Placenta Previa, Postpartum Infection, Preeclampsia, Eclampsia, HELLP Syndrome, Preterm Labor, Threatened/Spontaneous Abortion, OB Trauma

Question 1

cervical os remains closed despite bleeding and cramping

bedrest for 24-48 hrs or until bleeding stops
return if pain or bleeding increases
save clots or tissue for MD

Answer 1

threatened abortion

Question 2

cervical os is opened w/ bleeding and cramping, membranes have ruptured

Answer 2

inevitable abortion

Question 3

cervical os is open, tissue in the cervix, but there is incomplete expulsion of products of conception

Answer 3

incomplete abortion

Question 4

complete expulsion of the products of conception

activity as tolerated
vaginal bleeding may continue for 1-2 weeks, should get progressively lighter
slight cramping is normal

return to ED for temp above 100F, chills excessive bleeding (consistently soaking a pad in less than one hour, bleeding more than a normal period or clots larger than a quarter)

Answer 4

complete abortion

Question 5

prolonged retention of dead products of conception after the os has closed

Answer 5

missed abortion

Question 6

intrauterine infection d/t retained products of conception

Answer 6

septic abortion

Question 7

placenta is abnormally implanted in the lower uterine segment or partially obstructs the cervical os

sudden onset of bright red vaginal bleeding which may be profuse

painless

Answer 7

placenta previa

Question 8

SBP > 140 and/or DBP > 90 during pregnancy

Answer 8

gestational htn

Question 9

SBP > 140 and/or DBP > 90 and > 300 mg protein in urine or 1+ on dipstick

Answer 9

pre-eclampsia

Question 10

SBP >160 and/or DBP > 110 and >300 mg protein in urine or 1+ on dipstick

Answer 10

severe pre-eclampsia

Question 11

SBP > 160 and/or DBP > 110, >300 mg protein in urin or 1+ on dipstick and seizure activity

Answer 11

eclampsia

Question 12

decreased BP, decreased resp rate, decreased DTR, decreased UO, increased serum levels

andtidote - 10 ml vial 10% calc gluconate given over 3 min

Answer 12

signs of mag toxicity

Question 13

c/o RUQ pain, n/v, jaundice

hemolysis (elevated LDH or bilirubin), elevated liver enzymes, low platelets

Answer 13

HELLP syndrome