OB/Peds Module Exam Study Guide With Correct
Answers A+
1. Gestational Period: 38-PreMature
40 Weeks
42-Overdue
2. Supine Hypotensive Syndrome
Is?
S&S
Mangement?: When pt is laying supine the enlarged uterus compresses the inferior vena cava, which may
diminish or occlude venous blood return to the heart
3rd trimester problem
CAUSES:Hypotenstion & Fetal Distress
Takes about 3-7 minutes for S&S
Nausea
Dizziness
Tachycardia
Anxious
Dyspnea
Syncopal Episodes
Tx)
Placing pt in left lateral recumbent position
Treating any underlying causes
Monitoring vitals signs frequently
Obtain EKG
3. Preeclampsia
Is?
S&S
Mangement?: A potentially dangerous pregnancy complication characterized by high blood pressure, manifest
,after the 20th week
Edema (usually face, ankles, and hands)
,Gradual onset of hypertension
Severe headache
N/V, Agitation, Visual Disturbances
4. Eclampsia
Is?
S&S
Mangement?: Seizures that result from severe hypertension in a pregnant woman
Magnesium Sulfate 2grams over 4-5 minutes
02 as needed--follow seizure protocol
5. Gestational Diabetes Mellitus (GDM)
Is?
S&S
Mangement?: Inability to process carbohydrates during pregnancy, Increased maternal insulin production
causes an imbalance between glucose production and insulin supply
Patient may be asymptomatic or exhibit the same signs as patients with diabetes mellitus
Polyuria, Polydipsia, Polyphagia
Treatment consists of:
Diet control
Oral hypoglycemic medications
Prehospital management includes:
High-flow oxygen
IV fluids
Administration of D50W (if a low blood glucose reading)
6. Hyperemesis gravidarum
Is?
S&S
Mangement?: A condition of persistent nausea and vomiting during pregnancy
Much more serious than morning sickness, especially during the first several weeks
, Prolonged vomiting leads to dehydration and malnutrition
Symptoms include:
Severe and persistent vomiting more than three or four times daily
Projectile vomiting, consisting of bile and sometimes blood
Severe nausea, Pallor, Jaundice
Prehospital treatment includes:
Administer 100% supplemental oxygen via nonrebreathing mask.
Start IV line of normal saline, administering the first 250 mL of fluid.
If protocols allow, administer diphenhydramine.
(a) 10 to 50 mg IV or deep IM
(b) Contraindicated if patient is taking MAO inhibitors
Check blood glucose levels.
Check orthostatic vital signs, and obtain an ECG.
Transport to a hospital.
7. Abortion: Expulsion of the fetus, from any cause, before the 20th week of gestation
8. Spontaneous abortion
Imminent abortion
S&S
Tx: miscarriage
a spontaneous abortion that cannot be prevented
Signs and symptoms include:
Severe abdominal pain from strong uterine contractions
Vaginal bleeding, often massive
Cervical dilation
Treatment includes:
(a) Establishing an IV line of normal saline to maintain blood pressure
Answers A+
1. Gestational Period: 38-PreMature
40 Weeks
42-Overdue
2. Supine Hypotensive Syndrome
Is?
S&S
Mangement?: When pt is laying supine the enlarged uterus compresses the inferior vena cava, which may
diminish or occlude venous blood return to the heart
3rd trimester problem
CAUSES:Hypotenstion & Fetal Distress
Takes about 3-7 minutes for S&S
Nausea
Dizziness
Tachycardia
Anxious
Dyspnea
Syncopal Episodes
Tx)
Placing pt in left lateral recumbent position
Treating any underlying causes
Monitoring vitals signs frequently
Obtain EKG
3. Preeclampsia
Is?
S&S
Mangement?: A potentially dangerous pregnancy complication characterized by high blood pressure, manifest
,after the 20th week
Edema (usually face, ankles, and hands)
,Gradual onset of hypertension
Severe headache
N/V, Agitation, Visual Disturbances
4. Eclampsia
Is?
S&S
Mangement?: Seizures that result from severe hypertension in a pregnant woman
Magnesium Sulfate 2grams over 4-5 minutes
02 as needed--follow seizure protocol
5. Gestational Diabetes Mellitus (GDM)
Is?
S&S
Mangement?: Inability to process carbohydrates during pregnancy, Increased maternal insulin production
causes an imbalance between glucose production and insulin supply
Patient may be asymptomatic or exhibit the same signs as patients with diabetes mellitus
Polyuria, Polydipsia, Polyphagia
Treatment consists of:
Diet control
Oral hypoglycemic medications
Prehospital management includes:
High-flow oxygen
IV fluids
Administration of D50W (if a low blood glucose reading)
6. Hyperemesis gravidarum
Is?
S&S
Mangement?: A condition of persistent nausea and vomiting during pregnancy
Much more serious than morning sickness, especially during the first several weeks
, Prolonged vomiting leads to dehydration and malnutrition
Symptoms include:
Severe and persistent vomiting more than three or four times daily
Projectile vomiting, consisting of bile and sometimes blood
Severe nausea, Pallor, Jaundice
Prehospital treatment includes:
Administer 100% supplemental oxygen via nonrebreathing mask.
Start IV line of normal saline, administering the first 250 mL of fluid.
If protocols allow, administer diphenhydramine.
(a) 10 to 50 mg IV or deep IM
(b) Contraindicated if patient is taking MAO inhibitors
Check blood glucose levels.
Check orthostatic vital signs, and obtain an ECG.
Transport to a hospital.
7. Abortion: Expulsion of the fetus, from any cause, before the 20th week of gestation
8. Spontaneous abortion
Imminent abortion
S&S
Tx: miscarriage
a spontaneous abortion that cannot be prevented
Signs and symptoms include:
Severe abdominal pain from strong uterine contractions
Vaginal bleeding, often massive
Cervical dilation
Treatment includes:
(a) Establishing an IV line of normal saline to maintain blood pressure
