

A

Hemorrhage

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2
Q

blood loss amounting to 1.5 – 2 L.

A

HYPOVOLEMIC SHOCK

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3
Q

rapid blood loss results in

A

inadequate tissue perfusion

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4
Q

A type of hemorrhage that occurs during pregnancy, labor & delivery

A

Perinatal Hemorrhage

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5
Q

A hemorrhage that occurs anytime dring pregnancy

A

Antepartal hemorrhage

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6
Q

A type of hemorrhage that occurs during labor

A

Intrapartal hemorrhage

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7
Q

What is early and late abortion?

A
  • Early abortion (termination before 12 weeks)
  • Late abortion (termination between 12-20 weeks)
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8
Q

Different Bleeding Disorders of Pregnancy during 1st trimester

A

Abortion & Ectopic Pregnancy

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9
Q

Different Bleeding Disorders of Pregnancy during 2nd trimester

A

Hydatidiform Mole & Incompetent Cervix

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10
Q

Different Bleeding Disorders of Pregnancy during 3rd trimester

A

Placenta previa & Abruptio Placenta

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11
Q

4 Types of abortion

A
  • Elective or Therapeutic Abortion - deliberate
  • Elective abortion - by personal choice
  • Therapeutic abortions - recommended by MD to protect mental & physical health
  • Spontaneous Abortion - due to natural causes; unexpected ending of pregnancy
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12
Q
  • A syndrome of Abnormal proteins (antiphospholipid autoantibodies) initiate coagulation
    leading to clotting in arteries & veins.
  • interfere with oxygen and nutrients.
A

Antiphospholipid Antibody Syndrome (APS)

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13
Q

SIGNS & SYMPTOMS of threatened abortion:

A
  • Light vaginal bleeding (scanty, bright red)
  • No cervical dilatation
  • None to mild uterine cramping
  • More severe cramps may lead to inevitable abortion
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14
Q

SIGNS & SYMPTOMS INEVITABLE OR IMMINENT ABORTION

A
  • Moderate to profuse bleeding
  • Moderate to severe uterine cramping
  • Open cervix or dilatation of cervix
  • Rupture of membranes
  • No tissue has passed yet
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15
Q

The POSSIBLE LOSS of the products of conception.

A

THREATENED ABORTION

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16
Q

THE LOSS of the product of conception that cannot be prevented.

A

INEVITABLE OR IMMINENT ABORTION

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17
Q

The Spontaneous expulsion of the products of conception.

A

COMPLETE ABORTION

18
Q

The Expulsion of SOME PARTS & retention of other parts of conceptus in utero.

A

INCOMPLETE ABORTION

19
Q

RETENTION of all products of conception AFTER the death of a fetus in the uterus.

A

Missed abortion

20
Q

Infection involving the products of conception & the maternal reproductive organ.

A

INFECTED ABORTION

21
Q

Danger signs of infection:

A
  • fever
  • abdominal pain or tenderness, & foul vaginal discharge.
22
Q

Infection complicates the dissemination of bacteria & toxins into the maternal circulatory and organ systems.

A

SEPTIC ABORTION

23
Q

A pregnancy that happens outside the UTERUS.

A

Ectopic Pregnancy

24
Q

Most common site (95%) of implantation in ectopic pregnancy

A

Tubal

25
Q

A benign disorder of the placenta characterized by degeneration of the chorion & death of the embryo.

A

Hydatidiform Mole

26
Q

They create a non-cancerous tumor (like tiny water-filled sacs, similar to a cluster of grapes) instead of a placenta.

A

Hydatidiform Mole

27
Q

Types of molar pregnancy

A

Complete Molar - Sperm fertilizes an empty egg; Embryo can’t grow

Partial Molar - Two sperm fertilized one egg; Embryo develops but can’t survive

28
Q

HCG levels rise rapidly during what trimester

A

1st Trimester

29
Q

Characterized by persistent trophoblastic proliferation after H-mole evacuation

A

GESTATIONAL TROPHOBLASTIC TUMORS

30
Q

Management of all trophoblastic tumor

A

Hysterectomy

31
Q

3 kinds of Hmole

A
  • Choriocarcinoma – most severe malignant complication; requires chemotherapy or radiation.
  • Invasive Mole – locally invasive developing during the 1st six months
  • Placental Site Trophoblastic
32
Q

Premature separation of normally transplanted placenta after 20 weeks of gestation & before delivery of the fetus.

A

Abruptio Placenta

33
Q

Types Based on Placental Separation

A

Partial placental abruption - placenta does not completely detach from the uterine wall.

Complete or total placental abruption - placenta completely detaches from the uterine wall—
more vaginal bleeding.

34
Q

Classifications Based on Signs & Symptoms

A
  • Grade 0 – NO symptoms
  • Grade 1 – SOME EXTERNAL BLEEDING, uterine tetany & tenderness (may/may not be noted), absence of fetal distress & shock (minimal separation).
  • Grade 2 – EXTERNAL BLEEDING, uterine tetany, uterine tenderness, & fetal distress (moderate separation)
  • Grade 3 – INTERNAL & EXTERNAL BLEEDING (more than 1000cc), uterine tetany, maternal shock, probably fetal death & DIC (extreme separation).
35
Q

Colors depending on the types of AP

A

dark red – concealed AP
bright red – revealed AP

36
Q

True or false? If the abruption is SEVERE and the mother or the fetus is at risk,

A

True

37
Q

the placenta completely or partially covers the uterus (cervix) opening in the last mont

A

Placenta Previa

38
Q

Types of Placenta Previa

A

Marginal placenta previa
- placenta is positioned at the edge of the
cervix.
- more likely to resolve on its own

Partial placenta previa
- placenta partially covers the cervix.

Complete or total placenta previa
- placenta is completely covering your cervix, blocking the vagina.
- less likely to correct itself

39
Q

most significant sign of placenta previa

A

Sudden painless vaginal bleeding (begins 24-30 weeks)

40
Q

Management & Treatment of placenta previa

A
  • get the mother as close to the due date as possible.
  • Delivering a C-section

REIGN 109 (3 decks)

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