Labor Complications — Flashcards

Flashcard 41: In a patient with stress incontinence, laughing, coughing, and other exertions precipitate leakage due to increases in _____

Answer: intra-abdominal pressure

Flashcard 42: The _____ test is used to quantify fetal-maternal hemorrhage (e.g., following trauma or placental abruption) to determine the necessary dose of Rho(D) immune globulin.

Answer: Kleihauer-Betke

Extra: A maternal blood smear is exposed to acid and stained afterwards; adult hemoglobin is removed by the acid, whereas fetal hemoglobin (HbF) is not, resulting in pink cells that indicate fetal hemoglobin on a positive test. Note: Placental abruption is primarily a clinical diagnosis. The Kleihauer-Betke test is not used to diagnose abruption; rather, it is used to quantify fetal-maternal hemorrhage to determine the required dose of Rho(D) immune globulin (RhoGAM) in Rh-negative patients.

Flashcard 43: _____ incontinence is associated with a positive bladder stress test

Answer: Stress

Flashcard 44: 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 45: Choriocarcinomas may present with _____ due to lung metastasis

Answer: hemoptysis

Flashcard 46: Vaginal delivery, prostate surgery / hysterectomy, post-menopausal state, obesity increase risk for _____ incontinence

Answer: stress

Flashcard 47: Misoprostol promotes _____ contraction and therefore may be used for induction of _____

Answer: uterine

Extra: Sketchy Pharmacology: GI

Flashcard 48: Uterine _____ can be palpated as an opening in the uterine wall

Answer: rupture

Flashcard 49: Patients with pelvic inflammatory disease or a ruptured ectopic pregnancy may have _____ performed to extract and ascertain the fluid contents

Answer: culdocentesis

Extra: Culdocentesis is using a needle to extract fluid from the pouch of douglas (posterior cul-de-sac) by inserting a needle through the posterior fornix of the vagina

Flashcard 50: What is the recommended outpatient treatment for **pelvic inflammatory disease** (PID)?\n_____

Answer: Ceftriaxone + Doxycycline + Metronidazole

Extra: CDC guidelines (2021) recommend the addition of Metronidazole to the Ceftriaxone + Doxycycline regimen to provide better coverage for anaerobic organisms. Doxycycline (14-day course) is preferred over Azithromycin for PID.