Obstetrical

Question 1

Gravidity

Answer 1

of pregnancies regardless of outcome

Question 2

Parity

Answer 2

deliver of infant after 28th week gestation

Question 3

Primigravida

Answer 3

first pregnancy

Question 4

Primipara

Answer 4

one delivery

Question 5

Changes in pregnancy

Answer 5

• diaphragm elevated by approx. 4cm
• increase in vascular volume by ~ 50%
• CO increases by ~ 40%
• resting HR increases by 15-20bpm
• redistribution of blood volume (to pelvic region)
• higher basal metabolism - increased TV and MV
• slow digestion, bowel mobility decreases, risk of aspiration

Question 6

Position to Transport

Answer 6

Left side unless spinal
- uterus can compress inferior vena cava and decrease right atrial preload
* if supine, elevate R hip 15cm

Question 7

First Trimester Bleeding

Answer 7

ectopic
miscarriage
cervical, vaginal or uterine pathology

Question 8

Third trimester Bleeding

Answer 8

bloody show
miscarriage
placenta previa
abruptio placentae
uterine rupture