NM706 Exam 1
Placental abruption - answer the placenta prematurely detaches from the uterine wall
placental abruption risk factors - answer Previous placental abruption
High blood pressure
Abdominal trauma
Substance abuse
SMOKING!
PROM
Blood-clotting disorders
Multiple pregnancy
Advanced maternal age
signs and symptoms of placental abruption - answer painful vaginal bleeding with
increased uterine contractions and tenderness
back pain
fetal distress from lack of maternal-fetal gas exchange
testing for placenta abruption - answerclinical presentation
vasa previa - answeroccurs when the umbilical cord vessels cross the internal os of the
cervix
Dx of vasa previa - answerroutine US
vasa previa management - answerconsultation with physician
antenatal steroids between 30-32 weeks gestation
scheduled CS at 34 weeks gestation
kell sensitization - answer
effect of Kell sensitization on the fetus - answer
management of Kell sensitization - answer
lab values for iron deficiency anemia - answer↓ Iron [1°]
↓ Ferritin
↓↓ % Transferrin saturation [Serum iron/TIBC]
↑ TIBC
lab values for megaloblastic anemia - answer
, differential diagnoses for anemia - answerthalassemia syndromes
IDA
lead poisoning
sideroblastic anemia
anemia of chronic disease
risks of iron deficiency anemia - answervegans, women with excess menstrual bleeding,
pregnant women, elderly, children weaned from breast milk to bottle milk, teens in
growth spurt, person with chronic slow GI bleeding
risks of megaloblastic anemia - answer
prescribing ORAL iron supplementation in pregnancy - answer40-80 mg elemental iron
daily
ferrous sulfate 325mg = 65mg elemental (slo-Fe, Fer-in-sol, Feosol)
ferrous gluconate 325mg = 35mg elemental (Floradix, Fergon, Fertinic)
ferrous fumarate 325mg = 108mg elemental (Feostat, Chromagen)
dietary counseling for pregnant person with anemia - answertake supplements on
empty stomach
with vitamin C
separate form prenatal vitamin, milk, calcium, coffee, tea, high fiber foods and antacids
(wait two years)
Keep away from children
hematoma - answerlocalized collection of blood (usually clotted)
s/s of of vulvar and vaginal hematoma - answerlocalized pressure and pain
rapidly developed pain 2-6 hours after delivery
management of hematoma - answermay resolve spontaneously
vag packing for pressure
pain meds
VS to assess for hemoinstability
Hct levels
incision to drain
s/s of broad ligament hematoma - answerlateral uterine pain sensitive to palpation
pain in flank
ridge of tissue just above the pelvic brim
Placental abruption - answer the placenta prematurely detaches from the uterine wall
placental abruption risk factors - answer Previous placental abruption
High blood pressure
Abdominal trauma
Substance abuse
SMOKING!
PROM
Blood-clotting disorders
Multiple pregnancy
Advanced maternal age
signs and symptoms of placental abruption - answer painful vaginal bleeding with
increased uterine contractions and tenderness
back pain
fetal distress from lack of maternal-fetal gas exchange
testing for placenta abruption - answerclinical presentation
vasa previa - answeroccurs when the umbilical cord vessels cross the internal os of the
cervix
Dx of vasa previa - answerroutine US
vasa previa management - answerconsultation with physician
antenatal steroids between 30-32 weeks gestation
scheduled CS at 34 weeks gestation
kell sensitization - answer
effect of Kell sensitization on the fetus - answer
management of Kell sensitization - answer
lab values for iron deficiency anemia - answer↓ Iron [1°]
↓ Ferritin
↓↓ % Transferrin saturation [Serum iron/TIBC]
↑ TIBC
lab values for megaloblastic anemia - answer
, differential diagnoses for anemia - answerthalassemia syndromes
IDA
lead poisoning
sideroblastic anemia
anemia of chronic disease
risks of iron deficiency anemia - answervegans, women with excess menstrual bleeding,
pregnant women, elderly, children weaned from breast milk to bottle milk, teens in
growth spurt, person with chronic slow GI bleeding
risks of megaloblastic anemia - answer
prescribing ORAL iron supplementation in pregnancy - answer40-80 mg elemental iron
daily
ferrous sulfate 325mg = 65mg elemental (slo-Fe, Fer-in-sol, Feosol)
ferrous gluconate 325mg = 35mg elemental (Floradix, Fergon, Fertinic)
ferrous fumarate 325mg = 108mg elemental (Feostat, Chromagen)
dietary counseling for pregnant person with anemia - answertake supplements on
empty stomach
with vitamin C
separate form prenatal vitamin, milk, calcium, coffee, tea, high fiber foods and antacids
(wait two years)
Keep away from children
hematoma - answerlocalized collection of blood (usually clotted)
s/s of of vulvar and vaginal hematoma - answerlocalized pressure and pain
rapidly developed pain 2-6 hours after delivery
management of hematoma - answermay resolve spontaneously
vag packing for pressure
pain meds
VS to assess for hemoinstability
Hct levels
incision to drain
s/s of broad ligament hematoma - answerlateral uterine pain sensitive to palpation
pain in flank
ridge of tissue just above the pelvic brim
