Severe Preeclampsia Symptoms Quiz
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Questions and Answers

What is a common manifestation of severe preeclampsia?

  • Yellowish vaginal discharge
  • Severe back pain
  • Generalized edema (correct)
  • Painless bright red bleeding

    • Which factor is associated with Placenta Previa?

  • Advanced maternal age (correct)
  • Multiparity with increased spacing
  • Increased endometrial perfusion
  • Previous surgery without scar tissue

    • What is a common symptom of Placental Abruptio?

  • Uterine tenderness (correct)
  • Painless bright red bleeding
  • Decreased fundal height
  • Abdominal pain in waves

    • Which clinical manifestation is more common in placenta previa than in placental abruptio?

    <p>Bleeding from a known source</p> Signup and view all the answers

    In cases of late hemorrhage, what symptom is more commonly associated with placental abruptio?

    <p>Falling blood pressure and restlessness</p> Signup and view all the answers

    Which condition is often a causative factor for DIC (disseminated intravascular coagulation) in obstetrics?

    <p>HELLP syndrome</p> Signup and view all the answers

    What is the pathophysiological mechanism involved in placental ischemia in Eclampsia?

    <p>Thickening of arterial vessel walls in the uterus</p> Signup and view all the answers

    Which factor mutation is associated with abnormal clot formation leading to complications like Eclampsia?

    <p>Factor V Leiden mutation</p> Signup and view all the answers

    What does HELLP syndrome stand for?

    <p>Hemolysis-Elevated Liver enzymes-Low Platelets</p> Signup and view all the answers

    In the management of Mild Preeclampsia, what is the purpose of Magnesium Sulfate Therapy?

    <p>As an anticonvulsant and CNS depressant</p> Signup and view all the answers

    Which of the following is a common symptom of postpartum blues?

    <p>Difficulty sleeping</p> Signup and view all the answers

    What is a common manifestation of postpartum depression that differentiates it from postpartum blues?

    <p>Anxiety</p> Signup and view all the answers

    In the management of postpartum blues, what is the recommended course of action if symptoms persist beyond 2 weeks?

    <p>Seek help from a mental health professional</p> Signup and view all the answers

    Which of the following symptoms is commonly associated with parent-infant attachment/bonding?

    <p>Frequent mood fluctuation</p> Signup and view all the answers

    What is a crucial aspect of postpartum care to prevent complications such as postpartum infection (sepsis)?

    <p>Encouraging early ambulation</p> Signup and view all the answers

    What is a common causative organism of mastitis in breastfeeding mothers?

    <p>Escherichia coli (E. coli)</p> Signup and view all the answers

    What is a recommended treatment for mastitis in breastfeeding mothers?

    <p>Antibiotics like penicillins or dicloxacillin</p> Signup and view all the answers

    Which factor can lead to an increased risk of mastitis in breastfeeding mothers?

    <p>Obstruction of ducts</p> Signup and view all the answers

    What are the three major contributing factors to thrombophlebitis?

    <p>Venous stasis, Hypercoagulability of blood, Injury to the intima</p> Signup and view all the answers

    What temperature threshold indicates postpartum infection (sepsis) as per the text?

    <p>Fever of 100.4 for 2 consecutive days</p> Signup and view all the answers

    What is a common complication of postpartum hemorrhage from bladder distension?

    <p>Postpartum infection (sepsis)</p> Signup and view all the answers

    Which factor increases the risk of developing thrombophlebitis postpartum?

    <p>Large infant</p> Signup and view all the answers

    In breastfeeding mothers, what condition can lead to a breast abscess?

    <p>Lactation</p> Signup and view all the answers

    Which postpartum complication can progress to sepsis if not managed promptly?

    <p>UTI</p> Signup and view all the answers

    What can exacerbate the development of mastitis in postpartum women?

    <p>Taking initiative</p> Signup and view all the answers

    What term is used to describe the failure of the uterus to heal completely and return to its normal size and functioning after childbirth?

