Labor Complications — Flashcards

Flashcard 331: Patients with pelvic inflammatory disease or a ruptured ectopic pregnancy may have _____ performed to extract and ascertain the fluid contents

Answer: culdocentesis

Flashcard 332: Inflammation of the endometrium due to retained products of conception, miscarriage, abortion, or foreign body (IUD) is known as _____

Answer: endometritis

Flashcard 333: 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 334: One risk factor for uterine rupture is a prior _____

Answer: c-section (operation)

Flashcard 335: What pathology can result in individuals with recent abortion that develop fever and foul-smelling vaginal discharge?_____

Answer: Septic abortion

Flashcard 336: In a patient with a **severe penicillin allergy**, what antibiotic combination is used for prophylaxis before a Cesarean section?

Answer: Gentamicin + Clindamycin

Extra: Standard prophylaxis for Cesarean section is a single dose of **Cefazolin** (a first-generation cephalosporin). In patients with a **severe penicillin allergy** (e.g., anaphylaxis, urticaria), the combination of **Gentamicin and Clindamycin** is the recommended alternative. Note: This same combination (Gentamicin + Clindamycin) is also the gold standard treatment for **postpartum endometritis**, providing broad coverage against the polymicrobial flora (anaerobes and gram-negative rods) involved.

Flashcard 337: Women with severe perineal lacerations are at risk for fecal incontinence due to _____ damage

Answer: anal sphincter

Flashcard 338: Acute endometritis is associated with retained products of _____ or foreign bodies

Answer: conception

Flashcard 339: What is the treatment for infectious endometritis?_____

Answer: Gentamicin + clindamycin with or without ampicillin

Flashcard 340: One theory behind the etiology of endometriosis is transportation of endometrial tissue via the _____ system

Answer: lymphatic