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20 Cards in this Set
- Front
- Back
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What are the 3 types of placenta acreta
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1. accreta vera
2. increta 3. percreta |
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among the 3 types of placenta acreta....which is most common
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accreta vera
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definition:
placental attachment to myometrium without invasion |
placenta accreta vera
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definition:
placental attachment penetrates into myometrium |
Placenta increta
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definition:
Placental attachment extends past myometrium with invasion of uterine serosa with likely attachment to other pelvic structures (i.e. bladder) |
placenta percreta
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What are the fetal complications of placental acreta
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-pre-term delivery
-IUGR |
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What are the maternal complications of placenta acreta
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-extremely life threatening
-hypovolemic shock -massive hemorrhaging -DIC |
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How do we manage or treat placenta acreta
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C-section & hysterectomy required!!
-have blood products in room |
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condition defined as inversion of the uterus through the cervix and into the vagina ( turns inside out)
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uterine inversion
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How do we manage or treat uterine inversion
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-extend epidural block
-IV sedation (ketamine, fentanyl, propofol) may also need NGT and 1.5 MAC GETA |
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What are the 4 types of hematomas
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1. vaginal
2. Vulvar 3. Vulvovaginal 4. Retroperitoneal |
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What type of hematoma causes bleeding from the uterine artery with vaginal deliveries being at a higher risk
a. vaginal b. vulvar c. vulvovaginal d. retroperitoneal |
vaginal
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What type of hematoma is caused by bleeding from the pudendal artery.
1. vaginal 2. vulvar 3. vulvovaginal 4. retroperitoneal |
vulvar
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What type of hematoma is the most dangerous and is caused by bleeding from the hypogastric artery
a. vaginal b. vulvar c. vulvovaginal d. retroperitoneal |
retroperitoneal
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A pt who is having a C-section or has a history or scarred uterus will be at risk for which type of hematoma
a. vaginal b. vulvar c. vulvovaginal d. retroperitoneal |
retroperitoneal
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T or F
(non-severe) hematomas may be self-limiting and require no treatement |
true
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What is the treatment for a life-threatening hematoma
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X-lap and ligation of hypogastric vessels
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what is defined as: abnormal insertion of the umbilical vessels over the cerival OS
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vasa previa
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Describe the clinical presentation of Vas previa
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-ROM is followed by onset of vaginal bleeding and non-reassuring FHR tracings
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What are 2 fetal complications with vasa previa
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- exsanguination
- hypoxia **stat C-section required** |
