128 Questions
What is a common manifestation of severe preeclampsia?
Generalized edema
Which factor is associated with Placenta Previa?
Advanced maternal age
What is a common symptom of Placental Abruptio?
Uterine tenderness
Which clinical manifestation is more common in placenta previa than in placental abruptio?
Bleeding from a known source
In cases of late hemorrhage, what symptom is more commonly associated with placental abruptio?
Falling blood pressure and restlessness
Which condition is often a causative factor for DIC (disseminated intravascular coagulation) in obstetrics?
HELLP syndrome
What is the pathophysiological mechanism involved in placental ischemia in Eclampsia?
Thickening of arterial vessel walls in the uterus
Which factor mutation is associated with abnormal clot formation leading to complications like Eclampsia?
Factor V Leiden mutation
What does HELLP syndrome stand for?
Hemolysis-Elevated Liver enzymes-Low Platelets
In the management of Mild Preeclampsia, what is the purpose of Magnesium Sulfate Therapy?
As an anticonvulsant and CNS depressant
Which of the following is a common symptom of postpartum blues?
Difficulty sleeping
What is a common manifestation of postpartum depression that differentiates it from postpartum blues?
Anxiety
In the management of postpartum blues, what is the recommended course of action if symptoms persist beyond 2 weeks?
Seek help from a mental health professional
Which of the following symptoms is commonly associated with parent-infant attachment/bonding?
Frequent mood fluctuation
What is a crucial aspect of postpartum care to prevent complications such as postpartum infection (sepsis)?
Encouraging early ambulation
What is a common causative organism of mastitis in breastfeeding mothers?
Escherichia coli (E. coli)
What is a recommended treatment for mastitis in breastfeeding mothers?
Antibiotics like penicillins or dicloxacillin
Which factor can lead to an increased risk of mastitis in breastfeeding mothers?
Obstruction of ducts
What are the three major contributing factors to thrombophlebitis?
Venous stasis, Hypercoagulability of blood, Injury to the intima
What temperature threshold indicates postpartum infection (sepsis) as per the text?
Fever of 100.4 for 2 consecutive days
What is a common complication of postpartum hemorrhage from bladder distension?
Postpartum infection (sepsis)
Which factor increases the risk of developing thrombophlebitis postpartum?
Large infant
In breastfeeding mothers, what condition can lead to a breast abscess?
Lactation
Which postpartum complication can progress to sepsis if not managed promptly?
UTI
What can exacerbate the development of mastitis in postpartum women?
Taking initiative
What term is used to describe the failure of the uterus to heal completely and return to its normal size and functioning after childbirth?
Subinvolution
Which of the following clinical signs is NOT associated with subinvolution of the uterus?
Firm uterus consistency
In postpartum uterine assessment, a soft and boggy consistency of the uterus is most indicative of:
Active hemorrhage
What is the typical timeframe for a mother to return for a checkup after delivery for the assessment of involution?
6 weeks
Which factor is most likely to contribute to retained placental fragments in the uterus, leading to subinvolution?
Uterine atony
Which hepatitis virus is transmitted through fecal-oral route and ingestion of contaminated foods?
Hepatitis A
What is a common fetal/neonatal effect of Rubella infection during the first trimester of pregnancy?
IUGR
Which virus from the TORCH infections group is associated with transmission through close personal contact and various bodily fluids?
Cytomegalovirus
What is the primary risk factor for Hepatitis C transmission?
Sharing needles during IV drug use
Which serious complication can Hepatitis A lead to in pregnant women?
Acute liver failure
Which viral infection is associated with leukopenia, thrombocytopenia, anemia, and elevated erythrocyte sedimentation rate?
Cytomegalovirus
Which type of hepatitis is commonly transmitted through sexual contact and IV drug abuse?
Hepatitis C
Which viral infection can lead to the risk of congenital transmission to the newborn?
Rubella (German measles)
Which viral disease is associated with the potential risk of overwhelming infections when the CD4 count drops below 200 cells/mm3?
Cytomegalovirus
Which viral infection can be confirmed through ELISA antibody reaction and Western blot analysis?
Hepatitis C
Which of the following viral infections can lead to congenital abnormalities if contracted during pregnancy?
Rubella (German measles)
Which viral infection is characterized by a thin, watery yellow to gray discharge in pregnant patients?
Cytomegalovirus
In pregnant patients, which viral infection can present with severe itching, dysuria, and dyspareunia?
Hepatitis C
Which viral infection is associated with the risk of premature rupture of membranes (PROM), preterm birth, and low birth weight in pregnant individuals?
Cytomegalovirus
Which viral infection is treated with Metronidazole in pregnant patients to reduce the risk of complications?
