Midwifery NARM Prep questions with correct answers

Shock - define physiological process CORRECT ANSWER Progressively diminishing tissue perfusion resulting in oxygen deprivation at the cellular level, resulting in organ failure Shock - signs & symptoms CORRECT ANSWER extreme fatigue, anxiety, diminished responsiveness, pupil dilation, pale skin (poor perfusion), cool clammy skin, tachypnea, fetal distress (FHTs), tachycardia (progressing to bradycardia when severe), dropping BP Shock - treatment CORRECT ANSWER 1. Call for help 2. Ck for open airway and adjust prn 3. Give O2 with nonrebreather mask 15L/m 4. Volume replacement with LR or NaCl - 500 cc wide open with 18-16G catheter or smaller prn (oral fluids if no access/not-permitted to give IV fluids) 5. Position mother on her left side or prop right hip, elevate feet/legs (12"), leaving pelvis flat for blood to escape uterus. If difficulty breathing, prop head up and lower legs 6. Keep her warm 7. Keep her conscious 8. Give remedies (such as aconite or rescue remedy) 9. Encourage voiding / catheterize prn Shock - causes in pregnancy, labor or birth CORRECT ANSWER 1. Inadequately expanded blood volume / hypov