FISDAP Medic OBGYN/PEDs review questions and answers 100% verified.

FISDAP Medic OBGYN/PEDs review questions and answers 100% verified. Tx Vaginal Bleeding - correct answers.-Don't put anything up there -Absorb with a pad Pelvic inflammatory disease (PID) - correct infection of the female reproductive tract that can be caused by a bacterium, virus, or fungus. PID: S/S and risk factors - correct answers.S/S: Non traumatic abdominal pain, gonorrhea, chlamydia Risks: multiple sexual partners, previous PID, recent gynecologic procedure, IUD Preeclampsia - correct common type of hypertensive disorder. Higher incidence in primigravida. A progressive disorder that is usually categorized as mild or severe. Preeclampsia S/S - correct answers.-Increase in systolic BP by 30 mmHg and or a diastolic increase of 15 mmHg over baseline. -Often seen in the last 10 weeks of gestation, during labor, or the first 48 hours postpartum. Preeclampsia Tx - correct answers.-Calm patient and dim lights. -Place pt in the left lateral recumbent position. -IV of normal saline and rapid transport with no lights and sirens. -Mag if needed. Eclampsia - correct answers.The most serious manifestation of the hypertensive disorders of pregnancy Eclampsia S/S - correct answers.-Generalized tonic-clonic seizure activity. -Often preceded by visual disturbances. -Epigastric or right upper quadrant pain indicate impending seizure. Eclampsia Tx - correct answers.-Administer oxygen and manage airway. -2-5g of mag in 50 to 100 ml slow iv push. -Consider versed if mag is not effective. -Monitor for bleeding and transport rapidly. (A)PGAR - correct answers.Appearance(Skin): 0= Blue, Pale 1= Body Pink, Extremities Blue 2= Pink Baby A(P)GAR - correct answers.Pulse Rate(HR): 0= Absent 1= 100 2=100 AP(G)AR - correct answers.Grimace(Irritability): 0= No response 1= Grimace 2= Cries APG(A)R - correct answers.Activity(Muscle Tone): 0= Limp 1= Some flexion of extremities 2= Active Motion APGA(R) - correct answers.Respiratory Effort: 0= Absent 1= Slow and irregular 2= Strong Cry Cause of heat loss in newborns - correct answers.-Newborns have a higher surface to volume ratio resulting in increased sensitivity -Heat loss can result from Evaporation, Conduction, Convection, and Radiation -Hypothermic Newborns don't shiver -Hypothermia can be an indicator of sepsis Where fertilization takes place - correct answers.Distal third of Fallopian tube Pregnancy Appendicitis S/S - correct answers.-Nausea, vomiting, fever -During pregnancy, the pain may shift upward toward the upper right quadrant after the first trimester. There may also be some back or flank pain. Umbilical cord vasculature - correct answers.-2 arteries -1 vein -The vein is larger than the arteries and has a thinner wall Signs of imminent placenta delivery - correct answers.Timing: 5-20mins after birth, Third (placental) stage Signs: -Gush of blood from the vagina -Change in size, shape, and consistency of the uterus -Lengthening of umbilical cord protruding from the vagina -Mother has the urge to push Placenta Previa - correct answers.Result of abnormal implantation of the placenta on the lower half of the uterine wall, resulting in partial or complete coverage of the cervical opening. Placenta Previa S/S - correct answers.-Painless bright red blood -Possible uterine contractions Placenta Previa Tx - correct answers.-Treat for shock -Administer oxygen -Initiate iv access -Monitor vital signs Neonatal Resuscitation (Upside Down Pyramid) - correct answers.BLS First: Drying, warming, positioning, suction, tactile stimulation Second: Oxygen Third: BVM Fourth: Chest compressions ALS Fifth: Intubation Sixth: Medications Ectopic Pregnancy S/S and Tx - correct answers.S/S: -unilateral abdominal pain that may radiate to the shoulder on the affected side -a late or missed menstrual period -occasional abdominal bleeding. Tx: Transport comfort Pulmonary Embolism S/S - correct answers.-sudden onset of severe dyspnea accompanied by sharp chest pain -Sense of impending doom. -Tachycardia -tachypnea -jugular vein distention -hypotension. Handling a Limb Presentation - correct answers.-DO NOT ATTEMPT FIELD DELIVERY! -Do not touch the extremity, as it may stimulate the infant to gasp, risking inhalation and aspiration of amniotic fluid. -Assist mother to knee to chest position. -Administer oxygen -Provide reassurance to mother -transport immediately. When to deliver on scene - correct answers.If delivery is imminent (maternal urge to push or crowning)