Cytomegalovirus
Which STI is most commonly reported in the U.S. according to the text?
Chlamydia
What pregnancy complication is associated with Rubella infection?
Intrauterine Growth Restriction (IUGR)
In which trimester does the text mention that Gonorrhea infection localized in certain areas in pregnant individuals?
3rd trimester
What is a common complication of Hepatitis C infection according to the text?
Postpartum Depression
Which STI is known to cause infertility and ectopic pregnancy in females according to the text?
Hepatitis C
Which clinical manifestation is more common in placenta abruption than in placenta previa?
Falling blood pressure
What is the primary medication used for treating uterine atony post-delivery?
Magnesium sulfate
In childbirth, a hematoma can be differentiated from a laceration by:
Visible swelling and bruising in perineal area
What symptom distinguishes postpartum hemorrhage from bladder distension?
Restlessness and agitation
What is the primary aspect that affects parent-infant attachment during child development?
Skin temperature
What is the first priority in managing postpartum hemorrhage due to uterine atony?
Gently massaging the uterus
Which medication for postpartum hemorrhage carries a contraindication for use in patients with acute Pelvic Inflammatory Disease (PID)?
Hemabate, Carbiprost, Prostin 15
In the context of postpartum hemorrhage, what distinguishes a hematoma from other types of bleeding?
Bleeding contained in the tissues
What is a characteristic feature of lacerations in the genital tract post-delivery?
Bright red bleeding
Which medication for postpartum hemorrhage should be avoided if the patient is hypotensive or has asthma?
(Prostin E2) Dinoprostone
What is a common cause of postpartum hemorrhage?
Lacerations in the genital tract
Which medication is typically used to manage uterine atony?
Oxytocin
What can a hematoma in childbirth result in?
Prolonged bleeding
In child development, what aspect is influenced by postpartum hemorrhage?
Attachment formation
What is a possible consequence of inadequate management of lacerations in the genital tract?
Risk of infection
Which of the following is a common manifestation of postpartum hemorrhage?
Uterine hyperactivity
What is the recommended course of action to manage a hematoma in childbirth?
Immediate repair with pressure and hematoma evacuation
Which medication is commonly used to treat uterine atony?
Oxytocin
What is a common symptom of lacerations in the genital tract during childbirth?
Perineal pain
Which of the following is typically NOT associated with attachment in child development?
Increased fundal height
Which maternal condition contributes to the risk of postpartum hemorrhage?
Low platelet count
What distinguishes a hematoma from a laceration in childbirth?
Pooling of blood under the skin
Which medication is primarily used for treating uterine atony post-delivery?
Magnesium Sulfate
What maternal sensitization factor can lead to Lacerations in the genital tract?
Fetal Rh+ blood type
How does a Coombs' test result impact the risk of developing a hematoma?
Negative Coombs' test increases hematoma risk
What does subinvolution refer to in postpartum care?
Delayed return of uterus to normal size and function
Which clinical sign is most indicative of uterine atony in the postpartum period?
Soft, boggy uterus upon palpation
What is the most common cause of subinvolution in postpartum women?
Retention of placental fragments
Which statement best describes the term 'involution' in postpartum physiology?
Return of reproductive organs to their normal size and function
In assessing uterine involution postpartum, what does 'consistency' refer to?
Firmness or boggy texture of the uterus
Which maternal condition is commonly associated with the risk of disseminated intravascular coagulation (DIC) in obstetrics?
Uterine atony
Which clinical manifestation is typical of early hemorrhage associated with placental abruptio?
Cool, pale skin
What is a common causative factor for DIC (disseminated intravascular coagulation) in obstetrics as mentioned in the text?
Intrauterine fetal demise
In assessing STIs and HIV risk behaviors, what does the '5 P's' method include?
Partners, Practices, Prevention of pregnancy, Protection from STIs & HIV, Past history of STIs
What maternal condition can lead to uterine atony post-delivery?
Chlamydial infection
Which symptom is more likely associated with late hemorrhage due to placenta abruptio?
Restlessness and agitation
What is a distinguishing feature of uterine atony in post-delivery complications?
Failure of uterine muscle to contract
Which medication is contraindicated in patients with acute Pelvic Inflammatory Disease (PID) for managing postpartum hemorrhage due to uterine atony?
Hemabate, Carbiprost, Prostin 15
What is the recommended route of administration for Dinoprostone in managing postpartum hemorrhage due to uterine atony?
Vaginally or rectally
What is a crucial nursing consideration when administering Methergine (Methylergonovine) for postpartum hemorrhage due to uterine atony?
Avoiding breastfeeding during treatment
What adverse effect should be particularly monitored for when using Pitocin (Oxytocin) in managing postpartum hemorrhage due to uterine atony?
