OB Pediatric FISDAP 2022 QUESTIONS AND ANSWERS ALL CORRECT

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OB Pediatric FISDAP 2022 what is preeclampsia? Correct Answer: A condition of late pregnancy that involves gradual onset of hypertension, headache, visual changes, and swelling of the hands and fe... et; also called pregnancy-induced hypertension or toxemia of pregnancy. What is eclampsia? Correct Answer: Seizures that result from severe hypertension in a pregnant woman. How do you stop seizures in patients with severe preeclampsia or eclampsia? Correct Answer: Administration of Magnesium sulfate What is abruptio placentae? Correct Answer: A premature separation of the placenta from the wall of the uterus. What are the signs and symptoms of abruptio placenta? Correct Answer: a sudden onset of severe abdominal pain, often radiating into the back; there will also be decreased fetal movement and decreased fetal heart tones. The patient may report vaginal bleeding, although in some cases the blood does not emerge through the cervix and the bleeding may remain concealed within the endometrium. Physical examination may reveal signs of shock, often out of proportion to the apparent volume of blood loss. The abdomen will be tender and the uterus rigid to palpation. Other complications include severe hemorrhaging. If the hemorrhaging cannot be controlled after delivery, a hysterectomy may be necessary. What are the signs and symptoms of Placenta Previa? Correct Answer: The chief complaint of a woman with placenta previa is usually painless vaginal bleeding, with the loss of bright red blood. Because the blood supply to the fetus is not immediately jeopardized, fetal movements continue and fetal heart sounds remain audible. What is Placenta Previa? Correct Answer: In placenta previa, the placenta is implanted low in the uterus and, as it grows, it partially or fully obscures the cervical canal. What is gravidity? Correct Answer: total number of times a woman has been pregnant regardless of those pregnancies' outcomes, including the current pregnancy. What is Parity? Correct Answer: Number of live births What are the stages of labor? Correct Answer: first stage second stage third stage of labor (placental stage) What happens in the first stage of pregnancy? Correct Answer: begins with the onset of labor pains—crampy abdominal pains that may radiate into the small of the back and reflect the contractions of the uterus. What happens in the second stage of pregnancy? Correct Answer: begins as the head of the fetus descends and flexes (chin to chest) to enter the birth canal. What happens in the third stage of pregnancy? Correct Answer: (placental stage) is the period that involves separation of the placenta from the uterine wall. What is crowning? Correct Answer: It is the appearance of the infant's head at the vaginal opening during labor. Indicates that the fetus will be born within the next few minutes. Crowning is considered the beginning of the second stage of labor. What do you do if you see crowning? Correct Answer: place your sterile gloved hand over the emerging bony parts of the head, and by exerting minimal pressure, control the delivery of the head. What is a prolapsed umbilical cord? Correct Answer: When the umbilical cord presents first and gets squeezed between the vaginal wall and the baby's head, cutting off blood supply. How do you treat prolapsed umbilical cord? Correct Answer: Elevate hips > Oxygen > pant with contraction > 2 fingers gently push presenting part (not cord) back up into the vagina until it no longer presses on the cord > While you maintain pressure on the presenting part, have your partner cover the exposed portion of the cord with dressings moistened in warmed normal saline > Try to maintain that position, with a gloved hand pushing the presenting part away from the cord, throughout urgent transport to the hospital. [Show More]

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