Reproductive system CBL Flashcards
1
Q
What is G2P1 mean
A
- Gravidum 2 parum 1
- Woman has had 2 pregnancies (after 24 weeks) and 1 live birth
2
Q
What is defined as pre-term labour
A
- Labour before 37 week gestation
2
Q
What is the condition where there are ruptured membranes but no contractions
A
- Pre-term pre-rupture of the membrane (PPROM)
3
Q
Definition of labour
A
- Series of continuous contractions of uterus to allow cervix to dilate and deliver foetus
4
Q
Complications of PPROM
A
- Infection of amniotic fluid/ membrane
- Separation of placenta from the uterus
- Complications to umbilical cord
- Respiratory distress syndrome to baby
5
Q
What is fFN
A
- Fetal fibrinonectin test
- Positive : increased risk of premature labour within 14 days
- Negative: low risk of premature labour within 14 days
- Allows to judge whether it is safe to discharge woman home
6
Q
Why are corticosteroids administered to reduce risk of choriamnionitis
A
- Enhances lung maturity for neonatal wellbeing
7
Q
What is the function of a tocolytic
A
- Drug that suppresses premature labour
- Not used before 36 weeks and if the women is not going through active contractions
8
Q
What are the signs of respiratory distress syndrome
A
- Rapid shallow breathing
- Flaring nostrils
- Grunting
- Central and peripheral cyanosis
9
Q
How is respiratory distress syndrome managed
A
- Oxygen/ continuous positive airway pressure
- Corticosteroids
- Synthetic surfactant replacement therapy
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10
Q
What is the most likely cause of painless bleeding
A
- Placenta praaevia
11
Q
What is placenta praaevia
A
- Partial/ total blockage of the uterine neck by the placenta
12
Q
Diagnosis of placenta praaevia
A
- Ultrasound
- Do not do vaginal exam (risk of heavy bleeding)
13
Q
Complications of placenta praaevia
A
- Major haemorrhage
- Hypovolemic shock
- Fetal distress (hypoxia)
- Premature labour and delivery
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14
Q
How is placenta praaevia managed
A
- C-section
- Tocolytic medication
- IV fluids
- Blood transfusion