Uterine rupture
Which medication for uterine atony management carries a potential contraindication for use in patients with high blood pressure?
Methergine (Methylergonovine)
In the context of postpartum hemorrhage due to uterine atony, what distinguishes Hematoma from other forms of bleeding?
Visible blood collection under the skin
Which manifestation is commonly seen in Placenta Previa but not in Placenta Abruptio?
Painless/silent bleed
What distinguishes severe preeclampsia from mild preeclampsia?
Oliguria < 500mL in 24 hrs
In the context of Placenta Previa, what factor contributes to the abnormal implantation of the placenta?
Excessive maternal age
Which clinical sign is not typically associated with uterine atony post-delivery?
Low fetal heart rate variability
What differentiates marginal overt concealed hemorrhage in Placenta Abruptio from concealed central hemorrhage?
Dark red bleeding if visible
'Hard board-like abdomen' and 'progressive late decelerations in FHR' are manifestations associated with:
Uterine Atony
Which factor is mentioned in the text as contributing to an increased risk of developing Preeclampsia?
Having an interpregnancy interval of less than 7 years
Which condition is associated with an autoimmune disorder or abnormal amount of antibodies causing blood clot formation, according to the text?
Factor V Leiden mutation
In the management of HELLP syndrome, which lab result would be expected to be low?
Platelet count
Which maternal condition mentioned in the text can contribute to the risk of disseminated intravascular coagulation (DIC) in obstetrics?
Premature placental separation (Abruptio Placenta)
What is the pathophysiological mechanism described in the text that leads to decreased placental perfusion and placental ischemia?
Endothelial cell dysfunction
Which management approach is advised for Mild Preeclampsia based on the text?
Administration of Magnesium Sulfate Therapy
What is the typical time frame for postpartum recovery, also known as the period of involution?
6 weeks
Which term describes the failure of the uterus to heal completely and return to its normal size and functioning after childbirth?
Subinvolution
What clinical sign is indicative of subinvolution of the uterus in the postpartum period?
Excessive lochia with clots
In postpartum care, what is a common manifestation that differentiates postpartum psychosis from postpartum depression?
Hallucinations or delusions
What is a common symptom experienced during the postpartum blues phase?
Transient feelings of sadness
Which bacterial organism is responsible for causing Chlamydial Infection, the most common bacterial STD in the U.S.?
Chlamydia trachomatis
What is the CDC recommendation regarding annual screening for Chlamydial Infection?
All sexually active adolescents and women 20-25 years old should be screened annually
What is the treatment regimen for Gonorrhea in non-pregnant individuals according to the text?
Doxycycline: 100 mg BID X 7 days
In pregnancy, what is the recommended treatment for Chlamydial Infection?
Azithromycin: 1 gram single dose orally
Which organism is responsible for causing Gonorrhea, the second most commonly reported STI?
Neisseria gonorrhoeae
Which bacterial STD is most commonly reported in the U.S. according to the text?
Chlamydia
What is a potential effect of Gonorrhea on newborns?
Ophthalmia neonatorum
Which maternal condition can lead to premature rupture of membranes (PROM) and preterm labor (PTL) as a consequence of Chlamydial Infection?
Chorioamnionitis
Which bacterial STD is the most common in the U.S. and can cause asymptomatic reproductive tract infections in females?
Chlamydia
Which bacterial STD can cause nongonococcal urethritis in men, leading to epididymitis and infertility?
Chlamydia
Which STI can present with symptoms like purulent greenish/yellow vaginal discharge and dysuria?
Gonorrhea
Which STI is associated with symptoms such as inflammation and swelling of the vulva and cervix, along with lower abdominal pain?
Chlamydia
Which STI, if contracted during pregnancy, can cause premature rupture of membranes and preterm labor?
Gonorrhea
What laboratory finding is characteristic of HELLP syndrome according to the text?
Elevated bilirubin levels
What is the primary intervention for managing Mild Preeclampsia as per the text?
Using Magnesium Sulfate Therapy
Which factor contributes to the pathophysiology of decreased placental perfusion in Preeclampsia according to the text?
Increased peripheral resistance
What personal history factor increases the risk of developing Preeclampsia based on the information provided?
History of gestational diabetes
What is the primary mechanism by which Placental Ischemia contributes to Generalized vasospasms as mentioned in the text?
Releasing toxic substances to endothelial cells
Test your knowledge on identifying the symptoms and criteria for severe preeclampsia, including high blood pressure, proteinuria, oliguria, hyperreflexia, and clinical manifestations like headaches, visual changes, edema, and epigastric pain. Understand the risks and complications associated with late pregnancy hemorrhage, placenta previa, and placenta abruption.
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