Shoulder dystocia management — Flashcards

Flashcard 1: Placenta accreta often requires _____ after delivery due to attachment of the placenta to the uterus

Answer: hysterectomy

Flashcard 2: If a previously pregnant patient in the few hours / days after their delivery:- develops a sudden onset of back pain / radicular pain - progresses to complete or partial paralysis of the lower extremitiesWhat is this highly suggestive of?_____

Answer: Spinal epidural hematoma

Flashcard 3: Disseminated intravascular coagulation may occur secondary to obstetric complications due to activation of the coagulation cascade by _____ in the amniotic fluid

Answer: tissue thromboplastin

Flashcard 4: One risk factor for uterine rupture is a prior _____

Answer: c-section (operation)

Flashcard 5: _____ is a complication of pregnancy that presents with a triad of membrane rupture, painless vaginal bleeding, and fetal bradycardia (< 110 beats/min)

Answer: Vasa previa

Flashcard 6: A full-thickness disruption of the uterine wall that typically presents with intense, acute abdominal pain, profuse vaginal bleeding, and fetal distress is most likely what condition?_____

Answer: Uterine rupture

Flashcard 7: leiomyoma (fibroid)

Answer:

Extra: asymptomatic, abnormal uterine bleeding, miscarriagewell-demarcated edges, whorled smooth muscle bundlesgood, does NOT progress to leiomyosarcoma20-40 years, black race

Flashcard 8: endometritis

Answer: retained tissue/foreign body in uterus

Extra: infection and inflammation of endometriumgentamycin + clindamycin +/- ampicillin

Flashcard 9: placenta previa

Answer: placenta attaches near or over internal cervical os

Extra: painless vaginal bleeding during any trimestermultiparity, prior C-section

Flashcard 10: abruptio placentae

Answer:

Extra: painful bleeding in 3rd trimesterlife-threatening for fetus and mothersmoking, HTN, cocaineDIC