Maternal Exam #3 (Week 7)- Sudden Pregnancy Complications

Hypovolemic shock occurs when ____% or blood vol or approx. ____ units of blood have been lost

Postpartum hemorrhage can occur due to the ______ of the muscle of the uterus

Non-identical

What term should be used instead of spontaneous abortion?

Premature separation of the placenta. Occurs after 20 wks.

If a women suspects she is miscarrying, tell her to ____ material passed for health care provider to examine

Oligohyraminos is...

Hemorrhage, infection, hypertension, ectopic pregnancy, & thromboembolism are leading complications of pregnancy

Vaginal bleding, uternine cramping, & partial/complete expulsion of products of conception are s/s of...

This medication can only be given if un-ruptured ectopic

BP >= 140/90, proteinuria is 1 to 2+, 2 lb weight gain in a wk in 2nd trimester, and 1 lb in 3rd trimester

Threatened, inevitable, incomplete, complete, missed, septic, and abortion comp. by infection are all types of what?

Gestational tropoblastic dissease (hydatidiform mole) & premature cervical dilation are comp that occur in which tri?

Prophylactic cerclage is a procedure indicated for...

What are the 3 types of abortions listed in our notes?

Recurrent premature dilation of the cervix

HA/blurred vision, hyperreflexia with possible ankle clonus, edema, epigastric/upper quadrant pain

2nd trimester complications occur during weeks ____ to ____

A variant of gestational HTN in which hematologic conditions coexist with severe preeclampsia involving hepatic dysfun.

What medication can help stop preterm birth?

Easy bruising, petechiae, & oozing from IV site are s/s of...

Spont. abortion characterized by no cramps, brownish discharge, no tissue passed, & cervix closed. Cause is unknown

Spont. abortion characterized by mod. cramps, mild-severe bleed, no tissue passed, & buldging at cervix

This is considered a complication of preg as the body must adjust to the effects of more than one fetus

HELLP syndrome stands for...

Hemorrhage is a major complication of...

Spont. abortion characterized by mild cramps, minimal bleed, complete explusion of uterine contents, & cervix closed

Hydraminos is...

Spontaneous abortion, ectopic preg, & abdominal pregnancy are all complications that can occur in which trimester?

One of the first s/s of placental separation is...

When placenta abnormally implants in lower segment of uterus near or over the cervical os instead of attach to fundus

HIV/AIDs, Group B, Step B-hemolytic, chlamydia, gonorrhea, & candida albicans are all ____ that can cause preg comp.

Proliferation & degeneration of tropoblastic villi in placenta-if not discovered early, explusion will happen at 16 wks

Cause of this is unknown, but is thought to have something to do with chromosomal abnormalities (occurs during 1st tri)

Isoimmunization (Rh incompatibility) occurs when an Rh- mother carries a fetus with Rh+ blood type

3rd trimester complications occur during weeks ____ to ____

Usual amniotic fluid amount

A drug approved to prevent and treat bronchospasm, but off label to halt labor

History of cervical trauma, short labors, preg loss in early gest, alterations in length of cervix are risk factors for

HTN, smoking, premature rupture of membranes, blunt trauma, multifetal preg, & cocaine use are risk factors for...

Spont. abortion that occurs when women have tried to self-abort or aborted illegally.

Significant blood loss can lead to...

Low carotene/animal fat intake, early teens or over 40, women who have clomid are all risk factors for...

When twins are always the same sex

First trimester bleeding can occur between weeks ____ to ___

You should not take folic acid or drink alochol with this med as they can cause a toxic response

What is the 2nd most frequent cause of bleeding in early pregnancy and a leading cause of infertility?

Implantation of a fert. ovum outside of the uterine cavity, usually in the fallopian tube, which can rupture

This type of pregnancy is so rare that instances are difficult to document

Spontaneous abortion characterized by severe cramps, & severe/cont bleeding. Cause is unknown.

What is the cure for HELLP syndrome?

STIs, IUDs, tubal surgery, & assisted reproductive tech are all risk factors for...

UTI, mulifetal preg, hydraminos, smoking, below 17 or above 35, drug abuse, lack of prenatal care are risk factors of...

Obstruction of a blood vessl that has become detached from its site of formation

Rhogam is given when

Severe preeclampsia symtoms along with the onset of seizure activity/coma (s/s=severe epigastric pain, HA, convulsion)

Type of HTN where BP >= 140/90, no proteinuria or edema present, and resturns to normal after 6wks postpartum

Blood disorder that may occur with any trauma

If mom and baby are both Rh negative, they still need Rhogam

A spontaneous abortion is when pregnancy is terminated before ___ weeks

Spontaenous abortion where cramps vary, there is malodorous discharge, tissue passed varies, and cervix usually dilated

HELLP syndrome is a subset of....

Type of spontaneous abortion that occurs with/without slight cramps, mod spotting, no tissue passed, and closed cervix

What is the leading cause of maternal death?