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Bleeding In Late Pregnancy

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Bleeding in Late Pregnancy lecture given on the Thursday morning of Week 4
Matthew Coulson
Quiz por Matthew Coulson, atualizado more than 1 year ago
Matthew Coulson
Criado por Matthew Coulson quase 6 anos atrás
33
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Resumo de Recurso

Questão 1

Questão
Bleeding in late pregnancy is considered as bleeding any time after [blank_start]24 weeks[blank_end]
Responda
  • 24 weeks
  • 20 weeks
  • 28 weeks

Questão 2

Questão
Bleeding before 24 weeks is a potential sign of [blank_start]miscarriage[blank_end]
Responda
  • miscarriage
  • foetal malformation
  • placental abruption
  • breech presentation
  • early labour

Questão 3

Questão
The placenta is completely formed and the sole source of foetal nutrition as of [blank_start]6 weeks[blank_end] gestation
Responda
  • 6 weeks
  • 10 weeks
  • 14 weeks

Questão 4

Questão
Bleeding from the genital tract after 24 weeks gestation and before the end of the second stage of labour is known as [blank_start]antepartum[blank_end] haemorrhage
Responda
  • antepartum

Questão 5

Questão
A Major antepartum haemorrhage is considered as anything from [blank_start]50[blank_end]-1000ml of blood loss Anything more than 1000ml is a Massive antepartum haemorrhage
Responda
  • 50
  • 100
  • 200
  • 500

Questão 6

Questão
Premature separation of a normally implanted placenta from the uterine wall is known as placental [blank_start]abruption[blank_end]
Responda
  • abruption

Questão 7

Questão
Which 3 of the following are the main defining symptoms of placental abruption?
Responda
  • Intermittent abdominal pain
  • Continuous abdominal pain
  • Bleeding
  • Headache
  • Nausea & Vomiting
  • Oliguria
  • Dysuria
  • Preterm Labour

Questão 8

Questão
A 'woody hard' uterus upon abdominal examination would suggest what is occurring?
Responda
  • Placental abruption
  • Placenta praevia
  • Placenta accreta
  • Vasa praevia

Questão 9

Questão
A woman is diagnosed with having a placental abruption. She has been highly distressed for the past 30 minutes and has just become unresponsive. You feel for a foetal pulse and feel one present. Which two of the following things should be done next?
Responda
  • Resuscitation of Mother
  • Delivery of Baby via Caesarean section
  • Manual removal of foetus via vagina
  • Induction of labour to promote natural birth

Questão 10

Questão
During a placental abruption, the foetal heart should be assessed using which means of investigation?
Responda
  • Cardiotocography (CTG)
  • Doppler Ultrasound
  • Pinard Stethoscope

Questão 11

Questão
After a placental abruption has occurred and been managed appropriately, which of the following is most likely to occur next?
Responda
  • Hypovolaemic shock
  • Anaemia
  • Renal failure
  • Postpartum haemorrhage (PPH)
  • Thromboembolism

Questão 12

Questão
The treatment plan for antiphospholipid syndrome when looking to conceive consists of [blank_start]LMWH + Low Dose Aspirin[blank_end]
Responda
  • LMWH + Low Dose Aspirin
  • LMWH alone
  • LMWH + Warfarin
  • Warfarin + Low Dose Aspirin
  • Low Dose Aspirin alone

Questão 13

Questão
Which condition is characterised by implantation of the placenta in the lower uterus, sometimes covering the cervix? [blank_start]Placenta Praevia[blank_end]
Responda
  • Placenta Praevia

Questão 14

Questão
Placenta praevia typically becomes problematic when it lies over the [blank_start]internal os[blank_end]
Responda
  • internal os
  • external os
  • entrance to the fallopian tubes

Questão 15

Questão
The lower segment of the uterus is [blank_start]thinner[blank_end] and contains [blank_start]less[blank_end] muscle fibres than the upper segment. It also does not [blank_start]contract[blank_end] during labour.
Responda
  • contract
  • dilate
  • thinner
  • thicker
  • less
  • more

Questão 16

Questão
Caesarean delivery is associated with an increased risk of placenta praevia in subsequent pregnancies.
Responda
  • True
  • False

Questão 17

Questão
In terms of a method of delivery, LSCS stands for [blank_start]lower segment caesarean section[blank_end]
Responda
  • lower segment caesarean section

Questão 18

Questão
Which mode of delivery leaves a woman at most risk of developing placenta praevia in subsequent pregnancies?
Responda
  • Spontaneous Vaginal Delivery
  • Caesarian Section
  • Induced Labour

Questão 19

Questão
Placenta Praevia is typically found upon which method of scanning?
Responda
  • Uterine Venography
  • Ultrasound (12 and 20 weeks)
  • Maternal blood testing at 16 weeks

