Anatomy & Physiology
A temporary organ during pregnancy that exchanges nutrients between mother and fetus.
What is the placenta?
This is the best gestational age range to obtain EDD dating from an ultrasound.
What is 7-12 weeks?
Your first responsibility at any scene or situation is to maintain ___________ safety.
What is personal?
These are the perimeters to determine an elevated blood pressure in a pregnant patient.
What is >140 systolic or 90 diastolic?
The most significant risk factor associated with preterm labor is:
A) previous preterm labor
B) substance abuse
C) early trimester bleeding
D) macrosomnia
What is A) previous preterm labor?
The opening of the uterus that must dilate for the fetus to pass through it.
What is the cervix?
This obligate intracellular parasite is the second most common sexually transmitted infection in the United States.
What is chlamydia?
A federal law that requires anyone presenting to an emergency department to be stabilized and treated, regardless of their ability to pay or insurance status.
What is the Emergency Medical and Labor Act (EMTALA)?
This is the primary medication used to treat elevated blood pressure during pregnancy.
What is labetalol?
Premature Rupture of Membranes or PROM means rupture of membranes:
A) at a preterm gestation
B) in early labor
C) before the onset of labor
D) during transition
What is C) before the onset of labor?
Maternal plasma volume increases by ____ % during pregnancy.
What is 50%?
The most common cause of maternal intrapartum death is:
A) preterm labor
B) hemorrhage
C) embolism
D) hypertension
What is B) hemorrhage?
A set of regulations and ethical considerations that define the allowances, or extent, and limits of your job.
What is scope of practice?
The most reliable signs of impending seizure activity include:
A) headache and visual changes
B) hypertension and tachycardia
C) epigastric and RUQ pain
D) peripheral edema
What is A) headache and visual changes?
Which of these interventions is NOT appropriate in a patient who presents at 34 weeks gestation with vaginal bleeding:
A) digital vaginal exam
B) sterile speculum exam
C) ultrasound
D) visual exam
What is A) digital vaginal exam?
The structure that contains fluid and cushions the fetus during pregnancy.
What is the amniotic sac or bag of water?
The classic differentiating symptoms between placenta previa and placental abruption is:
A) vaginal bleeding
B) abdominal pain
C) uterine contractions
D) uterine tone
What is B) abdominal pain?
Three interventions that reduce perinatal morbidity and mortality.
What are: transfer of mother to appropriate facility with capabilities to care for mother and baby, GBS prophylaxis, and corticosteroids ?
High blood pressure, > 140/90, that develops after 20 weeks gestation in pregnancy, but is not accompanied with protein in the urine or other key symptoms of pre-eclampsia.
What is Pregnancy Induced Hypertension?
Greater than 500cc of estimated blood loss following a delivery.
What is postpartum hemorrhage?
The "lifeline" between the mother and the fetus.
What is the umbilical cord?
Severe abdominal pain or cramping, severe nausea or vomitting, bleeding, dizziness, pain or burning during urination, rapid weight gain (more that 6.5 pounds per month), or too little weight gain are examples of these.
What are red flags during any trimester of pregnancy that require assessment by prenatal provider?
Blood glucose testing, diet modification, medication including either insulin or oral, exercise, and bi-weekly antepartum testing are all examples of best practice to treat prenatal patients diagnosed with this.
What is Gestational Diabetes?
Thrombocytopenia, increased LFT's, and decreased hematocrit during pregnancy many indicate:
A) essential hypertension
B) HELLP syndrome
C) eclampsia
D) pre-eclampsia
What is B) HELLP syndrome?
ROM (rupture of membranes) when the fetal head is at this station, is the highest risk for cord prolapse:
A) +1 station
B) 0 station
C) -3 station
D) -1 station
What is C) -3 station ?