OB Final Exam Study Guide: Questions & Answers: Guaranteed A+ Guide Solution

What is supine hypotension? (Ans- low BP from compression of ascending vena cava & descending aorta that occurs when the woman is lying prone What are signs/symptoms of supine hypotension? (AnsPallor Dizziness/faintness/breathlessness Tachycardia Nausea Clammy skin/sweating How is supine hypotension managed? (Ans- Placing mother on side until signs & symptoms subside/vitals stabilize What are the s/s of an ectopic pregnancy? (AnsAbdominal Pain • dull, low quad pain on one side • then dull pain then sharp stabbing pain* due to tube stretching • can radiate to shoulders if ruptures * due to blood in peritoneal cavity Delayed Menses • up to 90% report period delayed 1-2 weeks Abnormal Bleeding/Spotting • lighter than usual, mild/moderate dark red/brown intermittent vaginal bleeding How is an ectopic pregnancy medically managed? (AnsMethotrexate • antimetabolite & folic acid antagonist • destroys rapidly dividing cells • Urine considered toxic 72 hours after receiving it • Stool may have residue up to 7 days What are the common side effects of ectopic pregnancy medications? (Ans- • Side effects: * gastric distress, N/V, stomatitis, dizziness • Rare side effects:* severe neutropenia, reversible hair loss, pneumonia What therapy(ies) are usually implemented first to manage a client with gestational diabetes? (AnsDiet Exercise What testing can be done to confirm rupture of membranes? (AnsDate and time the fluid was first noted Amount (500-1200 ml) Color (watery, clear, and pale to straw yellow. May have flecks Odor: should not have an odor Nitrazine (pH is 6.5-7.5) * Paper will be blue Fern test * Should see ferningWhat is preeclampsia? (Ansdevelopment of HTN and proteinuria in previously normotensive woman after week 20 of gestation or in early postpartum period absence of proteinuria but new-onset hypertension AND either • thrombocytopenia • renal insufficiency • impaired liver function • pulmonary edema • visual symptoms What is eclamp