Obstetrics
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
|
|
||||
|---|---|---|---|---|---|
| Most common cause of postpartum hemorrhage | Uterine atony (unable to contract and control bleeding)
🗑
|
||||
| extravasation of blood into the myometrium = | Couvelaire uterus
🗑
|
||||
| Placenta previa sx | Spotting in 1st & 2nd trimesters. Sudden painless vaginal bleeding in 3rd. Soft, nontender uterus.
🗑
|
||||
| Abruptio placenta RF | HTN; trauma; folate deficiency; smoking; cocaine; PPROM; chorioamnionitis; rapid decompression of the uterus; thrombophilia; older mom; multiple gestation.
🗑
|
||||
| Causes of postpartum hemorrhage | uterine rupture/ inversion; birth trauma; retained placenta; uterine atony; DIC; von W dz
🗑
|
||||
| Uterine inversion associated with: | uterine atony, fundal placenta, first baby; not necessarily with cord traction
🗑
|
||||
| Uterine inversion sx | shock out of proportion to blood loss
🗑
|
||||
| Uterine inversion tx | Replacement; relaxing agent; laparotomy?
🗑
|
||||
| Uterine atony RF | Chorioamnionitis; over-distended uterus; long labor; oxytocin in labor; MgSO4; genl anesthesia; multiparity; previous postpartum hemorrhage
🗑
|
||||
| Uterine atony tx | Oxytocin; PG F2 alpha (Hemabate); misoprostol; methergine; bimanual compression
🗑
|
||||
| Types of placental abruption | Grade 1 (mild, slight bleeding). Grade 2 (moderate to partial). Grade 3 (large or complete): concealed (blood is retained between detached placenta & uterus)
🗑
|
||||
| risks associated with PROM & PPROM | Infection (chorioamnionitis & endometritis); cord prolapse
🗑
|
||||
| Placental tissue in the lower uterine segment over, or adjacent to, the cervical os = | Placenta previa (results in coverage of cervix, ahead of presenting fetal part)
🗑
|
||||
| In placenta previa, bleeding results from: | separation of placenta from lower uterine segment and cervix
🗑
|
||||
| Placenta previa risk factors | Prior uterine surgery, C-section, D&C, D&E. Older pt. Endometrial vascularity abnormality. Delayed ovulation. Multiparity. Smoking.
🗑
|
||||
| Dx of placenta previa should be done by: | Ultrasound. NOT BY PELVIC EXAM
🗑
|
||||
| Grade 3 placental abruption should be considered: | life threatening to mother and fetus
🗑
|
||||
| Placental abruption pathology | Bleeding into decidua basalis -> separation -> decidua splits and placenta is sheared off -> extravasation into myometrium
🗑
|
||||
| Bleeding >500 mL with vaginal delivery or >1000 mL with C-section | postpartum hemorrhage (early <24h post; late >24h post, up to 6-12 weeks post partum)
🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Created by:
Abarnard
Popular Medical sets