    <p>Subinvolution</p> Signup and view all the answers

    Which of the following clinical signs is NOT associated with subinvolution of the uterus?

    <p>Firm uterus consistency</p> Signup and view all the answers

    In postpartum uterine assessment, a soft and boggy consistency of the uterus is most indicative of:

    <p>Active hemorrhage</p> Signup and view all the answers

    What is the typical timeframe for a mother to return for a checkup after delivery for the assessment of involution?

    <p>6 weeks</p> Signup and view all the answers

    Which factor is most likely to contribute to retained placental fragments in the uterus, leading to subinvolution?

    <p>Uterine atony</p> Signup and view all the answers

    Which hepatitis virus is transmitted through fecal-oral route and ingestion of contaminated foods?

    <p>Hepatitis A</p> Signup and view all the answers

    What is a common fetal/neonatal effect of Rubella infection during the first trimester of pregnancy?

    <p>IUGR</p> Signup and view all the answers

    Which virus from the TORCH infections group is associated with transmission through close personal contact and various bodily fluids?

    <p>Cytomegalovirus</p> Signup and view all the answers

    What is the primary risk factor for Hepatitis C transmission?

    <p>Sharing needles during IV drug use</p> Signup and view all the answers

    Which serious complication can Hepatitis A lead to in pregnant women?

    <p>Acute liver failure</p> Signup and view all the answers

    Which viral infection is associated with leukopenia, thrombocytopenia, anemia, and elevated erythrocyte sedimentation rate?

    <p>Cytomegalovirus</p> Signup and view all the answers

    Which type of hepatitis is commonly transmitted through sexual contact and IV drug abuse?

    <p>Hepatitis C</p> Signup and view all the answers

    Which viral infection can lead to the risk of congenital transmission to the newborn?

    <p>Rubella (German measles)</p> Signup and view all the answers

    Which viral disease is associated with the potential risk of overwhelming infections when the CD4 count drops below 200 cells/mm3?

    <p>Cytomegalovirus</p> Signup and view all the answers

    Which viral infection can be confirmed through ELISA antibody reaction and Western blot analysis?

    <p>Hepatitis C</p> Signup and view all the answers

    Which of the following viral infections can lead to congenital abnormalities if contracted during pregnancy?

    <p>Rubella (German measles)</p> Signup and view all the answers

    Which viral infection is characterized by a thin, watery yellow to gray discharge in pregnant patients?

    <p>Cytomegalovirus</p> Signup and view all the answers

    In pregnant patients, which viral infection can present with severe itching, dysuria, and dyspareunia?

    <p>Hepatitis C</p> Signup and view all the answers

    Which viral infection is associated with the risk of premature rupture of membranes (PROM), preterm birth, and low birth weight in pregnant individuals?

    <p>Cytomegalovirus</p> Signup and view all the answers

    Which viral infection is treated with Metronidazole in pregnant patients to reduce the risk of complications?

    <p>Cytomegalovirus</p> Signup and view all the answers

    Which STI is most commonly reported in the U.S. according to the text?

    <p>Chlamydia</p> Signup and view all the answers

    What pregnancy complication is associated with Rubella infection?

    <p>Intrauterine Growth Restriction (IUGR)</p> Signup and view all the answers

    In which trimester does the text mention that Gonorrhea infection localized in certain areas in pregnant individuals?

    <p>3rd trimester</p> Signup and view all the answers

    What is a common complication of Hepatitis C infection according to the text?

    <p>Postpartum Depression</p> Signup and view all the answers

    Which STI is known to cause infertility and ectopic pregnancy in females according to the text?

    <p>Hepatitis C</p> Signup and view all the answers

    Which clinical manifestation is more common in placenta abruption than in placenta previa?

    <p>Falling blood pressure</p> Signup and view all the answers

    What is the primary medication used for treating uterine atony post-delivery?

