milestone retake 3

Question 1

shoulder dystocia management

Answer 1

occurs when one or both of your baby’s shoulders get stuck inside your pelvis during childbirth. T

mcRoberts Maneuver
-flexing the mother’s thighs toward her shoulders while
she is lying on her back.

superpubic pressure

Question 2

emergency measures- placenta abruption (abruptio placentae)

Answer 2

starting two large-bore IV lines with normal saline or
lactated Ringer’s solution to combat hypovolemia,

obtaining blood specimens for
evaluating hemodynamic status values and for typing and cross-matching, and

frequently monitoring fetal and maternal well-being

Question 3

s/s placenta abruption

Answer 3

dark-red vaginal bleeding (port-wine color) because the bleeding comes from the clot that was formed behind the
placenta;
“knife-like” abdominal pain;
uterine tenderness;
contractions;
decreased fetal movement.

Question 4

birth risk- placenta abruption

Answer 4

c section

Question 5

alcohol withdrawal meds

Answer 5

benzodiazepines,
such as lorazepam (Ativan),
chlordiazepoxide (Librium), or
diazepam (Valium

Question 6

when do sx of alcohol withdrawal start

peaks

when over?

overall length of withdrawal

Answer 6

4-12 hours after reudction

peaks on 2nd

over in ~5 days

1-2 weeks

Question 7

how inflammation bowel dz –> peritonitis

Answer 7

Long-term inflammation and ulcers in the colon can weaken the intestinal wall. Over
time, these weaknesses may develop into a perforation. A perforation can allow bacteria
and other intestinal contents to leak out into the abdomen, causing a serious condition
called peritonitis.

Question 8

first line of tx- COPD exacerbation tx

Answer 8

supplemental oxygen
therapy and rapid assessment to determine if the exacerbation is life-threatening.