OB

Question 1

normal variances of pregnancy

Answer 1

-increased risk of aspiration
-compensated respiratory alkalosis

-increased circulating blood volume leading to ^pulse and decreased BP

-increased clotting factors (risk of HELLP)

Question 2

Hyperemesis gravidarum

Answer 2

S/S intractable nausea, vomiting, dehydration leads to electrolyte imbalances and malnutrition

TX: IVFs, electrolyte and vitamin replacement, antiemetics, possible tola parental nutrition

Question 3

Fetal distress

Answer 3

-fetal tachycardia is first sign distress (>160bpm)

-loss of variability

-decreased fetal movement

Question 4

spontaneous abortion appears as

Answer 4

-death or expulsion of fetus or products of conception before age of viability

-threatened - cervical os closed

-inevitable - os open

Question 5

s/s of a spontaneous abortion

Answer 5

-brown or bloody discharge to profuse vaginal bleeding with passage of tissue of products of conception

• dx by HCG, blood type & Rh, transvag ultrasound

-tx oxytocin, suction curettage, RhoGAM to Rh, psychosocial care for both parents

Question 6

ectopic pregnancy