Module 3: High Risk Preg Disorders

Question 1

Anemia in pregnancy

Answer 1

• Pallor, Fatigue, Vertigo, Dizziness

Question 2

Hypertension in Pregnancy

Answer 2

Risk Factors: Demographic factors, family history, medical factors, obesity
S/S: Headache, Visual Changes

Question 3

Edema Assessment

Answer 3

1+: 2mm
2+: 4mm
3+: 6mm
4+:8mm

Question 4

Subjective Symptoms in HELLP

Answer 4

• Generalized malaise
• Epigastric pain
• N/V
• H/A

Question 5

Antihypertensives for Preeclampsia

Answer 5

1: Labetalol –>
2: Hydralazine —>
3: Nifedipine —>

Question 6

Miscarriage

Answer 6

• Loss of preg before 20 weeks gestation

Question 7

Placenta Previa

Answer 7

Where the placenta implants in lower uterine segment near cervical os
- Total is concern!

Question 8

Abruptio Placenta

Answer 8

Emergency!
- Full premature detachment
- Painful bleeding
- Dark red bleeding

Question 9

Placenta Previa Symptoms

Answer 9

• Painless vaginal bleeding after 24 weeks
• 70% bleeding during pregnancy
• Bright red bleeding
• Life threatening
• NO vaginal exam
• Evaluate with ultrasound

Question 10

Placenta Previa Comp

Answer 10

• Hemmorrhage
• pre term birth

Question 11

Ectopic Preg

Answer 11

Preg outside uterine cavity
- Fallopian tube most common
- Care: Oxygen via face mask 10l/min
- Large bore IV
- Methotrexate ( No folic acid w med ) only give if unruptured!

Question 12

Hyatidiform Mole

Answer 12

• Abnormal development of trophoblast
• HCG
• Faster uterine growth
• Dark, red or brown bleeding

Question 13

Group B Strep Treatment

Answer 13

• Penicillin during labor, infuse q 4H

Question 14

Hyperemesis Gravidarum

Answer 14

• Severe N/V
• Ketones in Urine *

Question 15

HELLP Syndrome

Answer 15

H: Hemolysis
EL: Elevated liver enzymes
LP: Low platlets