Obstetrics

Question 1

Placental Abruption

Answer 1

Complete disruption of the placenta from the uterine wall. W/ or w/o vaginal bleeding. Amniotic fluid a port wine color. Common complication - DIC. Range of pain, contractions, and amount of bleeding can be mild to severe. Administer tocolytics (Magnesium).

Question 2

GCS Eye Opening

Answer 2

4 - Spontaneous
3 - Speech
2 - Pain
1 - None

Question 3

GCS Verbal Response

Answer 3

5 - Oriented
4 - Confused
3 - Inappropriate words
2 - Incomprehensible sounds
1 - None

Question 4

GCS Motor Response

Answer 4

6 - Obeys commands
5 - purposeful
4 - withdraw
3 - flexi on
2 - extension
1 - none

Question 5

Which complication does a PT w/ placentia previa at high risk for?

Answer 5

DIC. Systemic activation of blood coagulation that generates deposits of fibrin leading to microvascular thrombi.

Question 6

Eclampsia is defined as:

Answer 6

Seizure activity that occurs in PT w/ preeclampsia

Question 7

Symptom of eclampsia

Answer 7

Tonic/clonic seizure R/T pregnancy

Question 8

Reason for performing a permortem c-section

Answer 8

Gestational age of 24-26 weeks