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Exam (elaborations)

Fisdap Obstetrics And Gynecology

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FISDAP OBSTETRICS AND GYNECOLOGY

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FISDAP OBSTETRICS AND
GYNECOLOGY
The difference between eclampsia and pre-eclampsia is a seizure.
Headaches, nausea, and hypertension are all signs and symptoms of
preeclampsia.
Once a patient has a seizure they are considered eclampsic.

Which of the following is a sign of pre-eclampsia?

a. Hypoglycemia
b. Hypertension
c. Syncope
- ANSWER- d. SeizuresHypertension.

After assisting a 36 year old female with the delivery of a healthy
newborn baby, she continues to bleed heavily. What should you do?

a. Administer oxygen by a non-rebreather mask.
b. Position her on her left side and elevate her feet.
c. Apply occlusive dressing to the vagina.
d. Massage her uterus over her lower - ANSWER-
abdomen.Massage her uterus over her lower abdomen.

Massaging the uterus will help it contract and inhibit post-partum
bleeding.
This technique is also known as a fundal massage.

A 24 year old female is 10 weeks pregnant. She is responsive to your
voice but her husband states that she has been "vomiting constantly for
the last 3 days." Vital signs are BP 88/48, P 130, and R 22. What should
you suspect?

a. Eclampsia
b. Abruptio placentae
c. Pre-eclampsia

, d. Hyperemesis - ANSWER- GravidumHyperemesis gravidum.
Hyperemesis gravidum is extreme nausea and vomiting
during pregnancy that leads to dehydration.
This dehydration presents as hypovolemic shock, that is why she presents
with hypotension, tachycardia, and tachypnea.

Which is the term for an umbilical cord that is wrapped around an
infants neck?

a. Precipitous
b. Breech
c. Prolapsed
- ANSWER- d. NuchalNuchal.

An umbilical cord that is wrapped around the baby's throat.
Blood flow can be occluded during the pregnancy.
If the cord is tight enough around the newborn's neck it can obstruct the
airway.

An 18 year old female is crying and complaining of being sexually
assaulted. She has dry blood on her face and hands she wants to use the
bathroom and wash off the dry blood. What should you do?

a. Ask her to explain the details of the rape.
b. Ask her to change her clothes and save as evidence.
c. Allow her to clean herself.
d. Comfort her and wrap her in a - ANSWER- blanket.Comfort her
and wrap her in a blanket.

This is emotionally helpful and also preserves evidence.
Allow the receiving facility to clean and bandage wounds once evidence
has been collected.

What is the definition of abruptio placentae?

a. The placenta separates from the uterine wall.
b. The fertilized egg is implanted outside the uterus.
c. A severe complication of pregnancy that induces seizures.

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