Premature rupture of membranes — Flashcards

Flashcard 1: Placental _____ is the premature separation of the placenta from the uterine wall (decidua) prior to delivery of fetus

Answer: abruption

Flashcard 2: Septic abortion results from retained _____

Answer: products of conception

Flashcard 3: Patients with pelvic inflammatory disease or a ruptured ectopic pregnancy may have _____ performed to extract and ascertain the fluid contents

Answer: culdocentesis

Flashcard 4: Tocolytics are generally used to decrease contraction frequency in _____ labor

Answer: preterm

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: 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 7: endometritis

Answer: retained tissue/foreign body in uterus

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

Flashcard 8: placenta previa

Answer: placenta attaches near or over internal cervical os

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

Flashcard 9: abruptio placentae

Answer:

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

Flashcard 10: mittelschmerz

Answer: blood from ruptured follicle causes peritoneal irritation

Extra: acute onset abdominal pain mimicing appendicitis