High Risk Pregnancy Test Questions with Correct Answers Latest Update

High Risk Pregnancy Test Questions with Correct Answers Latest Update Who is most at risk for death and damage? - Answers Poor, non-white, very young, older What factors prevent high risk? - Answers Good nutrition, consumer education, access to WIC, r/o who needs early testing, std check, consumer education, early prenatal care, societal commitment for MCH health care What are the BIG FIVE conditions that can lead to complications? - Answers Obesity, hypertension, depression, 35 yo, Diabetes What are the other conditions that can lead to complications? - Answers Being very young (teen) Mental illness Smoking Drug use Migraine HA Abnormal Pap smears Herpes Simplex Virus Why do we worry about migraine HA as a condition that can cause complications? - Answers She can have a stroke, if we increase her blood volume she can have a seizure because she has HTN Why do we worry about abnormal pap smears? - Answers Preterm labor or an incompetent cervix (cerclages sew cervix closed) What are the two types of 3rd trimester bleeding? - Answers Abruptio placenta Placenta previa What is the premature separation of placenta from uterine wall that occurs before 3rd stage of labor? - Answers Abruptio placenta What is the most common cause of serious vaginal bleeding? - Answers Abruptio placenta Bleeding + pain = _________ Placenta - Answers Abruptio No pain + bleeding = Placenta _________ - Answers Previa What is the most common cause of increased risk of placenta abruptio? - Answers Hypertension Why can the premature ROM increase risk for Abruptio Placenta? - Answers The uterus is overdistended with fluid and collapses, sometimes causing the compressio of uterine muscels and the placenta is scrunchin in on itself and can start to peel off Uterine fibroids are fed by what and can get bigger during pregnancy? - Answers Placenta Abruptio What are the s/s of abruptio? - Answers -sudden onset of intense localized uterine pain (abdominal, or low back pain) -vaginal bleeding -board like abd that is tender -fetal distress -maternal symptoms of hypovolemic shock What color is thet bleeding of placenta abruptio? - Answers dark How does abruptio affect contractions? - Answers can be ineffective or occurring too rapidly How does abruptio show on the fetal heart strip? - Answers Hyperactivity of the fetus, then decreased activity and loss of FHR variability and if continues loss of FHR What do you need to prepare mother for with a mild abruptio? - Answers Induce labor and vaginal delivery Kleihauer-Betke (KB) test IV (largest gauge possible) - bc of increased risk of DIC evaluate clotting Type and cross match blood Hospitaliz and monitor maternal bleeding and sx's of labor Monitor FHR Administer betamethasone to stimulate fetal lung maturity What does a positive KB test indicate? - Answers There is fetal blood in mom's circulation What does a negative KB test indicate? - Answers -no blood in circulation but still give Rh if Rh negative mother What is the tx for SEVERE abruptio &/or fetal distress? - Answers -Monitor volume status of mother -Restore blood loss quickly -Continuously monitor fetus -Correct coagulation defect if present -Expedite delivery (prepare for C/S) Placenta _______: implantation of placenta in lower uterine segment - Answers Placenta Previa - ..where it encroaches on the internal os and may cover a portion or all of os. As cervix dilates and effaces, placental attachment is disrupted and bleeding occurs