Obstetrics emergencies

Question 1

Umbilical prolapse

Answer 1

when the umbilical cord precedes the fetus out of the vagina during delivery

Question 2

What does complete umbilical prolapse cause

Answer 2

occlusion and decreased oxygen and blood flow to fetus

Question 3

Nursing management of umbilical prolapse

Answer 3

reposition mom, elevate presenting part, O2, emergency c-section

Question 4

Placenta previa

Answer 4

the placenta is positioned low in the uterus and covers all or part of the cervix

Question 5

s/s of placenta previa

Answer 5

sudden painless bleeding, anemia, pallor, hypoxia, low bp, tachycardia, soft non-tender uterus, rapid weak pulse

Question 6

Management of placenta previa

Answer 6

medical surveillance, bedrest, vaginal delivery if bleeding is minimal

Question 7

Placental abruption

Answer 7

premature separation of the normally implanted placenta from maternal myometrium

Question 8

Management of placental abruption

Answer 8

maintain mom’s cardiovascular status, deliver fetus quickly

Question 9

Uterine rupture

Answer 9

catastrophic tearing of the uterus

Question 10

s/s of uterine rupture

Answer 10

extreme pain in abdomen, sudden fetal bradycardia, vaginal bleeding, hematuria, irregular abdominal wall contour, loss of station in fetal presenting part, hypovolemic shock

Question 11

Anaphylactoid syndrome of pregnancy

Answer 11

amniotic fluid embolism

Question 12

Pathophysiology of ASP

Answer 12

amniotic fluid enters the mom’s blood, setting off an intense immune response leading to widespread inflammation and blood clotting issues

Question 13

What is ASP characterized by

Answer 13

sudden onset hypotension, cardiopulmonary collapse, hypoxia, coagulopathy

Question 14

4 cardinal symptoms of ASP

Answer 14

respiratory failure, altered mental status, hypotension, DIC

Question 15

ASP care

Answer 15

aimed at maintaining oxygen, hemodynamic function, and correcting coagulopathy