Placental Problems

Question 1

What are the three Deciduas

Answer 1

1.) Basalis

2.) Capsularis

3.) Parietalis

Question 2

• An implantation of the
placenta in the lower
uterine segment.

• Cause is UNKNOWN but
is thought to occur
whenever the placenta is
forced to spread to find
an adequate exchange surface

Answer 2

Placenta Previa

Question 3

Placenta Previa Risk Factors

Answer 3

✅History of placenta previa
✅Multiparity
✅Increasing Age
✅Large Placenta
✅Smoking and cocaine use in pregnancy
✅Previous CS or other uterine surgery

Question 4

Placenta Previa Classifications

Answer 4

✅Total / Complete
✅Partial
✅marginal
✅Low-Lying

Question 5

Placenta completely covers the internal cervical OS

Answer 5

Total Placenta Previa

Question 6

Placenta partly covers the cervical opening but does not completely cover the OS

Answer 6

partial placenta Previa

Question 7

Placenta edge reaches within 2 to 3 cm of the cervical opening

Answer 7

Marginal Placenta Previa

Question 8

Placenta is implanted in the lower uterine segment near the cervix but does not cover the internal cervical OS

Answer 8

Low lying placenta previa

Question 9

Placenta Previa Signs and symtpoms

Answer 9

• Sudden onset of painless
uterine bright red bleeding

• Soft, relaxed nontender
uterus with normal tone

• If the uterus is lying
longitudinally, the fundal
height is usually greater than
expected for gestational age

• Unengaged fetal presenting
part

Question 10

Transabdominal ultrasound (Location and position of placenta)

Transvaginal ultrasound

Answer 10

Ultrasonography

Question 11

Blood Examination

Answer 11

1.) CBC
2.) Hct and Hgb count
3.) Platelet Count

Question 12

Women is evaluated to determine the amount of _____ and _____________ is initiated to evaluate the fetus

Answer 12

1.) Hemorrhage

2.) Electronic fetal monitoring

Question 13

CONSERVATIVE MANAGEMENT:

If the mother is stable and the fetus is immature and has reassuring status it results into _______

Administer _______ like ________

Answer 13

1.) Delay Birth

2.) Corticosteroids

3.) betamethasone

Question 14

Ultrasonographic exam may be done every _ to _ weeks

Answer 14

2-3 weeks

Question 15

1.) Administer supplemental ______

2.) No vaginal or rectal _____

Answer 15

1.) Oxygen

2.) Examinations

Question 16

Woman is at term (longer than 37 weeks) and in labor or bleeding presistently, what is expected?

Answer 16

Immediate delivery by cesarean is almost always indicated

Question 17

Complications

Answer 17

PROM

Hemorrhage

Preterm Labor