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1538 - Test 2 (Reproduction + Human Development) > Placental Complication Focused > Flashcards

Placental Complication Focused Flashcards

1
Q

The umbilical cord consists of: __________ which carry __________blood

and
__________

A

The umbilical cord consists of: TWO ATERIES which carry UNOXYGENATED blood

and

ONE VEIN.

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2
Q

what is PLACENTA PREVIA?

A

PLACENTA PREVIA is when the placenta is improperly implanted in the lower uterine segment

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3
Q

how is PLACENTA PREVIA identified/characterized?

A

PLACENTA PREVIA is characterized by painless, bright red bleeding after 20 weeks

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4
Q

Can you have a VAGINAL delivery with PLACENTA PREVIA?

A

NOOO! Placenta previa will NEVER result in a vaginal delivery!

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5
Q

What factors put a mother/baby at risk for PLACENTA PREVIA?

A 
Male fetus
large placenta
Asian race
Advanced maternal age >35
Prior occurrence
Multi-fetal gestation
Smokes
Previous surgical delivery
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6
Q

Marginal placenta previa

A

Placenta is towards the side of the uterus, but covers the cervix, vaginal opening!

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7
Q

Complete placenta previa

A

Placenta is lying directly over the cervix, vaginal opening

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8
Q

Low-lying placenta previa

A

Placenta is lying low, very close to the cervix, vaginal opening.

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9
Q

Symptoms of expectant placenta previa usually occur before ________ gestation and include a __________ with __________

A

Symptoms of expectant placenta previa usually occur before 36 WEEKS gestation and include a NORMAL FHR with MILD BLEEDING

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10
Q

Symptoms of active placenta previa include:

A

excessive bleeding
fetal distress
uterine infection

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11
Q

Women with placenta previa are at high risk for __________ because the lower half of the uterus is unable to contract.

A

Women with placenta previa are at high risk for POSTPARTUM HEMORRHAGE because the lower half of the uterus is unable to contract.

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12
Q

__________ is the premature separation of a normally implanted placenta.

A

PLACENTAL ABRUPTION is the premature separation of a normally implanted placenta.

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13
Q

__________ is characterized by dark red vaginal bleeding, abdominal pain, uterine tenderness, and contractions after 20 weeks.

A

PLACENTAL ABRUPTION is characterized by dark red vaginal bleeding, abdominal pain, uterine tenderness, and contractions after 20 weeks.

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14
Q

The highest risk for placental abruption are women with ________ during pregnancy

A

The highest risk for placental abruption are women with HYPERTENSION during pregnancy

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15
Q

The #1 acute risk for placental abruption is __________ because it causes a rapid increase in __________

Other causes are __________
and __________

A

The #1 acute risk for placental abruption is COCAINE USE because it causes a rapid increase in BLOOD PRESSURE

Other causes are CAR WRECKS
and DOMESTIC VIOLENCE

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16
Q

An expectant placental abruption is a _______________________

A

An expectant placental abruption is a POTENTIAL EMERGENCY.

17
Q

An active placental abruption is an ________________________

A

An active placental abruption is an ACTUAL EMERGENCY

18
Q

What is expected for an active placental abruption?

A

Vaginal delivery is PERFERRED; both mom and babies life are in jeopardy.

19
Q

What is WHARTON’S JELLY?

A

WHARTON’S JELLY is mucoid connective tissue that surrounds the vessels within the umbilical cord!

20
Q

What is VASA PREVIA

A

VASA PREVIA occurs when the blood vessels of the umbilical cord are not covered in Wharton’s jelly so they become susceptible to rupture.

21
Q

What is NUCHAL CORD

A

NUCHAL CORD means the cord is wrapped around the neck

22
Q

What is a TRUE KNOT?

A

TRUE KNOT is a common cause for still born births; most common in twins who share an amniotic sac

A super active baby with a long cord is also at high risk

23
Q

__________ or ___________ is when there is no fetus but trophoblast developed abnormally

A

HYDATIDIFORM MOLE or GESTATIONAL TROPHOBLASTIC DISEASE is when there is no fetus but trophoblast developed abnormally

24
Q

A woman with Hydatidiform Mole / Gestational Trophoblastic Disease has to have a __________ every month. __________ should drop every month.

A

A woman with Hydatidiform Mole / Gestational Trophoblastic Disease has to have a PREGNANCY TEST every month. HCG LEVELS should drop every month.

25
Q

A woman with Hydatidiform Mole / Gestational Trophoblastic Disease must be told that she absolutely CANNOT __________

A

A woman with Hydatidiform Mole / Gestational Trophoblastic Disease must be told that she absolutely SHOULD NOT BECOME PREGNANT WITHIN 1 YEAR

26
Q

dizygotic twins (fraternal)

A

two separate babies from the beginning; 2 placentas

27
Q

monozygotic twins (identical)

A

starts as 1, splits to two; shares placenta

28
Q

Placenta previa is characterized by bright painless bleeding after 20 weeks gestation. True or false.

A

TRUE

29
Q

What are the risk factors for placenta previa? Select all that apply.

Exercises
Smokes
Large placenta
Previous surgical delivery
Advanced maternal age
A

Smokes
Large placenta
Previous surgical delivery
Advanced maternal age

30
Q

A woman has a surgical delivery due to placenta previa. Her contracted uterus after surgery will prevent uterine hemorrhage. True or false.

A

False

Since the lower uterine segment does not contract, she may still hemorrhage with a firm fundus.

31
Q

Placental abruption describes the condition where the placenta completely separates from the uterine wall. True or false.

A

False

Placental abruption may describe a complete separation of the placenta from the uterine wall but can also describe a partial separation

32
Q

When vasa previa occurs, the fetal vessels are covered in Wharton’s jelly. True or false.

A

False

In vasa previa, the fetal vessels that connect the umbilical cord to the placenta are not covered in the protective Wharton’s jelly. These unprotected vessels may be easily compressed or torn causing fetal hypoxia, hemorrhage and death.

33
Q

A woman who has experienced gestational trophoblastic disease must use a reliable form of __________ for at least 1 year after treatment.

A

A woman who has experienced gestational trophoblastic disease must use a reliable form of CONTRACEPTION for at least 1 year after treatment.

***pregnancy must be avoided for 1 year after treatment for gestational trophoblastic disease.

34
Q

A woman being actively managed for placental abruption receives an indwelling catheter to keep the bladder empty. True or false.

A

False

A woman experiencing active management for placental abruption, which indicates moderate to severe vaginal bleeding, receives an indwelling catheter to assess maternal organ perfusion.

35
Q

What are the risk factors for abnormal placental attachment? Select all that apply.

irregular menses
previous surgical delivery
retroverted uterus
35 years of age or older
smoking
A

35 years of age or older
smoking
previous surgical delivery

36
Q

Nuchal cord is a serious and rare occurrence in vaginal deliveries. True or false.

A

False

nuchal cord with 1 loop occurs in about 30% of births and is reduced by the provider of care.

1538 - Test 2 (Reproduction + Human Development) (14 decks)

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