Obstetric 5

Question 1

What can cardio problems during pregnancy be a result of?

Answer 1

• preexisting dz
• disorders
• physiologic changes during pregnancy

Question 2

blood volume increase during pregnancy

Answer 2

increases by 40%

Question 3

If you are the PT caring for the obstetric pt with cardiovascular issues, what must you do before designing POC?

Answer 3

get guidelines from cardiologist, obstetrician, or midwife

Question 4

Indicators of heart disease during pregnancy: symptoms

Answer 4

• progressive dyspnea
• nocturnal cough
• hemoptysis
• syncope
• chest pain

Question 5

Indicators of heart disease during pregnancy: clinical findings

Answer 5

• cyanosis
• clubbing of fingers
• persistent neck vein distention
• etc (be familiar with cardiac sx)

Question 6

most common cardio issue with pregnancy

Answer 6

HTN: 140/90 or higher

Question 7

common pregnancy cardio issues: dyspnea

Answer 7

increases as pregnancy progresses

Question 8

What are common pregnancy/post-partum complications?

Answer 8

• HTN
• venous thromboembolism
• dyspnea
• decreased GI motility and constipation
• nausea, vomiting, hyperemesis
• GERD
• gallstones
• UTI and other renal issues
• fecal incontinence
• organ prolapse postpartum

Question 9

What are common pregnancy/post-partum complications?

urinary

Answer 9

• UTI
• cystitis
• acute kidney infection
• urinary incontinence from pressure on urigenital structures

Question 10

cystocele

Answer 10

bladder prolapse

Question 11

psychosocial transitions can cause great emotional distress: influenced by

Answer 11

• hormonal and other bodily changes
• culture and ethnicity
• expectations and belief systems surrounding the woman

Question 12

psychosocial: be observant for signs of

Answer 12

• emotional distress
• low coping
• perinatal depression

Question 13

est. rate of domestic violence

Answer 13

10%

Question 14

look for these signs for domestic violence

Answer 14

• partner doesn’t allow woman to speak for herself
• refuses to let PT interview alone
• won’t leave area
• controls access
• physical exam: bruising, hygiene, vaginal spotting

Question 15

OP in pregnancy

Answer 15

• typically transient

- affects lumbar spine, hip, wrist most commonly

Question 16

risks for OP in pregnancy

Answer 16

preexisting osteopenia

Question 17

dx of OP during pregnancy

Answer 17

• ruling out mechanical sources of pain coupled with

- pain that doesn’t improve with conservative intervention

Question 18

OP most commonly occurs in this trimester

Answer 18

3rd

Question 19

OP: PT goals during pregnancy (if symptomatic)

Answer 19

• preserve joint integrity

- minimize disability