FISDAP Medic OBGYN/PEDs review
Tx Vaginal Bleeding Correct Answer: -Don't put anything up there
-Absorb with a pad
Pelvic inflammatory disease (PID) Correct Answer: an infection of the female reproductive tract that can
be caused by a bacterium, virus, or fungus.
PID: S/S and risk factors Correct Answer: S/S: Non traumatic abdominal pain, gonorrhea, chlamydia
Risks: multiple sexual partners, previous PID, recent gynecologic procedure, IUD
Preeclampsia Correct Answer: most common type of hypertensive disorder.
Higher incidence in primigravida. A progressive disorder that is usually categorized as mild or
severe.
Preeclampsia S/S Correct Answer: -Increase in systolic BP by 30 mmHg and or a diastolic increase of 15
mmHg over baseline.
-Often seen in the last 10 weeks of gestation, during labor, or the first 48 hours postpartum.
Preeclampsia Tx Correct Answer: -Calm patient and dim lights.
-Place pt in the left lateral recumbent position.
-IV of normal saline and rapid transport with no lights and sirens.
-Mag if needed.
Eclampsia Correct Answer: The most serious manifestation of the hypertensive disorders of pregnancy
Eclampsia S/S Correct Answer: -Generalized tonic-clonic seizure activity.
-Often preceded by visual disturbances.
-Epigastric or right upper quadrant pain indicate impending seizure.
Eclampsia Tx Correct Answer: -Administer oxygen and manage airway.
-2-5g of mag in 50 to 100 ml slow iv push.
-Consider versed if mag is not effective.
-Monitor for bleeding and transport rapidly.
(A)PGAR Correct Answer: Appearance(Skin):
0= Blue, Pale
1= Body Pink, Extremities Blue
2= Pink Baby
A(P)GAR Correct Answer: Pulse Rate(HR):
0= Absent
1= >100
2=<100
AP(G)AR Correct Answer: Grimace(Irritability):
, 0= No response
1= Grimace
2= Cries
APG(A)R Correct Answer: Activity(Muscle Tone):
0= Limp
1= Some flexion of extremities
2= Active Motion
APGA(R) Correct Answer: Respiratory Effort:
0= Absent
1= Slow and irregular
2= Strong Cry
Cause of heat loss in newborns Correct Answer: -Newborns have a higher surface to volume ratio
resulting in increased sensitivity
-Heat loss can result from Evaporation, Conduction, Convection, and Radiation
-Hypothermic Newborns don't shiver
-Hypothermia can be an indicator of sepsis
Where fertilization takes place Correct Answer: Distal third of Fallopian tube
Pregnancy Appendicitis S/S Correct Answer: -Nausea, vomiting, fever
-During pregnancy, the pain may shift upward toward the upper right quadrant after the first trimester.
There may also be some back or flank pain.
Umbilical cord vasculature Correct Answer: -2 arteries
-1 vein
-The vein is larger than the arteries and has a thinner wall
Signs of imminent placenta delivery Correct Answer: Timing: 5-20mins after birth, Third (placental)
stage
Signs:
-Gush of blood from the vagina
-Change in size, shape, and consistency of the uterus
-Lengthening of umbilical cord protruding from the vagina
-Mother has the urge to push
Placenta Previa Correct Answer: Result of abnormal implantation of the placenta on the lower half of
the uterine wall, resulting in partial or complete coverage of the cervical opening.
Placenta Previa S/S Correct Answer: -Painless bright red blood
-Possible uterine contractions
Placenta Previa Tx Correct Answer: -Treat for shock
-Administer oxygen
-Initiate iv access
-Monitor vital signs
Tx Vaginal Bleeding Correct Answer: -Don't put anything up there
-Absorb with a pad
Pelvic inflammatory disease (PID) Correct Answer: an infection of the female reproductive tract that can
be caused by a bacterium, virus, or fungus.
PID: S/S and risk factors Correct Answer: S/S: Non traumatic abdominal pain, gonorrhea, chlamydia
Risks: multiple sexual partners, previous PID, recent gynecologic procedure, IUD
Preeclampsia Correct Answer: most common type of hypertensive disorder.
Higher incidence in primigravida. A progressive disorder that is usually categorized as mild or
severe.
Preeclampsia S/S Correct Answer: -Increase in systolic BP by 30 mmHg and or a diastolic increase of 15
mmHg over baseline.
-Often seen in the last 10 weeks of gestation, during labor, or the first 48 hours postpartum.
Preeclampsia Tx Correct Answer: -Calm patient and dim lights.
-Place pt in the left lateral recumbent position.
-IV of normal saline and rapid transport with no lights and sirens.
-Mag if needed.
Eclampsia Correct Answer: The most serious manifestation of the hypertensive disorders of pregnancy
Eclampsia S/S Correct Answer: -Generalized tonic-clonic seizure activity.
-Often preceded by visual disturbances.
-Epigastric or right upper quadrant pain indicate impending seizure.
Eclampsia Tx Correct Answer: -Administer oxygen and manage airway.
-2-5g of mag in 50 to 100 ml slow iv push.
-Consider versed if mag is not effective.
-Monitor for bleeding and transport rapidly.
(A)PGAR Correct Answer: Appearance(Skin):
0= Blue, Pale
1= Body Pink, Extremities Blue
2= Pink Baby
A(P)GAR Correct Answer: Pulse Rate(HR):
0= Absent
1= >100
2=<100
AP(G)AR Correct Answer: Grimace(Irritability):
, 0= No response
1= Grimace
2= Cries
APG(A)R Correct Answer: Activity(Muscle Tone):
0= Limp
1= Some flexion of extremities
2= Active Motion
APGA(R) Correct Answer: Respiratory Effort:
0= Absent
1= Slow and irregular
2= Strong Cry
Cause of heat loss in newborns Correct Answer: -Newborns have a higher surface to volume ratio
resulting in increased sensitivity
-Heat loss can result from Evaporation, Conduction, Convection, and Radiation
-Hypothermic Newborns don't shiver
-Hypothermia can be an indicator of sepsis
Where fertilization takes place Correct Answer: Distal third of Fallopian tube
Pregnancy Appendicitis S/S Correct Answer: -Nausea, vomiting, fever
-During pregnancy, the pain may shift upward toward the upper right quadrant after the first trimester.
There may also be some back or flank pain.
Umbilical cord vasculature Correct Answer: -2 arteries
-1 vein
-The vein is larger than the arteries and has a thinner wall
Signs of imminent placenta delivery Correct Answer: Timing: 5-20mins after birth, Third (placental)
stage
Signs:
-Gush of blood from the vagina
-Change in size, shape, and consistency of the uterus
-Lengthening of umbilical cord protruding from the vagina
-Mother has the urge to push
Placenta Previa Correct Answer: Result of abnormal implantation of the placenta on the lower half of
the uterine wall, resulting in partial or complete coverage of the cervical opening.
Placenta Previa S/S Correct Answer: -Painless bright red blood
-Possible uterine contractions
Placenta Previa Tx Correct Answer: -Treat for shock
-Administer oxygen
-Initiate iv access
-Monitor vital signs
