Trauma And PregnancY

Question 1

T or F aggressive volume resuscitation is encouraged even for normotensive patients

Answer 1

T

Question 2

Disadvantages of FAST ultrasonography

Answer 2

Poor sensitivity for placental abruption

Decreased sensitivity with increased gestational age and BMI

Question 3

Diagnostic study with no fetal risk

Answer 3

MRI

Question 4

Slow and impractical diagnostic study for unstable trauma patient

Answer 4

MRI

Question 5

CT scan radiation is dose dependent - the number is

Answer 5

< 50 mGy (5 rad)

Question 6

Lab values that increase in pregnancy

Answer 6

WBC by 10-40%
Fibrinogen levels by 400% normal levels may indicate DIC and placental abruption
Coag factors 50-200% therefore D-dimers are pointless

Question 7

Lab values decreased with pregnancy

Answer 7

PaCO2 by 15%

Cr to 0.4-0.8

Question 8

KB test purpose

Answer 8

Detects fetal RBC in maternal blood

Want to prevent maternal alloimmunization in RH negative mothers

Question 9

Treatment for positive KB test aka MFH

Answer 9

300 mcg RhoGAM 72 hours post injury - 30 ml of fetal blood

Question 10

Associated with cleft lip and palate

Answer 10

Benzos

Question 11

Increased risk for spontaneous abortion and fetal asphyxia

Answer 11

Nitrous

Question 12

Tx to prevent pulmonary aspiration for GA

Answer 12

Empty/decompress stomach with gastric tube

Antacid prophylaxis

Question 13

May be contraindicated in bleeding trauma patients that are hypotensive

Answer 13

Propofol

Question 14

T or F inform OB of any administration of opioid - can affect FHR

Answer 14

T

Question 15

How to achieve LUD during CPR

Answer 15

Sandbag under right hip

Wedge