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20 Cards in this Set
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After assisting a 36-year-old female with the delivery of a healthy newborn baby, she continues to bleed heavily. What should you do? |
Massage her uterus over the lower abdomen. Massaging the uterus will help it contract and inhibit postpartum bleeding. This technique is also known as fundal massage. This is a safe, non-invasive postpartum hemorrhage treatment. |
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Which condition has the sign of vaginal bleeding that occurs early in the pregnancy? |
A. Spontaneous abortion B. Preeclampsia C. Placenta previa D. Abruptio placenta |
Spontaneous abortion A spontaneous abortion is also known as a miscarriage. Spontaneous abortions are mostly from genetically developmental issues that are not conducive for life. Chances for a spontaneous abortion are reduced after the 20th week of pregnancy. |
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A febrile 28-year-old female complains of bloody urine and lower abdominal pain that increases when she urinates. Vital signs are BP 130/86, P 98, R 18. What should you suspect? |
Urinary tract infection She is febrile due to the body‘s response to the infection. Severe urinary tract infection can cause hematuria (bloody urine). Without treatment the infection can spread to the kidneys (pyelonephritis). |
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A 27-year-old female is 36 weeks pregnant. She has two children and this is her third pregnancy. She complains of lower back pain and tells you, “ I wet myself and I need to have a bowel movement.” What should you suspect? |
Imminent delivery Both of what she said indicates imminent signs of birth. |
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In which position should a 36 weeks pregnant female be transported? |
Left lateral recumbent You should transport her in a left lateral recumbent position. Placing a pregnant patient on her back can occlude the vena cava. If the vena cava is occluded it will impede venous flow to the heart. This condition is known as supine hypotensive syndrome. |
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A 27-year-old female delivered an infant 15 minutes ago. She now states that she feels contractions again. What should you do? |
Prepare to deliver the placenta Within 5-20 minutes of the infant being born you should prepare for the placenta. Contractions are normal part of the third stage and delivery. |
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What is gestational diabetes? |
Gestational diabetes develops during pregnancy and facilitates high-risk pregnancies. The list of included heart defects, defects in the spinal cord and brain, and oversize newborns. |
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Which of the following is a sign of pre-eclampsia? A. Hypertension B. Seizures C. Hypoglycemia D. Syncope |
Hypertension Headaches, nausea and hypertension are signs and symptoms of pre-eclampsia. The difference between eclampsia and preeclampsia is a seizure. |
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A 24-year-old female is 10 weeks pregnant. She is responsive to your voice but her husband states that she has been “vomiting constantly for the last 3 day.” Vital signs are BP 88/48, P 130, R22. What should you suspect? |
Hyperemesis gravidarum Hyperemesis gravidarum is extreme nausea and vomiting during pregnancy that leads to dehydration. This dehydration presents a hypovolemic shock, that is why she is hypotensive (low blood pressure), tachycardic, and tachypnea (increase respiration’s). It is an extreme, persistent case of morning sickness. |
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A 21-year-old woman is in labor. She is lying flat on her back and the newborns head has already delivered. What should you do? |
Make sure the cord is not wrapped around the neck. Once the newborns head has delivered you should assess for a nuchal cord. Make sure the umbilical cord is not wrapped around the newborns neck. |
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What is the definition of abruptio placentae? |
The placenta separates from the uterine wall. An abruptio placenta is when the placenta separates from the uterine wall causing pre-birth bleeding with acute pain. |
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What is a prolapsed cord? |
An umbilical cord that presents first during delivery. A prolapsed umbilical cord is a life-threatening situation. The cord can be occluded between the baby and the cervical opening. The occlusion will inhibit the babies oxygen supply. |
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What is the term for an an umbilical cord that is wrapped around an infants neck? |
Nuchal A nuchal (neck) cord means the umbilical cord is wrapped around the baby’s throat. Blood flow can be occluded through the cord during delivery. If the cord is tight enough around the newborns neck it can obstruct the airway. |
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A 31-year-old female is actively seizing at a local physicians office. She is 28 weeks pregnant and has no history of seizures. What should you suspect? |
Eclampsia The difference between eclampsia and preeclampsia is a seizure. Headaches, nausea and hypertension are signs and symptoms of preeclampsia. Once a patient has a seizure they are considered eclamptic. |
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A 29-year-old female is 32 weeks pregnant. She complains of excessive vaginal bleeding but no pain. What should you suspect? |
Placenta previa Placenta previa is commonly recognized by its distinct painless bleeding. The placenta has formed in an abnormally low location within the uterus. |
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Which is a possible complication for infants born prematurely? |
A. Underdeveloped lungs B. Prolapsed cord C. Meconium staining D. Cephalic disproportion |
Underdeveloped lungs |
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A 30-year-old female has nausea, vomiting, and lower, left-sided abdominal cramping. She tells you that she has been dizzy and lightheaded. What should you suspect? |
Ectopic pregnancy Any female that is of childbearing ages with abdominal pain could have an ectopic pregnancy. If the ectopic pregnancy ruptures she can hemorrhage severely. |
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A newborns head just delivered and a nuchal cord is present. What should you do? |
Attempt to slip the cord over the infants head. A nuchal cord means the umbilical cord is wrapped around the baby’s throat. The initial treatment would be to slip the cord over their head. If that was unsuccessful the next intervention would be to clamp and cut the cord. |
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An 18-year-old female is crying and complains of being sexually assaulted. She has dry blood on her face and hands. She wants to use the bathroom and wash off the dry blood. What should you do? |
Comfort her and wrap her in a blanket. Comforting her and wrapping her in a blanket is emotionally helpful and it also preserves evidence. Allow the receiving facility to clean and bandage wounds once evidence has been collected. |
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A full term pregnant 30-year-old female is in active labor. The babies limb is presenting. How should you position the mother? |
Head down, pelvis elevated This is a limb presentation and she needs definitive care. Positioning her with an elevated pelvis and lower head will help slow down the delivery and pressure placed on the fetus. |
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