OB Pediatric FISDAP 2022
what is preeclampsia? Correct Answer: A condition of late pregnancy that involves gradual onset of
hypertension, headache, visual changes, and swelling of the hands and feet; also called pregnancy-
induced hypertension or toxemia of pregnancy.
What is eclampsia? Correct Answer: Seizures that result from severe hypertension in a pregnant
woman.
How do you stop seizures in patients with severe preeclampsia or eclampsia? Correct Answer:
Administration of Magnesium sulfate
What is abruptio placentae? Correct Answer: A premature separation of the placenta from the wall of
the uterus.
What are the signs and symptoms of abruptio placenta? Correct Answer: a sudden onset of severe
abdominal pain, often radiating into the back;
there will also be decreased fetal movement and decreased fetal heart tones.
The patient may report vaginal bleeding, although in some cases the blood does not emerge through the
cervix and the bleeding may remain concealed within the endometrium.
Physical examination may reveal signs of shock, often out of proportion to the apparent volume of blood
loss.
The abdomen will be tender and the uterus rigid to palpation.
Other complications include severe hemorrhaging. If the hemorrhaging cannot be controlled after
delivery, a hysterectomy may be necessary.
What are the signs and symptoms of Placenta Previa? Correct Answer: The chief complaint of a woman
with placenta previa is usually painless vaginal bleeding, with the loss of bright red blood. Because the
blood supply to the fetus is not immediately jeopardized, fetal movements continue and fetal heart
sounds remain audible.
, What is Placenta Previa? Correct Answer:
In placenta previa, the placenta is implanted low in the uterus and, as it grows, it partially or fully
obscures the cervical canal.
What is gravidity? Correct Answer: total number of times a woman has been pregnant regardless of
those pregnancies' outcomes, including the current pregnancy.
What is Parity? Correct Answer: Number of live births
What are the stages of labor? Correct Answer: first stage
second stage
third stage of labor (placental stage)
What happens in the first stage of pregnancy? Correct Answer: begins with the onset of labor pains—
crampy abdominal pains that may radiate into the small of the back and reflect the contractions of the
uterus.
What happens in the second stage of pregnancy? Correct Answer: begins as the head of the fetus
descends and flexes (chin to chest) to enter the birth canal.
What happens in the third stage of pregnancy? Correct Answer: (placental stage) is the period that
involves separation of the placenta from the uterine wall.
What is crowning? Correct Answer: It is the appearance of the infant's head at the vaginal opening
during labor.
Indicates that the fetus will be born within the next few minutes. Crowning is considered the beginning
of the second stage of labor.
What do you do if you see crowning? Correct Answer: place your sterile gloved hand over the emerging
bony parts of the head, and by exerting minimal pressure, control the delivery of the head.
What is a prolapsed umbilical cord? Correct Answer: When the umbilical cord presents first and gets
squeezed between the vaginal wall and the baby's head, cutting off blood supply.
How do you treat prolapsed umbilical cord? Correct Answer: Elevate hips > Oxygen > pant with
contraction > 2 fingers gently push presenting part (not cord) back up into the vagina until it no longer
presses on the cord > While you maintain pressure on the presenting part, have your partner cover the
exposed portion of the cord with dressings moistened in warmed normal saline > Try to maintain that
position, with a gloved hand pushing the presenting part away from the cord, throughout urgent
transport to the hospital.
what is preeclampsia? Correct Answer: A condition of late pregnancy that involves gradual onset of
hypertension, headache, visual changes, and swelling of the hands and feet; also called pregnancy-
induced hypertension or toxemia of pregnancy.
What is eclampsia? Correct Answer: Seizures that result from severe hypertension in a pregnant
woman.
How do you stop seizures in patients with severe preeclampsia or eclampsia? Correct Answer:
Administration of Magnesium sulfate
What is abruptio placentae? Correct Answer: A premature separation of the placenta from the wall of
the uterus.
What are the signs and symptoms of abruptio placenta? Correct Answer: a sudden onset of severe
abdominal pain, often radiating into the back;
there will also be decreased fetal movement and decreased fetal heart tones.
The patient may report vaginal bleeding, although in some cases the blood does not emerge through the
cervix and the bleeding may remain concealed within the endometrium.
Physical examination may reveal signs of shock, often out of proportion to the apparent volume of blood
loss.
The abdomen will be tender and the uterus rigid to palpation.
Other complications include severe hemorrhaging. If the hemorrhaging cannot be controlled after
delivery, a hysterectomy may be necessary.
What are the signs and symptoms of Placenta Previa? Correct Answer: The chief complaint of a woman
with placenta previa is usually painless vaginal bleeding, with the loss of bright red blood. Because the
blood supply to the fetus is not immediately jeopardized, fetal movements continue and fetal heart
sounds remain audible.
, What is Placenta Previa? Correct Answer:
In placenta previa, the placenta is implanted low in the uterus and, as it grows, it partially or fully
obscures the cervical canal.
What is gravidity? Correct Answer: total number of times a woman has been pregnant regardless of
those pregnancies' outcomes, including the current pregnancy.
What is Parity? Correct Answer: Number of live births
What are the stages of labor? Correct Answer: first stage
second stage
third stage of labor (placental stage)
What happens in the first stage of pregnancy? Correct Answer: begins with the onset of labor pains—
crampy abdominal pains that may radiate into the small of the back and reflect the contractions of the
uterus.
What happens in the second stage of pregnancy? Correct Answer: begins as the head of the fetus
descends and flexes (chin to chest) to enter the birth canal.
What happens in the third stage of pregnancy? Correct Answer: (placental stage) is the period that
involves separation of the placenta from the uterine wall.
What is crowning? Correct Answer: It is the appearance of the infant's head at the vaginal opening
during labor.
Indicates that the fetus will be born within the next few minutes. Crowning is considered the beginning
of the second stage of labor.
What do you do if you see crowning? Correct Answer: place your sterile gloved hand over the emerging
bony parts of the head, and by exerting minimal pressure, control the delivery of the head.
What is a prolapsed umbilical cord? Correct Answer: When the umbilical cord presents first and gets
squeezed between the vaginal wall and the baby's head, cutting off blood supply.
How do you treat prolapsed umbilical cord? Correct Answer: Elevate hips > Oxygen > pant with
contraction > 2 fingers gently push presenting part (not cord) back up into the vagina until it no longer
presses on the cord > While you maintain pressure on the presenting part, have your partner cover the
exposed portion of the cord with dressings moistened in warmed normal saline > Try to maintain that
position, with a gloved hand pushing the presenting part away from the cord, throughout urgent
transport to the hospital.
