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MCN > Reviewer #3 > Flashcards

Reviewer #3 Flashcards

1
Q

Sometimes called pernicious vomiting

A

Hypermesis Gravidarium

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2
Q

ASSESSMENT FINDINGS for Hypermesis Gravidarium

A
  1. Severe nausea and vomiting
  2. Elevated hematocrit
  3. Reduced serum levels of sodium, potassium, and chloride
  4. Hypokalemic acidosis
  5. Polyneuritis
  6. Weight loss
  7. Urine positive for ketones
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3
Q

Administer intravenous solutions like?

A

Ringers lactate with added Vit B

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4
Q

Sedative med for Hypermesis…

A

Phenobarbital

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5
Q

Antiemetic med for Hypermesis…

A

Chlorpromazine

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6
Q

The placenta grows on the back
wall of your uterus

A

Posterior placenta

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7
Q

The placenta grows on the front
wall of your uterus closest to your abdomen.

A

Anterior placenta

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8
Q

The placenta grows at the top of
your uterus.

A

Fundal placenta

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9
Q

The placenta grows on the right or
left wall of your uterus.

A

Lateral placenta

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10
Q

Premature separation of
the placenta.

A

Abruptio placenta

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11
Q

Predisposing factors of Abruptio placenta

A

high parity, chronic hypertensive
disease, pregnancy-induced hypertension, direct trauma, and vasoconstriction from cocaine use.

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12
Q

Which category of abruptio placenta has concealed hemorrhage

A

Partial and Complete separation

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13
Q

No symptoms apparent; diagnosis made after delivery

A

Grade 0

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14
Q

Minimal separation enough to cause vaginal bleeding and changes in maternal vital signs; no fetal distress or hemorrhagic shock

A

Grade 1

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15
Q

Moderate separation; evidence of fetal distress; uterus tender and painful on palpation

A

Grade 2

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16
Q

Extreme separation; without immediate intervention, maternal shock and fetal death result

A

Grade 3

17
Q

As initial separation occurs what happens in uterine fundus

A

Sharp stabbing pain

18
Q

Uterine outline is possibly?

A

Enlarged or Changing shape

19
Q

if placenta separates first at the edges and blood escapes freely from the cervix causes?

A

External Bleeding

20
Q

To minimize fetal anoxia administer?

A

oxygen via mask

21
Q

A low implantation of the placenta

A

Placenta previa

22
Q

Implantation in the lower rather than the upper portion of the uterus

A

Partial placenta

23
Q

Implantation that occludes a portion of the cervical os

A

Partial previa

23
Q

The placental edge approaches that of the cervical os

A

Marginal placenta

24
Q

Implantation that totally obstructs the cervical os

A

Complete previa

25
Q

The degree to which the placenta covers the internal cervical os

A

100%, 75%, 30%, and so forth.

26
Q

Med used to encourage fetal lung maturity

A

Betamethasone

27
Q

Chorionic villi are in contact with the myometrium

A

Placenta Accreta

28
Q

Where the chorionic villi invade the myometrium

A

Placenta Increta

29
Q

Where the chorionic villi penetrate the uterine serosa

A

Placenta Percreta

30
Q

Management for Placenta Percreta

A

Intraoperative ligation or embolization of the internal iliac arteries, immediate hysterectomy or therapy with methotrexate, and preservation of bladder tissue.

31
Q

There is 1 or 2 lobes connected to the
placenta by blood vessels

A

Placenta Succenturiata

32
Q

The PLACENTA divides into 2 lobes.

A

Placenta Bipartita

33
Q

The PLACENTA divides into 3 lobes

A

Placenta Tripartita

34
Q

The cord has divided into small vessels before entering the placenta

A

Velamentous Insertion of the Cord

35
Q

The velamentous insertion of the cord has implanted in the cervical os

A

Vasa Previa

36
Q

Classic triad of vasa previa

A

Rupture of membranes, Painless vaginal bleeding, Fetal bradycardia

37
Q

Vasa previa management

A

Immediate CS delivery to avoid fetal hypovolemia

MCN (8 decks)

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