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FISDAP Medic OBGYN/PEDs review QUESTIONS AND ANSWERS (SCORES 100%)

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FISDAP Medic OBGYN/PEDs review Tx Vaginal Bleeding Correct Answer: -Don't put anything up there -Absorb with a pad Pelvic inflammatory disease (PID) Correct Answer: an infection of the female... reproductive tract that can be caused by a bacterium, virus, or fungus. PID: S/S and risk factors Correct Answer: S/S: Non traumatic abdominal pain, gonorrhea, chlamydia Risks: multiple sexual partners, previous PID, recent gynecologic procedure, IUD Preeclampsia Correct Answer: most common type of hypertensive disorder. Higher incidence in primigravida. A progressive disorder that is usually categorized as mild or severe. Preeclampsia S/S Correct Answer: -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 Answer: -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 Answer: The most serious manifestation of the hypertensive disorders of pregnancy Eclampsia S/S Correct Answer: -Generalized tonic-clonic seizure activity. -Often preceded by visual disturbances. -Epigastric or right upper quadrant pain indicate impending seizure. Eclampsia Tx Correct Answer: -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 Answer: Appearance(Skin): 0= Blue, Pale 1= Body Pink, Extremities Blue 2= Pink Baby A(P)GAR Correct Answer: Pulse Rate(HR): 0= Absent 1= >100 2=<100 AP(G)AR Correct Answer: Grimace(Irritability): 0= No response 1= Grimace 2= Cries APG(A)R Correct Answer: Activity(Muscle Tone): 0= Limp 1= Some flexion of extremities 2= Active Motion APGA(R) Correct Answer: Respiratory Effort: 0= Absent 1= Slow and irregular 2= Strong Cry Cause of heat loss in newborns Correct Answer: -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 Answer: Distal third of Fallopian tube Pregnancy Appendicitis S/S Correct Answer: -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 Answer: -2 arteries -1 vein -The vein is larger than the arteries and has a thinner wall Signs of imminent placenta delivery Correct Answer: 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 Answer: 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. [Show More]

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