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

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

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

What does HELLP syndrome stand for?

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

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

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

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

<p>Anxiety (D)</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 (A)</p> Signup and view all the answers

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

<p>Frequent mood fluctuation (C)</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 (D)</p> Signup and view all the answers

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

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

What is a recommended treatment for mastitis in breastfeeding mothers?

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

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

<p>Obstruction of ducts (D)</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 (B)</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 (B)</p> Signup and view all the answers

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

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

Which factor increases the risk of developing thrombophlebitis postpartum?

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

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

<p>Lactation (B)</p> Signup and view all the answers

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

<p>UTI (C)</p> Signup and view all the answers

What can exacerbate the development of mastitis in postpartum women?

<p>Taking initiative (B)</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 (D)</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 (B)</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 (D)</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 (D)</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 (C)</p> Signup and view all the answers

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

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

What is the primary risk factor for Hepatitis C transmission?

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

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

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

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

<p>Cytomegalovirus (B)</p> Signup and view all the answers

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

<p>Hepatitis C (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) (B)</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 (A)</p> Signup and view all the answers

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

<p>Hepatitis C (B)</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) (A)</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 (D)</p> Signup and view all the answers

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

<p>Hepatitis C (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 (B)</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 (D)</p> Signup and view all the answers

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

<p>Chlamydia (B)</p> Signup and view all the answers

What pregnancy complication is associated with Rubella infection?

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

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

<p>Postpartum Depression (D)</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 (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 (B)</p> Signup and view all the answers

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

<p>Magnesium sulfate (A)</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 (D)</p> Signup and view all the answers

What symptom distinguishes postpartum hemorrhage from bladder distension?

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

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

<p>Skin temperature (C)</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 (C)</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 (A)</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 (A)</p> Signup and view all the answers

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

<p>Bright red bleeding (C)</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 (C), (Prostin E2) Dinoprostone (D)</p> Signup and view all the answers

What is a common cause of postpartum hemorrhage?

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

Which medication is typically used to manage uterine atony?

<p>Oxytocin (C)</p> Signup and view all the answers

What can a hematoma in childbirth result in?

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

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

<p>Attachment formation (C)</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 (D)</p> Signup and view all the answers

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

<p>Uterine hyperactivity (B)</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 (C)</p> Signup and view all the answers

Which medication is commonly used to treat uterine atony?

<p>Oxytocin (B)</p> Signup and view all the answers

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

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

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

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

Which maternal condition contributes to the risk of postpartum hemorrhage?

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

What distinguishes a hematoma from a laceration in childbirth?

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

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

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

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

<p>Fetal Rh+ blood type (B)</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 (C)</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 (C)</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 (B)</p> Signup and view all the answers

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

<p>Retention of placental fragments (B)</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 (A)</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 (C)</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 (C)</p> Signup and view all the answers

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

<p>Cool, pale skin (B)</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 (A)</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 (A)</p> Signup and view all the answers

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

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

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

<p>Restlessness and agitation (C)</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 (D)</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 (D)</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 (B)</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 (A)</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 (D)</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) (B)</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 (B)</p> Signup and view all the answers

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

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

What distinguishes severe preeclampsia from mild preeclampsia?

<p>Oliguria &lt; 500mL in 24 hrs (C)</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 (D)</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 (B)</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 (B)</p> Signup and view all the answers

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

<p>Uterine Atony (B)</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 (B)</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 (C)</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 (C)</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) (A)</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 (C)</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 (B)</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 (B)</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 (A)</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 (C)</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 (B)</p> Signup and view all the answers

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

<p>Transient feelings of sadness (C)</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 (A)</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 (B)</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 (D)</p> Signup and view all the answers

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

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

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

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

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

<p>Chlamydia (A)</p> Signup and view all the answers

What is a potential effect of Gonorrhea on newborns?

<p>Ophthalmia neonatorum (A)</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 (D)</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 (C)</p> Signup and view all the answers

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

<p>Chlamydia (D)</p> Signup and view all the answers

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

<p>Gonorrhea (B)</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 (B)</p> Signup and view all the answers

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

<p>Gonorrhea (D)</p> Signup and view all the answers

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

<p>Elevated bilirubin levels (A)</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 (D)</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 (D)</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 (B)</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 (A)</p> Signup and view all the answers

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