Ch. 33 The Postpartum Uterus

placenta percreta

A placenta that completely invades the uterine myometrium, extending into the serosa is:

delivery, hysterectomy

Antepartum rupture of the uterus causes emergency _________ and _________.

translabial, transperineal

If a post C-section patient cannot tolerate transabdominal or transvaginal imaging, the _________ or _________ imaging method may visualize the C-section incision.

endometritis

Infection of the endometrium

Chorioamnionitis

Inflammation of the amnion and chorion due to a bacterial infection

menstrual resumption

Lactation termination usually produces:

Emboli

Moving particle, such as thrombosis or air, within the bloodstream

endometritis

Occurs more frequently with vaginal delivery following a cesarean section delivery:

cesarean deliveries

POVT is increased with:

right side

POVT occurs most often in the:

Decidua Basalis

Portion of the uterine lining that forms the maternal portion of the placenta

1000 ml

Postpartum hemorrhage is considered over _________ ml of blood with a cesarean delivery.

500 ml

Postpartum hemorrhage is considered over _________ ml of blood with a vaginal delivery

1) hypercoagulability 2. Venous stasis 3. Venous wall damage

Postpartum ovarian vein thrombophlebitis, a potentially life-threatening complication of pregnancy, relates to Virchow's triad: 1. _________, 2. _________, and 3. _________.

100.4 'F, two

Puerperal infection is any infection in the postpartum period characterized by a temperature of over _________ on any _________ successive days after the first 24 hours postpartum.

in the first 24 hours after delivery

Puerperal infection symptoms typically occur :

Endometritis

RPOC has a similar sonographic appearance to:

Venogram

Radiographic examination of the vein performed after injection of a radiopaque contrast medium

Involution

Reduction of an organ to its normal appearance and size

Hysterectomy

Removal of the uterus

RPOC

Retained placental tissue following expulsion of pregnancy is known as _________.

to determine whether the uterus has returned to prepregnancy state

Sonography in the puerperium period is used for all except: a.excessive bleeding b.pelvic pain c.following cesarean delivery d.to determine whether the uterus has returned to prepregnancy state

the puerperium

Starts immediately postdelivery including the placenta and continues until the uterus retains its prenatal shape

Nephrolithiasis

Stones within the kidney

flaccid, a month

The adnexal ligaments of the postpartum patient are typically _________ immediately following delivery, usually returning to their pregravid states within _________.

decidua basalis

The cause of placenta accreta, percreta, and increta is complete or partial absence of the _________.

thick

The endometrium is:

fever, right-sided pelvic mass, and pelvic pain

The most common signs of POVT are:

right ovarian vein

The most frequent site of postpartum thrombophlebitis is:

enlarged

The myometrial vessels are:

homogenous

The myometrium is:

salpingitis

The only infection that is not typically related to postpartum infection is:

14-25 cm

The postpartum uterus longitudinal measurement range:

postpartum period

The puerperium period is most commonly known as the:

thick, fluid

The sonographic appearance of endometritis is that of a _________, irregular endometrium that may have _________ in the endocervical canal.

hematomas

_________ occur when there is bleeding at the C-section site of incision and the body has not reabsorbed the collected blood.

transverse incision

Cesarean section delivery is most commonly performed with a:

postpartum ovarian vein thrombophlebitis

Clot within the ovarian vein

Hematoma

Collection of blood outside the vessels

hematomas, infection

Complications seen most frequently following cesarean section are _________ and _________ at the incision site.

decreased hematocrit, shock, hysterectomy

Conditions likely related to postpartum hemorrage:

Coagulopathy

Defect in the body's clotting mechanism resulting in bleeding

remain the same as in prepregnancy state, except a few more cysts in the first trimester

During pregnancy, ovaries generally:

open and ill-defined

During the postpartum period the cervical OS is:

atony

Failure of the uterus to contract

Thrombophlebitis

Formation of a blood clot because of inflammation

myometrium and parametrial tissues

Endometritis is an infection of the endometrium that may extend to the:

Intravenous therapy, IVC filters, antibiotics

Treatment of PVOT is usually _________ , _________, and _________.

Kidney Breast Endometritis Thrombophlebitis

Types of postpartum infection:

uterine tenderness

Usually, the first indication of uterine (puerperium) infection is:

postpartum hemorrhage

Uterine atony can lead to _________.

oligohydramnios

Which of the following is not identified with uterine atony? a.chorioamnionitis b.rapid labor c.oligohydramnios d.macrosomy

physiologic, biochemical

Withdrawal of pregnancy-induced hormones caused by delivery cause _________ and _________ changes in the postpartum period that return the uterus to the prepregnancy state.

Atony

lack of normal muscle tone

Intravenous Pyelogram (IVP)

radiographic imaging of the kidneys, ureter, and bladder after injection of a radiopaque dye