module 5- Medical Emergencies

Question 1

what are different types of antepartum emergencies?

Answer 1

Spontaneous Abortion
Placenta Previa
Ruptured Uterus
Ectopic Pregnancy
Preeclampsia/Eclampsia
Pregnancy-Induced hypertension
Supine hypotensive syndrome of mass destruction response

Question 2

What are the findings for spontaneous abortion “Miscarriage”?

Answer 2

Cramp-Like abdominal pain
Vaginal bleeding

Unique:
Passage of tissue or blood clots

Question 3

What is the treatment for antepartum emergencies?

Answer 3

ABC’s
Place a sanitary pad over the vaginal opening
Treat for shock
Transport on her side
Ask patient when last menstrual period began

Question 4

What are the findings for Abruptio Placenta?

Answer 4

Abdominal pain
Vaginal bleeding

Unique:

Uterine Contractions
Abdominal Tenderness on palpation
Signs of hypovolemic shock
Note: bleeding may not be visible if blood cannot exit uterus

Question 5

What are the findings for Placenta Previa?

Answer 5

Predisposing factors
Multiparty
Age 35 or older
Previous Placenta Previa
History of Vaginal bleeding
Bleeding after intercourse

Unique:

3rd trimester painless vaginal bleeding

Question 6

What are the findings for Ruptured Uterus?

Answer 6

Vaginal bleeding

Unique:

Tearing, severe abdominal pain
Signs of hypovolemic shock
Cessation of uterine contractions
Ability to palpate the infant in the abdominal cavity

Question 7

What are the findings for Ectopic Pregnancy?

Answer 7

Predisposing factors
Previous ectopic pregnancy
Pelvic Inflammatory Disease
Adhesions from Surgery
Tubal Surgery
Intrauterine Device use
Assessment findings
Vaginal Bleeding

Unique:

Poorly localized pain that becomes sudden and sharp
Abdominal pain radiating to the shoulders
Bloating
Signs of shock
Discoloration around the navel

Question 8

What are the findings for Supine Hypotensive Syndrome?

Answer 8

Dizziness or light headedness
Decrease in blood pressure
Tachycardia
Pale, cool, clammy skin