    <p>Magnesium sulfate</p> Signup and view all the answers

    In childbirth, a hematoma can be differentiated from a laceration by:

    <p>Visible swelling and bruising in perineal area</p> Signup and view all the answers

    What symptom distinguishes postpartum hemorrhage from bladder distension?

    <p>Restlessness and agitation</p> Signup and view all the answers

    What is the primary aspect that affects parent-infant attachment during child development?

    <p>Skin temperature</p> Signup and view all the answers

    What is the first priority in managing postpartum hemorrhage due to uterine atony?

    <p>Gently massaging the uterus</p> Signup and view all the answers

    Which medication for postpartum hemorrhage carries a contraindication for use in patients with acute Pelvic Inflammatory Disease (PID)?

    <p>Hemabate, Carbiprost, Prostin 15</p> Signup and view all the answers

    In the context of postpartum hemorrhage, what distinguishes a hematoma from other types of bleeding?

    <p>Bleeding contained in the tissues</p> Signup and view all the answers

    What is a characteristic feature of lacerations in the genital tract post-delivery?

    <p>Bright red bleeding</p> Signup and view all the answers

    Which medication for postpartum hemorrhage should be avoided if the patient is hypotensive or has asthma?

    <p>(Prostin E2) Dinoprostone</p> Signup and view all the answers

    What is a common cause of postpartum hemorrhage?

    <p>Lacerations in the genital tract</p> Signup and view all the answers

    Which medication is typically used to manage uterine atony?

    <p>Oxytocin</p> Signup and view all the answers

    What can a hematoma in childbirth result in?

    <p>Prolonged bleeding</p> Signup and view all the answers

    In child development, what aspect is influenced by postpartum hemorrhage?

    <p>Attachment formation</p> Signup and view all the answers

    What is a possible consequence of inadequate management of lacerations in the genital tract?

    <p>Risk of infection</p> Signup and view all the answers

    Which of the following is a common manifestation of postpartum hemorrhage?

    <p>Uterine hyperactivity</p> Signup and view all the answers

    What is the recommended course of action to manage a hematoma in childbirth?

    <p>Immediate repair with pressure and hematoma evacuation</p> Signup and view all the answers

    Which medication is commonly used to treat uterine atony?

    <p>Oxytocin</p> Signup and view all the answers

    What is a common symptom of lacerations in the genital tract during childbirth?

    <p>Perineal pain</p> Signup and view all the answers

    Which of the following is typically NOT associated with attachment in child development?

    <p>Increased fundal height</p> Signup and view all the answers

    Which maternal condition contributes to the risk of postpartum hemorrhage?

    <p>Low platelet count</p> Signup and view all the answers

    What distinguishes a hematoma from a laceration in childbirth?

    <p>Pooling of blood under the skin</p> Signup and view all the answers

    Which medication is primarily used for treating uterine atony post-delivery?

    <p>Magnesium Sulfate</p> Signup and view all the answers

    What maternal sensitization factor can lead to Lacerations in the genital tract?

    <p>Fetal Rh+ blood type</p> Signup and view all the answers

    How does a Coombs' test result impact the risk of developing a hematoma?

    <p>Negative Coombs' test increases hematoma risk</p> Signup and view all the answers

    What does subinvolution refer to in postpartum care?

    <p>Delayed return of uterus to normal size and function</p> Signup and view all the answers

    Which clinical sign is most indicative of uterine atony in the postpartum period?

    <p>Soft, boggy uterus upon palpation</p> Signup and view all the answers

    What is the most common cause of subinvolution in postpartum women?

    <p>Retention of placental fragments</p> Signup and view all the answers

    Which statement best describes the term 'involution' in postpartum physiology?

    <p>Return of reproductive organs to their normal size and function</p> Signup and view all the answers

    In assessing uterine involution postpartum, what does 'consistency' refer to?

    <p>Firmness or boggy texture of the uterus</p> Signup and view all the answers

    Which maternal condition is commonly associated with the risk of disseminated intravascular coagulation (DIC) in obstetrics?

