Midwifery I Final Exam Questions & Answers (Graded A+)

Baseline labs for chronic HTN Medications? {Ans: CBC, LFTS, creatinine, protein/creatinine ratio Antihypertensives not recommended unless they were on something before, labetolol is commonly used}What does Amnisure test? How is it tested? {Ans: Tests for PAMG-1, very specific for preterm labor vaginal swab 1 min, swirl 1 min, can be done blind}HELLP Syndrome Symptoms? {Ans: Hemolysis elevated liver enzymes Low platelets N/V--most common fatigue/malaise abdominal pain--indigestion, heart burn--most common headache elevated BP preeclamspia s/s}Missed abortion/delayed pregnancy loss 1. Cervix 2. U/S 3. Uterus size 4. bHCG 5. S/S How can this be managed? {Ans: 1. Closed 2. retained products of conception 3. small or appropriate for gestational age 4. Rising or beginning to fall 5. amenorrheic Can be managed expectantly or refer out for medical management}What tests are the most effective predictor of preterm labor? {Ans: FFN + cervical length measurement Shortened: <3cm}Incomplete/Threatened/Inevitable abortion 1. Cervix 2. U/S 3. Uterus size 4. bHCG 5. S/S 6. How is it managed (medication?) when can it be administered? Dosage? How often can it be repeated? How long will it take to evacuate the uterus? Patient education on s/s? {Ans: 1. Open or closed 2. retained products