safe and effective care with pregnant woman

Question 1

what is obsteric history?

Answer 1

obsteric history- what hospital they are at. how many weeks pregnant? any information notes from the midwife/

Question 2

what would you ask a pregnant woman in previous history?

Answer 2

any history of:
hypertension.
any history of epilepsy?
diabetic?
asthma?

Question 3

what is past obsteric history?

Answer 3

how many pregnancies have they got?
any complications with any pregnancies?

Question 4

what questions would you ask about current pregancy?

Answer 4

how many weeks.
due date
how many babies
any issues
any concerns

Question 5

what are the 3 stages of labour?

Answer 5

The first stage is the dilation of the cervix,
the second stage is the birth of the baby,
and the third stage is the delivery of the placenta.

Question 6

what is post partum hemorrhage?

Answer 6

heavy bleeding after birth. primary is wben they loose 500ml or more within the first 24 hours

secondary is when there is abnormal vaginal bleeding between 24 hours-12 weeks after birth

Question 7

symptoms of post partum haemorrhage?

Answer 7

uncontrolled bleeding. hypotension, tachycardia, swelling and pain in the vaginal area

Question 8

what is the treatment for post partum haemorrhage

Answer 8

TXA (treats bleeding)
misoprostol
fluids for hypotension

Question 9

what is placenta abruption?

Answer 9

the placenta becomes detached from the uterine wall resulting in blood loss in the retro- placenta from the urine wall

Question 10

what are the signs of placenta abruption?

Answer 10

vaginal bleeding, abdominal pain, back pain, uterine tenderness.

Question 11

what treatment do you give for placenta abruption?

Answer 11

pain relief, fluids for hypotension and treat the hypovolemia accordingly.

Question 12

what is placenta previa?

Answer 12

an abnormally sited placenta which lies down in the uterus and partially or wholly occluded the opening of the cervix

Question 13

what are the signs of placenta previa?

Answer 13

severe hemorrhage,
unlikely to have pain,

Question 14

what is preeclampsia?

Answer 14

Preeclampsia is high blood pressure and signs of liver or kidney damage that occur in women after the 20th week of pregnancy

disorder of widespread vascular endothelial malfunction and vasospasm that occurs after 20 weeks gestation

Question 15

what are signs of preecampsia?

Answer 15

severe headache, changes in vision, upper abdominal pain, nausea and vommiting, decreased urine output, shortness of breath

Question 16

what treatment should be given for preeclampsia?

Answer 16

medications to lower bp,
corticosteroids (reduce inflammination)
anticonvulsant (reduce the severity of epileptic fits)
delivery of the baby

Question 17

what is eclampsia?

Answer 17

a severe complication of preeclampsia. rare but high blood pressure which results in seizures during the pregnancy.

Question 18

what are the signs of eclampsia?

Answer 18

hypertension, swelling of the hands and face, headaches, nausea and vomiting, visual problems, difficulty urinating, abdominal pain, seizures and loss of consciousness