Ch 8 complications of labor and birth activity practice FA DAVIS correctly answered graded A+ 2023/2024

Ch 8 complications of labor and birth activity practice FA DAVISAlice is 38, is a G6P3205. Vital signs: 87 bpm pulse, 124/75 BP, 17 respirations, 98% SPO2, and temperature 99.1 F. Her induction has been uneventful. Last sterile vaginal exam showed she was 8/90/+1. Her strip is a category II, and she's contracting every 2-3 minutes. Alice has been breathing well through her contraction until about 5 minutes ago, when you noticed she looked pale, SPO2 is 71% and her BP dropped to 72/46 mmHg. Alice has become cyanotic and the fetal heart rate has become bradycardic. As you push the emergency button, you notice she's foaming at the mouth as her heart rate becomes irregular on the monitor. - correct answer Anaphylatic syndrome of pregnancy -can occur at any time but it most common to occur during labor & delivery -s/s: hypoxia leading to cyanosis, pulmonary edema, & cardiac arrest -Alice requires immediate emergency care, including incubation, possible blood transfusion, and delivery of infant Maria is a 32 year old G3P1102 who is being induced for pre-eclampsia at 47 weeks 5 days. You received a report this morning that Maria's conditions seems to be worsening. Her deep tendon reflexes are brisk, her urine output has decreased from 80 mL/hr to 30 mL/hr, and she's developed a headache that she is rating a 8/10 on a pain scale. Comparing her labs from an hr ago to her admitting labs 38 hrs ago, you note her platelets have dropped from 159 to 92 and her liver enzymes continuing to worsen. - correct answer HELLP syndrom -complication often seen in pre-eclampsia. H stands for hemodialysis EL stands for elevated liver enzymes LP stands for low platelet count *often in an intensive care unit *consideration of IMMEDIATE DELIVERY Georgina and her husband, both 33 yrs old, conceived a child through IVF, and Georgina is now 32 weeks and 3 days along in her first pregnancy. Georgina is in OB triage with complaints of sudden moderate, painless vaginal bleeding after intercourse this morning. Bleeding has stopped, but after performing an ultrasound, provider has ordered that Georgina be admitted to the antepartum unit until