HIGH RISK PREGNANCY

Question 1

a woman who develops a complication of pregnancy

Answer 1

high risk pregnancy

Question 2

signs of hypovolemic shock

Answer 2

rapid and weak pulse. low bp, clammy skin

Question 3

causes of bleeding in 1st trimester

Answer 3

abortion and ectopic pregnancy

Question 4

causes of bleeding 2nd trimester

Answer 4

hydatidiform mole and premature cervical dilatation of cervix

Question 5

causes of bleeding 3rd trimester

Answer 5

placenta previa, abruptio placenta, preterm labor

Question 6

any interruption of pregnancy before fetus is viable

Answer 6

abortion

Question 7

fetus is viable (weeks or weight)

Answer 7

20 weeks 500 grams

Question 8

types of abortion

Answer 8

spontaneous, threatened, imminent, complete, incomplete, missed, recurrent

Question 9

threatened : under __ weeks; late __ to __ weeks

Answer 9

16, 16 to 24

Question 10

complications of abortion (HISIP)

Answer 10

hemorrhage, infection, septic abortion, isoimmunization, powerlessness or anxiety

Question 11

implantation outside uterine cavity (in ampulla)

Answer 11

ectopic pregnancy

Question 12

bluish tinge discoloration

Answer 12

cullen’s sign

Question 13

signs of ectopic pregnancy

Answer 13

stabbing pain in lower abd quadrants, rapid rr, weakness, boggy and tender uterus

Question 14

management for ectopic pregnancy

Answer 14

methotrexate and mifepristone

Question 15

management if ruptured ectopic pregnancy

Answer 15

cbc, hgb, IV and laparoscopy

Question 16

ligate bleeders and repair damaged fallopian tube

Answer 16

laparoscopy

Question 17

abnormal proliferation and degeneration of trophoblastic villi

Answer 17

Hydatidiform mole

Question 18

hydatidiform mole assessment

Answer 18

abnormally large uterus, high hcg, no fetal heart sounds, hyperemesis gravidarum

Question 19

incompetent cervix - cervix dilates prematurely

Answer 19

premature cervix dilatation

Question 20

causes of incompetent cervix

Answer 20

congenital development factors, endocrine factors, trauma to cervix

Question 21

signs and symptoms of incompetent cervix

Answer 21

presence of show and uterine contractions, rupture of membranes and painless cervical dilatation.

Question 22

management for incompetent cervix

Answer 22

cervical cerclage (mcdonald or shirodkar procedure)

Question 23

low implantation of placenta

Answer 23

placenta previa

Question 24

types of placenta previa

Answer 24

low-lying, marginal partial, complete

Question 25

placenta previa bleeding

Answer 25

abrupt, painless and bright red

Question 26

management for placenta previa

Answer 26

bedrest or side-lying position, do not attempt internal examinations, monitor intake and output, obtain vital signs, weigh perineal pads, external fetal monitor, blood works, O2 therapy

Question 27

drug lung surfactant for placenta previa

Answer 27

methamethasone or dexamethasone

Question 28

predisposing factors of placenta previa

Answer 28

increasing parity, advanced maternal age and rapid succession if pregnancies

Question 29

premature separation of placenta

Answer 29

abruptio placenta

Question 30

signs and symptoms of abruptio placenta

Answer 30

sharp stabbing pain high in fundus, dark red painful bleeding

Question 31

predisposing factors of abruptio placenta

Answer 31

high parity, advanced maternal age, short umbilical cord, chronic hypertensive disease, PIH, direct trauma, cigarette use and autoimmunity

Question 32

assessment for abruptio placenta

Answer 32

couvelaire uterus, signs of shock, uterus is tense and firm, DIC syndrome

Question 33

management for abruptio placenta

Answer 33

blood works, IV, O2 by mask, side-lying position, no vaginal examination, monitor intake and output, monitor bleeding, monitor vs and fht, IV administration of fibrinogen and cryoprecipitate

Question 34

acquired disorder of blood clotting - easy bruising

Answer 34

disseminated intravascular coagulation

Question 35

management for DIC

Answer 35

dilatation and curettage, dilatation and evacuation, IV administration of heparin, blood or platelet transfusion

Question 36

preterm labor is associated with..

Answer 36

dehydration, uti and chorioamnionitis

Question 37

common symptoms of preterm labor

Answer 37

persistent dull low backache, vaginal spotting, pelvic pressure, uterine contractions, increased vaginal discharge, intestinal cramping

Question 38

how to rule out infection in preterm labor

Answer 38

cervical and vaginal cultures and clean catch urine sample

Question 39

oral tocolytic

Answer 39

duvadilan and duphaston

Question 40

drug administration for preterm labor

Answer 40

antibiotic for group b streptococcus prophylaxis, administration of corticosteroid to fetus (dexamethasone), magnesium sulfate