Managing Obstetric Shock Quiz

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Questions and Answers

What are the typical findings in the coagulation profile of a patient with the described condition?

Increased platelet count and fibrinogen levels, normal PT and PTT

Normal platelet count, decreased fibrinogen levels, and normal PT and PTT

Normal platelet count, increased fibrinogen levels, prolonged PT and PTT

Decreased platelet count, decreased fibrinogen levels, and prolonged PT and PTT (correct)

What is the recommended management for this condition to re-establish uterine tone?

Administering oxygen to maintain normal saturation (correct)

Maintaining systolic blood pressure above 120mm Hg

Using crystalloid and blood products to treat hypotension

Initiating cardiopulmonary resuscitation

Which of the following is NOT listed as an etiology for the described condition?

Polyhydramnios

Maternal age of 35 yrs

Multiple gestation (correct)

Cervical laceration or uterine rupture

What is a potential sonographic finding in a patient with this condition?

Severe pulmonary hypertension Signup and view all the answers

What is a recommended nursing management intervention for patients with this condition?

Administer plasma and intravenous fluids to maintain normal blood volume Signup and view all the answers

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 Signup and view all the answers

What is the etiology of obstetric shock?

Hemorrhage and burns Signup and view all the answers

How is shock defined?

Perfusion of tissues with inadequate nutrients Signup and view all the answers

What is the initial management for shock?

Control hemorrhage and restore circulatory volume Signup and view all the answers

How should a patient with obstetric shock be monitored?

Vital signs monitoring Signup and view all the answers

What is the main cause of distributive shock?

Sepsis Signup and view all the answers

Which diagnostic approach is used for identifying shock?

Physical signs of inadequate tissue perfusion Signup and view all the answers

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 Signup and view all the answers

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 Signup and view all the answers

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 Signup and view all the answers

What is the recommended management if membranes rupture in a case of vasa previa?

Proceed with immediate emergency cesarean section Signup and view all the answers

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 Signup and view all the answers

What is the recommended frequency of fetal growth ultrasounds in the management of vasa previa?

Every 4 weeks Signup and view all the answers

Study Notes

Coagulation Profile in Obstetric Shock

Coagulation profile findings may show evidence of DIC (disseminated intravascular coagulation)

Management of Uterine Atony

Uterine massage and oxytocin administration are recommended to restore uterine tone

Etiologies of Obstetric Shock

Uterine atony is a common cause of obstetric shock, but not all causes are listed in your provided text.

Sonographic Findings in Uterine Atony

Uterine atony may be visualized sonographically as an enlarged uterus, particularly if the uterus is not contracting effectively.

Nursing Management of Obstetric Shock

Monitoring vital signs is a crucial element in nursing management of obstetric shock.

Obstetric Shock Cesarean Delivery Criteria

If a patient does not respond to resuscitation efforts, a cesarean delivery should be considered

Etiology of Obstetric Shock

Obstetric shock is often caused by massive blood loss, frequently resulting from postpartum hemorrhage due to uterine atony.

Definition of Shock

The definition of shock is a life-threatening condition characterized by inadequate tissue perfusion and oxygen delivery that can result in organ damage and death.

Initial Management of Shock

The immediate management of shock involves restoring circulating blood volume through interventions such as fluid resuscitation.

Monitoring Patients with Obstetric Shock

Continuous vital sign monitoring is crucial for patients in shock, including observing for signs of organ dysfunction.

Cause of Distributive Shock

Sepsis, a systemic inflammatory response to infection, is a common cause of distributive shock.

Diagnostic Approach for Shock

Clinical assessment is key to identifying signs and symptoms of shock, which can be further supported by laboratory investigations such as CBC and blood gas analyses.

Classic Triad of Vasa Previa

The classic triad of symptoms associated with vasa previa includes fetal bradycardia, abnormal fetal heart rate patterns, and vaginal bleeding.

Antepartum Management of Vasa Previa

In the antepartum period, strict bed rest and close fetal monitoring are recommended for patients with vasa previa.

Significance of Wharton's Jelly in Vasa Previa

Wharton's jelly, a gelatinous substance surrounding the umbilical cord, may protect the fetal vessels in cases of vasa previa.

Management of Membrane Rupture with Vasa Previa

If membranes rupture in a patient with vasa previa, immediate cesarean delivery is generally recommended.

Significance of Steroids in Vasa Previa

Steroids administered around 32 weeks gestation can promote fetal lung development and improve outcomes for preterm infants.

Fetal Growth Ultrasound Frequency in Vasa Previa Management

Frequent fetal growth ultrasounds are recommended for patients with vasa previa to monitor fetal well-being and growth.

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Description

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.