    <p>Uterine atony</p> Signup and view all the answers

    Which clinical manifestation is typical of early hemorrhage associated with placental abruptio?

    <p>Cool, pale skin</p> Signup and view all the answers

    What is a common causative factor for DIC (disseminated intravascular coagulation) in obstetrics as mentioned in the text?

    <p>Intrauterine fetal demise</p> Signup and view all the answers

    In assessing STIs and HIV risk behaviors, what does the '5 P's' method include?

    <p>Partners, Practices, Prevention of pregnancy, Protection from STIs &amp; HIV, Past history of STIs</p> Signup and view all the answers

    What maternal condition can lead to uterine atony post-delivery?

    <p>Chlamydial infection</p> Signup and view all the answers

    Which symptom is more likely associated with late hemorrhage due to placenta abruptio?

    <p>Restlessness and agitation</p> Signup and view all the answers

    What is a distinguishing feature of uterine atony in post-delivery complications?

    <p>Failure of uterine muscle to contract</p> Signup and view all the answers

    Which medication is contraindicated in patients with acute Pelvic Inflammatory Disease (PID) for managing postpartum hemorrhage due to uterine atony?

    <p>Hemabate, Carbiprost, Prostin 15</p> Signup and view all the answers

    What is the recommended route of administration for Dinoprostone in managing postpartum hemorrhage due to uterine atony?

    <p>Vaginally or rectally</p> Signup and view all the answers

    What is a crucial nursing consideration when administering Methergine (Methylergonovine) for postpartum hemorrhage due to uterine atony?

    <p>Avoiding breastfeeding during treatment</p> Signup and view all the answers

    What adverse effect should be particularly monitored for when using Pitocin (Oxytocin) in managing postpartum hemorrhage due to uterine atony?

    <p>Uterine rupture</p> Signup and view all the answers

    Which medication for uterine atony management carries a potential contraindication for use in patients with high blood pressure?

    <p>Methergine (Methylergonovine)</p> Signup and view all the answers

    In the context of postpartum hemorrhage due to uterine atony, what distinguishes Hematoma from other forms of bleeding?

    <p>Visible blood collection under the skin</p> Signup and view all the answers

    Which manifestation is commonly seen in Placenta Previa but not in Placenta Abruptio?

    <p>Painless/silent bleed</p> Signup and view all the answers

    What distinguishes severe preeclampsia from mild preeclampsia?

    <p>Oliguria &lt; 500mL in 24 hrs</p> Signup and view all the answers

    In the context of Placenta Previa, what factor contributes to the abnormal implantation of the placenta?

    <p>Excessive maternal age</p> Signup and view all the answers

    Which clinical sign is not typically associated with uterine atony post-delivery?

    <p>Low fetal heart rate variability</p> Signup and view all the answers

    What differentiates marginal overt concealed hemorrhage in Placenta Abruptio from concealed central hemorrhage?

    <p>Dark red bleeding if visible</p> Signup and view all the answers

    'Hard board-like abdomen' and 'progressive late decelerations in FHR' are manifestations associated with:

    <p>Uterine Atony</p> Signup and view all the answers

    Which factor is mentioned in the text as contributing to an increased risk of developing Preeclampsia?

    <p>Having an interpregnancy interval of less than 7 years</p> Signup and view all the answers

    Which condition is associated with an autoimmune disorder or abnormal amount of antibodies causing blood clot formation, according to the text?

    <p>Factor V Leiden mutation</p> Signup and view all the answers

    In the management of HELLP syndrome, which lab result would be expected to be low?

    <p>Platelet count</p> Signup and view all the answers

    Which maternal condition mentioned in the text can contribute to the risk of disseminated intravascular coagulation (DIC) in obstetrics?

    <p>Premature placental separation (Abruptio Placenta)</p> Signup and view all the answers

    What is the pathophysiological mechanism described in the text that leads to decreased placental perfusion and placental ischemia?

