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27 Cards in this Set
- Front
- Back
Define a high risk pregnancy.
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A pregnancy where fetal or maternal life, or quality of life, is in jeopardy.
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List some high risk factors in pregnancy.
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*Under 17, over 35
*Multiparity *Heart disease, diabetes, renal disease, hypertension *Previous premature births, fetal death, c-sections, congenital malformations *Multiple gestation *Failure to obtain antepartal care *Rh incompatibility *Premature rupture of membranes *Maternal vaginal bleeding *Emotional and socioeconomic factors |
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What is the difference between complete and incomplete abortion?
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In a complete abortion all related tissues and the fetus are expelled whereas in incomplete leaves some products of conception behind.
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What is the difference between threatened and inevitable loss of pregnancy?
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Threatened is when there is a possible loss of pregnancy and this become inevitable when there cervix dilates.
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What is an ectopic pregnancy?
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The implantation of the fertilized ovum outside the uterus, generally in the fallopian tube.
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What is some evident signs of an ectopic pregnancy?
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The woman is walking hunched over with extreme abdominal pain.
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What increases the risk of an ectopic pregnancy?
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Anything that leaves scars in the abdomin.
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What is an incompotent cervix?
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A cervix that becomes effaced and dilated painlessly in mid-pregnancy.
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Are ectopic pregnancies a medical emergency?
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Yes.
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What is gestational trophoblastic disease?
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An abnormal pregnancy with chorionic villi changing into clear cystic vesicles resembling clusters of grapes.
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What are some s/s of gestational trophoblastic disease?
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*Signs of pregnancy
*Brownish to dark black vaginal bleeding *Anemia *Hyperemesis gravidarum *Edema |
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What is a complete hydatidiform mole?
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An ovum that has maternal genetic material but does not join with a normal sperm.
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What is a partial hydatidiform mole?
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There are 69 chromosomes instead of 46.
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What is an invasive mole?
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A mole that involves uterine myomytrium.
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What 3 things must be present to have hyperemeis gravidarum?
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1.Severe nausea and vomiting
2.A weight loss of 5% or more 3.Electrolyte imbalances |
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In what position do you place a pregnant woman with an increased BP?
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On the left side.
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What are the signs of mild pre-eclampsia?
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*Increase BP
*Edema of the ankles, hands, or face *1 or 2+ urine albumin |
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What are some signs of severe pre-eclampsia?
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*BP 160/110
*Edema of sacral area and abdomen *3+ urine albumin *Headaches *Blurred vision *Hyperreflexia *Pulmonary edema *HELLP |
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What is HELLP?
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*Hemolytic anemia
*Elevated liver enzymes *Low platelet count |
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What is the drug of choice for gestational hypertension?
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Magnesium sulfate.
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At what point would there be screening for gestational diabetes?
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Between 24-28 weeks gestation.
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What is placenta previa?
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When the palacenta is implanted near or on the maternal cervical os.
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What is abruptio placenta?
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The premature separation of the placenta from the uterine wall.
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How may chlamydia affect a child during birth?
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Causes eye infections.
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How may gonorrhea affect a child during birth?
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Can cause blindness.
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Can herpes be transferred from the mother to the child?
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Yes, after ROM and during vaginal birth.
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How is HIV transmitted to a fetus?
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Through the placenta, during birth, or through the breast milk.
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