18 Questions
What are the typical findings in the coagulation profile of a patient with the described condition?
Decreased platelet count, decreased fibrinogen levels, and prolonged PT and PTT
What is the recommended management for this condition to re-establish uterine tone?
Administering oxygen to maintain normal saturation
Which of the following is NOT listed as an etiology for the described condition?
Multiple gestation
What is a potential sonographic finding in a patient with this condition?
Severe pulmonary hypertension
What is a recommended nursing management intervention for patients with this condition?
Administer plasma and intravenous fluids to maintain normal blood volume
When should a cesarean delivery be performed for a patient who does not respond to resuscitation?
If the patient does not respond to resuscitation attempts
What is the etiology of obstetric shock?
Hemorrhage and burns
How is shock defined?
Perfusion of tissues with inadequate nutrients
What is the initial management for shock?
Control hemorrhage and restore circulatory volume
How should a patient with obstetric shock be monitored?
Vital signs monitoring
What is the main cause of distributive shock?
Sepsis
Which diagnostic approach is used for identifying shock?
Physical signs of inadequate tissue perfusion
What is the classic triad of signs and symptoms associated with vasa previa?
Painless vaginal bleeding, fetal bradycardia, and color doppler vessel crossing the membranes over the internal cervical os
What is the recommended management for vasa previa in the antepartum period (before childbirth)?
Close monitoring for preterm labor, bleeding, or rupture of membranes, and administration of steroids around 32 weeks
What is the significance of Wharton's jelly in the context of vasa previa?
It is a gelatinous connective tissue that protects the umbilical cord vessels
What is the recommended management if membranes rupture in a case of vasa previa?
Proceed with immediate emergency cesarean section
What is the significance of administering steroids around 32 weeks in the management of vasa previa?
To help mature the fetal lungs in case of preterm delivery
What is the recommended frequency of fetal growth ultrasounds in the management of vasa previa?
Every 4 weeks
Test your knowledge on managing obstetric shock, a critical and life-threatening medical emergency resulting from inadequate tissue perfusion. Learn about administering whole blood, fibrinogen, and the importance of monitoring vital signs.
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