SOLVED QUESTIONS AND SOLUTIONS
◉ Hemolysis Answer: Destruction of blood (breakdown of red blood
cells with release of hemoglobin).
◉ Hyperemesis Gravidarum Answer: Severe nausea and vomiting in
pregnancy that can cause severe dehydration in the mother and
fetus.
◉ Nifedipine and Magnesium Sulfate Answer: Procardia (calcium
channel blocker) may produce headaches, flushing , CNS effects if
administered concurrently with Mag Sulf. May interfere with labor.
◉ Hemmorhagic Disorders of Pregnancy Answer: is a medical
emergency. Administer O2.
◉ Miscarriage and Spontaneous Abortion Answer: A pregnancy that
ends with out medical or surgical method before 20 weeks of
gestation or 500-g birth weight is defined as a miscarriage or
spontaneous abortion.
◉ Methods used to prevent Preeclampsia Answer: High Protien, low
salt diet. Nutrition supplementation. Calcium, Magnesium, Zinc, Fish
,and evening primrose oil. Anti Hypertensive drugs, Diuretics,
Antithrombotic agents, Low dose aspirin, Dipyridamole, Heparin,
Vitamins E and C.
◉ Evening Primrose Oil Answer: (seed) source of essential fatty
acids important for the health of the cardiovascular system;
treatment of premenstrual syndrome, rheumatoid arthritis, skin
disorders.
◉ Dipyridamole Answer: Anti-platelet aggregation agent
◉ Risk factors for Preeclampsia Answer: Nulliparity, family hx,
Obesity, Multi-fetal pregnancy, poor outcome of previous pregnancy
(intrauterine growth restriction, abruptio placentae, fetal death).
Chronic HTN, Renal Disease, Type 1 diabetes, thrombophilias,
antiphospholipid antibody syndrome, Protiens C and S,
antithrombin deficiency. Factor V Leiden.
◉ hydrolazine Answer: this agent should be avoided in a Pt with
SLE. , A vasodilator that relaxes blood vessels so that blood can flow
more easily. Lowers blood pressure with prevents strokes, etc..
Contraindicated with Indomethacin.
◉ Indomethacine Answer: Take w/ food. , Classical NSAID., NSAID
that blocks production of prostaglandins and suppresses uterine
, contractions., Common use as tocolytic, not approved, arthritis. ,
acute attacks of gout, alternative to colchicine.
◉ Because Magnesium Sulfate is also a tocolytic agent, its use can
increase the duration of labor. Answer: The woman who is receiving
Mag Sulfate may need augmentation with oxytocin to stimulate
labor. Will need more oxytocin than a woman not on mag sulf.
◉ Hyperemisis Answer: extreme persistent vomiting that can cause
dehydration.
◉ Hemmorrhagic Disorders of Pregnancy Answer: is a medical
emergency. Give O2.
◉ Gestational Trophoblastic Neoplasia Answer: S/S: Uterine
enlargement in excess of gestational weeks, absence of fetal heart
sounds, no ultrasound evidence of fetus, hyperemesis gravidarum,
hypertension. Results when there is residual placenta left in place
after abortions or pregnancies. , includes tumors of fetal tissues,
including hydatidiform moles, arising from placental trophoblasts.
◉ Placental Previa Answer: placenta implanted over cervical os,
common cause of vaginal bleeding during pregnancy. , -implantation
of the zygote in the lower section of the uterus., placenta develops in
lower half of uterus and partially or completely covers internal
cervical os. bleeding results from partial separation of placenta from