Maternity Exam 2 (Pregnancy Complications Part Ii)

MATERNITY EXAM 2 (PREGNANCY
COMPLICATIONS PART II)
does death from hemorrhage still remain a leading cause of maternal mortality globally? - ANS yes



is hemorrhage in pregnancy one of the leading causes of antepartum hospitalization and operative
intervention and it is a medical emergency? - ANS yes



what is premature separation of the normally implanted placenta from the uterine wall due to
maternal/uterine bleeding? - ANS abruptio placentae



is 1/3 of all antepartum bleeding due to abruptio placenate? - ANS yes



does bleeding correlate or not correlate with abruption size in abruptio placentae? - ANS it does not
correlate



does bleeding in abruptio placentae stimulate forceful tetanic uterine contractions? - ANS yes



what is more common when placenta implants on abnormal uterine surfaces and there is separation
between the placenta and uterine wall prematurely? - ANS abruptio placentae



do we want the placenta to be healthy and have adequate perfusion and as it grows we do not want it
too close to the cervix because it can cause issues? - ANS yes



does physical bleeding always correlate to how severe the situation is in abruptio placentae? - ANS no,
there may be separations concealed and we might not see vaginal blood, but they could still be losing
alot of blood internally

,what has signs and symptoms of a rigid abdomen, forceful painful contractions of uterus occur, and can
be hypotensive and tachycardic as well? - ANS abruptio placentae



what is associated with:



§ Maternal HTN

§ AMA

§ multiparity

§ cocaine use

§ tobacco use

§ Chorioamnionitis

§ preterm premature rupture of membranes

§ Coagulopathy

§ Trauma? - ANS abruptio placentae



is there a 5 fold increased risk of severe abruptio placentae with chronic hypertension, superimposed
preeclampsia, severe preeclampsia, and anti hypertensive medications do not decrease the risk? - ANS
yes



can rapid change in intrauterine volume lead to abruptio placentae? - ANS yes



is pre eclampsia a high risk factor for placental abruption? - ANS yes



what could occur from trauma like a car accident or falling down the stairs, and trauma of rupture of
membranes? - ANS abruptio placentae



is it important to ask if patients with abruptio placentae smoke, drink, or use ilicit drugs? - ANS yes

, what type of abruptio placentae is otherwise known as concealed hemorrhage? - ANS partial separation



what type of abruptio placenate is otherwise known as an apparant hemorrhage? - ANS partial
separation



what type of abruptio placentae is complete separation but concealed hemorrage? - ANS complete
separation



what are the different classifications of abruptio placentae? - ANS class 0: asymptomatic

class 1: mild

class 2: moderate

class 3: severe



what classification of abruptio placentae is:



· Discovery of a blood clot on the maternal side of a delivered placenta

· Diagnosis is made retrospectively? - ANS class 0: asymptomatic



what classification of abruptio placentae is:



· No sign of vaginal bleeding or a small amount of vaginal bleeding.

· Slight uterine tenderness

· Maternal blood pressure and heart rate WNL

· No signs of fetal distress? - ANS class 1: mild