Maternity

Question 1

Term gestation

Answer 1

37-42 weeks

Question 2

Preterm gestation

Answer 2

24-36 weeks

Question 3

First stage of labour

Answer 3

Onset of regular painful contractions to full cervical dilation

Question 4

Second stage labour

Answer 4

Full cervical dilation to birth of baby

Question 5

Signs of imminent delivery

Answer 5

Active pushing/grunting
Rectal pressure 
Anal pouting/bulging perineum
Strong unstoppable urge to push
Presenting part on view (crowning)
Statement “I am going to have the baby”

Question 6

Normal pregnancy HR

Answer 6

80-110

Question 7

Normal pregnancy RR

Answer 7

14-19

Question 8

Spo2 aim

Answer 8

> /=94%

Question 9

Why position pregnant patients L) lateral tilt?

Answer 9

To reduce aorta-caval compression and subsequent hypotension

Question 10

S&S of pre-eclampsia (7)

Answer 10

Headache
Cerebral irritability/agitation 
Visual disturbance 
Nausea/vomiting 
Heartburn/epigastric or abdo pain 
Hyper-reflexia
Elevation of 20 above normal BP

Question 11

What is the starting gestation for antepartum haemorrhage?

Answer 11

> 20 weeks

Question 12

Mx for adequately perfused APH

Answer 12

L) lateral tilt position

Appropriate transport

Question 13

Mx for altered perfusion APH

Answer 13

L) lateral tilt position
Appropriate transport with notification
N/saline
Pain management

Question 14

Fluids for less than adequate perfusion APH

Answer 14

N/saline max 40ml/kg titrated to pt response

If consult unavailable repeat 20ml/kg

Question 15

What is the starting gestation for pre-eclampsia/eclampsia

Answer 15

> 20 weeks

Question 16

Significant hypertension pre-eclampsia

Answer 16

SBP 140-170

DBP 90-110

Question 17

Severe hypertension pre-eclampsia

Answer 17

SBP >170

DBP >110

Question 18

Mx of eclampsia

Answer 18

High flow O2
L) lateral tilt
Seizure Mx