Clinical 3: Pregnancy

Question 1

What increases the probability of pre-eclampsia?

Answer 1

A history of high blood pressure prior to pregnancy

A history of preeclampsia
Having a mother or sister who had preeclampsia

A history of obesity

Carrying more than one baby
History of diabetes, kidney disease, lupus, or rheumatoid arthritis

Question 2

What examinations do we need to do with a pregnant patient?

Answer 2

1) Inspect
2) Palpate
3) Auscultate

Measurement around the abdomen is impertinent.

If the baby is active

Question 3

What should we measure in an ultrasound?

Answer 3

1) femur length
2) aminotic fluid depth (should be more than 2cm)
3) head circumference
4) abdominal circumference

Question 4

What should we give patients who are predisposed to preeclampsia?

Answer 4

1) Aspirin

2) Calcium

Question 5

What should normal and abnormal placenta look like?

Answer 5

Normal: summer tree
Abnormal: winter-tree

Placental vasculopathy

Question 6

In the 3rd trimester, mothers should sleep on _____

Answer 6

The side

to prevent occluding the Inferior Vena Cava

Question 7

What are signs/symptoms of Preeclampsia

Answer 7

Rapid weight gain caused by a significant increase in bodily fluid

Abdominal pain

Severe headaches

Change in reflexes

Reduced urine or no urine output

Dizziness

Excessive vomiting and nausea

Vision changes