Questão 20

Questão
Placenta praevia typically presents as [blank_start]painless[blank_end] bleeding after the [blank_start]24th[blank_end] week. The amount of blood is typically proportional to the severity of the patient's condition.
Responda
  • painless
  • painful
  • 24th
  • 20th
  • 28th

Questão 21

Questão
The uterus typically feels [blank_start]soft[blank_end] in placenta praevia
Responda
  • soft
  • hard

Questão 22

Questão
CTG is usually normal in a case of placenta praevia
Responda
  • True
  • False

Questão 23

Questão
Vaginal examination should not be performed until placenta praevia is excluded due to risk of damage to the placenta/foetus.
Responda
  • True
  • False

Questão 24

Questão
Patients with placenta praevia are not advised to abstain from sexual intercourse
Responda
  • True
  • False

Questão 25

Questão
For a woman going to give birth preterm, which drugs should be given for ... Neuroprotection - [blank_start]Magnesium Sulphate[blank_end] Encouraging Pulmonary Surfactant production in foetus - [blank_start]Steroids[blank_end]
Responda
  • Magnesium Sulphate
  • Steroids

Questão 26

Questão
A woman with an uncomplicated placenta praevia should have her baby delivered around ...
Responda
  • 36-37 weeks (pre-term)
  • 40 weeks (term)
  • 42 week (post-term)

Questão 27

Questão
In women with placenta praevia: If the placenta is >2cm from the internal os - [blank_start]vaginal birth[blank_end] is encouraged If the placenta lies directly over the internal os - [blank_start]caesarean section[blank_end] is encouraged
Responda
  • vaginal birth
  • caesarean section
  • caesarean section
  • vaginal birth

Questão 28

Questão
Name the condition whereby the placenta is deeply rooted into the uterine wall and doesn't detach naturally, leading to major bleeding. [blank_start]Placenta Accreta[blank_end]
Responda
  • Placenta Accreta

Questão 29

Questão
Most women who have a placenta accreta end up having a c-section w/ hysterectomy, leaving them infertile.
Responda
  • True
  • False

Questão 30

Questão
In which condition of pregnancy does a full-thickness tear occur in the uterus? Uterine [blank_start]rupture[blank_end]
Responda
  • rupture

Questão 31

Questão
As well as the severe abdominal pain, the pain from a uterine rupture typically refers to the ...
Responda
  • Central back
  • Flank
  • Shoulder Tip
  • Epigastric region

Questão 32

Questão
Unprotected foetal vessels overlying the internal os of the uterus is known as [blank_start]vasa praevia[blank_end]
Responda
  • vasa praevia

Questão 33

Questão
Mortality of Vasa Praevia is fairly low at around 15%
Responda
  • True
  • False

Questão 34

Questão
How is Vasa Praevia typically managed?
Responda
  • Delivery via caesarean section
  • Intrauterine band ligation of blood vessels
  • Termination of pregnancy due to high risk of maternal mortality

Questão 35

Questão
Vasa Praevia patients should be given steroids early (around 32 weeks) to prepare for elective preterm caesarean section delivery
Responda
  • True
  • False

Questão 36

Questão
Postpartum haemorrhage is defined as a blood loss of greater than [blank_start]500ml[blank_end] following the birth of the baby
Responda
  • 500ml
  • 250ml
  • 100ml
  • 1000ml

Questão 37

Questão
Primary PPH = Within [blank_start]24 hours[blank_end] of delivery Secondary = [blank_start]24hr - 6 weeks[blank_end] post delivery
Responda
  • 24 hours
  • 3 days
  • 12 hours
  • 24hr - 6 weeks
  • 12hr to 1 week
  • 3 days - 6 weeks

Questão 38

Questão
A major PPH is defined as a blood loss of greater than [blank_start]1000ml[blank_end]
Responda
  • 1000ml
  • 500ml
  • 750ml

Questão 39

Questão
Which of the following is the main cause of PPH?
Responda
  • Uterine Atony
  • Trauma
  • Retained/abnormal placentation
  • Clotting factor abnormality

Questão 40

Questão
Jehovah's Witnesses are typically more difficult to treat in cases of late bleeding in pregnancy.
Responda
  • True
  • False

Questão 41

Questão
Injection of a synthetic version of which human hormone is typically used to stop the bleeding in PPH? [blank_start]Oxytocin[blank_end]
Responda
  • Oxytocin

Questão 42

Questão
Ergometrine can be used induce contractions in cases of PPH, thus helping to stop the bleeding. It is however contraindicated in women with ...
Responda
  • Diabetes
  • Asthma
  • Hypertension

Questão 43

Questão
The laboratory test used to determine how much Anti-D a Rhesus negative woman requires to prevent isoimmunisation is called the [blank_start]Kleihauer[blank_end] test
Responda
  • Kleihauer
  • Klaustein
  • Kinnel's
  • Kerstiell

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