Y2 SEM 2 > MCN (2) > Flashcards

MCN (2) Flashcards

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1
Q

A BLOOD LOSS MORE THAN 500 ML IN THE 1ST 24 HOURS AFTER VAGINAL DELIVERY

A

early postpartal hemorrhage

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2
Q

4 main reason for post-partum hemorrhage

A

tone, trauma,tissue, thrombin

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3
Q

fails to return to its normal size?

A

uterine subinvolution

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4
Q
  • lack of uterine muscle tone or relaxation of the uterus
A

uterine atony

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5
Q

vaginal mucosa torn

A

1st degree

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6
Q

anal sphincter torn

A

3rd degree

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7
Q

perineal muscle torn

A

2nd degree

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8
Q

rectum torn

A

4th degree

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9
Q

a collection of blood that forms in the perineum

A

perineal hematoma

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10
Q

when is the greatest exposure for Rh incompatibility?

A

during placenta separation

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11
Q

when is the greatest exposure for abo incompatibility?

A

throughout pregnancy

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12
Q

lab findings for rh incompatibility?

A

erythroblastosis, severe anemia, strong Coombs test

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13
Q

lab findings in abo incompatibility?

A

spherocytosis, mild anemia, weak Coombs test

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14
Q

HIV can be caused by____ and _____ during birth

A

placenta transfer and direct contact

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15
Q

what stage of HIV when the virus enter the body and multiply very fast and attack CD4 cells

A

initial invasion

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16
Q

what stage of HIV when the body start to fight back (the body produce antibodies vs HIV)

A

seroconversion

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17
Q
  • stay closed until labor starts; then it gradually dilates in response to contraction
  • painful and appropriately
A

competent cervix

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18
Q
  • starts opening prematurely, often without contraction or labor, usually in the second trimester
  • painless and prematurely
A

incompetent cervix

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19
Q

types of uterine prolapse
- the entire uterus, including the cervix and body, protrudes outside the vagina

A

complete prolapse

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20
Q

types of uterine prolapse
- only the cervix descend into the vagina, the uterus is still inside

A

incomplete prolapse

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21
Q

types of umbilical cord prolapse
- umbilical cord ahead (gigawas)

A

ovult

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22
Q

types of umbilical cord prolapse
- umbilical cord alongside of the fetal presenting part

A

occult

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23
Q

clinical symptoms of inlet contraction

A

head remains high and unengaged

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24
Q

clinical symptoms of outlet contraction

A

head is engaged but descend is low or arrested

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25
management for shoulder dystocia?
McRobert's maneuver and suprapubic pressure
26
symptoms of shoulder dystocia?
- prolonged second stage of labor - arrest decent - turtle sign
27
it has 1 or more accessory lobes connected to the main placenta
placenta succenturiata
28
the fetal side of the placenta is covered to some extent by the chorion
placenta circumvillata
29
the cord is inserted marginally rather than centrally
battledore placenta
30
the umbilical vessels of a velamentous cord insertion cross the cervical os and deliver before the fetus
vasa previa
31
the cord, instead of entering the placenta directly, separates into small vessels that reach the placenta by spreading across a fold of amnion
velamentous insertion of the cord
32
it is the unusually deep attachment of the placenta to the uterine myometrium
placenta accreta
33
part of the uterus tightens abnormally and forms a ring that traps the baby
Bandl's ring (retraction ring)
34
it is a labor that is completed in < 3 hours. It occurs when uterine contractions are strong
precipitate labor
35
Hips: partially flexed knees: extended foot: presenting part
footling breech
36
hips: flexed knees: flexed feet: duol sa buttock
complete breech
37
hips: extended knees: flexed knees: presenting part
knee breech
38
hips: flexed knees: extended feet: tapad sa ulo
frank breech
39
management for uterine prolapse?
- Cesarean - knee chest or trendelenburg position
40
what are the signs of PROM?
- sudden gush of clear fluid in the vagina - nitrazine paper turn blue - positive for ferning test - WBC increased
41
- BP = 140/90 - proteinuria - +1, +2 - edema in the upper body
mild preeclampsia
42
- BP 160/110 - proteinuria - +3 or +4 - extensive edema in the hands and face
severe preeclampsia
43
Which fetal complication is more commonly associated with vacuum-assisted delivery than forceps delivery?
Cephalohematoma
44
what vein is preferred for newborn?
- dorsal - scalp - saphenous - cephalic vein
45
what vein is preferred for adult?
- dorsal - cephalic - basilic - median - sephanous
46
- bright vaginal bleeding - cervix is closed - fetus still alive
threatened miscarriage
47
- heavy vaginal bleeding - membrane may rupture - moderate or severe abdominal pain - cervix dilated
imminent or inevitable miscarriage
48
- no tissue left - cervix closed - bleeding is less
complete miscarriage
49
- persistent vaginal bleeding - cervix is open
incomplete miscarriage
50
- no vaginal bleeding - no cramping - cervix is closed
missed miscarriage
51
- is the low implantation of the placenta in the uterus - painless bright red bleeding - soft abdomen
placenta previa
52
the placenta edge approaches that of the cervical os
marginal implantation
53
implantation in the lower rather than in the upper
low-lying implantation
54
implantation that totally obstruct the cervical os
total placenta previa
55
- is the premature separation of the normally implanted placenta - dark red ang blood - hard abdomen
abruptio placenta
56
occurs at the edge of the placenta
marginal abruption
57
occurs at the center of the placenta
central abruptio
58
types of uterine rupture: - localized tenderness and a persistent aching pain over the area of lower uterine segment
incomplete rupture
59
infection in the reproductive tract
puerperal sepsis
60
inflammation or infection of the inner lining of the uterus
endometritis
61
blood clot forms in a vein under your skin
superficial thrombophlebitis
62
- blood clot that forms in the deep vein - travel through the bloodstream
deep vein thrombosis
63
manipulation performed through the abdominal wall that yield a cephalic presentation
external cephalic version
64
purulent drainage from site
local infection at IV site
65
bleeding from puncture site
hemorrhage
Y2 SEM 2
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