    <p>Endothelial cell dysfunction</p> Signup and view all the answers

    Which management approach is advised for Mild Preeclampsia based on the text?

    <p>Administration of Magnesium Sulfate Therapy</p> Signup and view all the answers

    What is the typical time frame for postpartum recovery, also known as the period of involution?

    <p>6 weeks</p> Signup and view all the answers

    Which term describes the failure of the uterus to heal completely and return to its normal size and functioning after childbirth?

    <p>Subinvolution</p> Signup and view all the answers

    What clinical sign is indicative of subinvolution of the uterus in the postpartum period?

    <p>Excessive lochia with clots</p> Signup and view all the answers

    In postpartum care, what is a common manifestation that differentiates postpartum psychosis from postpartum depression?

    <p>Hallucinations or delusions</p> Signup and view all the answers

    What is a common symptom experienced during the postpartum blues phase?

    <p>Transient feelings of sadness</p> Signup and view all the answers

    Which bacterial organism is responsible for causing Chlamydial Infection, the most common bacterial STD in the U.S.?

    <p>Chlamydia trachomatis</p> Signup and view all the answers

    What is the CDC recommendation regarding annual screening for Chlamydial Infection?

    <p>All sexually active adolescents and women 20-25 years old should be screened annually</p> Signup and view all the answers

    What is the treatment regimen for Gonorrhea in non-pregnant individuals according to the text?

    <p>Doxycycline: 100 mg BID X 7 days</p> Signup and view all the answers

    In pregnancy, what is the recommended treatment for Chlamydial Infection?

    <p>Azithromycin: 1 gram single dose orally</p> Signup and view all the answers

    Which organism is responsible for causing Gonorrhea, the second most commonly reported STI?

    <p>Neisseria gonorrhoeae</p> Signup and view all the answers

    Which bacterial STD is most commonly reported in the U.S. according to the text?

    <p>Chlamydia</p> Signup and view all the answers

    What is a potential effect of Gonorrhea on newborns?

    <p>Ophthalmia neonatorum</p> Signup and view all the answers

    Which maternal condition can lead to premature rupture of membranes (PROM) and preterm labor (PTL) as a consequence of Chlamydial Infection?

    <p>Chorioamnionitis</p> Signup and view all the answers

    Which bacterial STD is the most common in the U.S. and can cause asymptomatic reproductive tract infections in females?

    <p>Chlamydia</p> Signup and view all the answers

    Which bacterial STD can cause nongonococcal urethritis in men, leading to epididymitis and infertility?

    <p>Chlamydia</p> Signup and view all the answers

    Which STI can present with symptoms like purulent greenish/yellow vaginal discharge and dysuria?

    <p>Gonorrhea</p> Signup and view all the answers

    Which STI is associated with symptoms such as inflammation and swelling of the vulva and cervix, along with lower abdominal pain?

    <p>Chlamydia</p> Signup and view all the answers

    Which STI, if contracted during pregnancy, can cause premature rupture of membranes and preterm labor?

    <p>Gonorrhea</p> Signup and view all the answers

    What laboratory finding is characteristic of HELLP syndrome according to the text?

    <p>Elevated bilirubin levels</p> Signup and view all the answers

    What is the primary intervention for managing Mild Preeclampsia as per the text?

    <p>Using Magnesium Sulfate Therapy</p> Signup and view all the answers

    Which factor contributes to the pathophysiology of decreased placental perfusion in Preeclampsia according to the text?

    <p>Increased peripheral resistance</p> Signup and view all the answers

    What personal history factor increases the risk of developing Preeclampsia based on the information provided?

    <p>History of gestational diabetes</p> Signup and view all the answers

    What is the primary mechanism by which Placental Ischemia contributes to Generalized vasospasms as mentioned in the text?

    <p>Releasing toxic substances to endothelial cells</p> Signup and view all the answers

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