ATLS pregnancy Exam Questions And Answers 2022/2023
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Course
ATLS pregnancy
Institution
ATLS Pregnancy
Penetrating Trauma to the Upper Abdomen during late gestation may result in ________________, - Answer - complex intestinal injury due to the displacement of the cephalad (bowel lies in upper abd)
Pelvic Fracture in late gestation may result in what injury of the fetus?,. - Answer - Skull Fractu...
ATLS pregnancy Exam
Penetrating Trauma to the Upper Abdomen during late gestation may result in ________________, - Answer - complex intestinal injury due to the displacement of the cephalad (bowel lies in upper abd)
Pelvic Fracture in late gestation may result in what injury of the fetus?,. - Answer - Skull Fracture or serious intracranial Fracture
Abrupt decrease in maternal intravascular volume may result in, - Answer - "uterine vascular resistance, reducing fetal oxygenation while maintaining normal maternal VS. "
Normal HCT in pregnancy?, - Answer - HCT: 31%-35%
How much the plasma volume is increased in pregnancy? - Answer - about 50 %
Pregnant women can loose up to ______________ml before having signs of hypovolemia., - Answer - 1200-1500 mL or 30% of total blood volume
Which ids the effect of the physiologic hypervolemia of pregnancy on the management of the severely injured woman? - Answer - The pregnant should lose a significant amount of blood volume ( 30% of the total blood volume) before tachycardia and hypo tension develop
Hypertension with proteinuria may be a sign of , - Answer - pre-eclampsia.
"Htn, seizures, hyperreflexia, proteinuria, and peripheral edema may be a sign of ____________", - Answer - Eclampsia
How should pregnant women be immobilized? - Answer - "spine board, log rolled 4-6 inches to the left. Manual displacement of the uterus to the left side will relieve the pressure off the IVC ."
The most frequent cause of fetal death? - Answer - The maternal death
The resuscitation of the mother is the priority
If the mom has normal VSS does this mean she is stable and the fetus is safe? - Answer - NO. Pregnancy causes an increase in intravascular volume which allows for significant blood loss before becoming symptomatic. The fetus may be in distress before mother. Early resuscitation needed.
True or False? Vasopressor are needed to restore blood pressure during pregnancy?, - Answer - False. Pressors should be a last resort. Pressors reduce uterine blood flow and cause fetal hypoxia. Normal fibrinogen level may be an indicator of _______, - Answer - early DIC. Fibriogen level is usually double during late pregnancy.
"A pregnant women arrives with Abdominal tenderness, guarding, rigidity, or rebound tenderness and in shock may have ______", - Answer - uterine rupture
indications for admission to the hospital - Answer - - Vaginal bleeding
- leakage of amniotic fluid
- abdominal tenderness
- uterine irritability
- pain or cramping
-Hypovolemia (tachycardia & hypo tension)
"A Pregnant woman presenting with vaginal bleeding, uterine tenderness, frequent uterine contractions, uterine tetany, and uterine irritability (uterine contract when untouched) may have ", - Answer - Abruptio placentae.
Normal Fetal Heart Rate, - Answer - 120-160 BPS
Abnormal fetal heart rate, - Answer - repetitive decelerations
absence of acceleration or beat-to-beat variability - Answer - Presence of amniotic fluid in vagina (pH of 7-7.5) is suggestive of _________________,
- Answer - ruptured chorioamnionic membranes.
"All pregnant, __________, trauma patients should receive Rh immunoglobulin therapy unless the injury is remote and isolated from uterus", - Answer - Rh negative
Rh immunoglobulin (RhIg) administration for female victim? - Answer - - positive pregnancy test
- Rh-negative
- torso / axial trauma
"What is the position of the fetus at 12, 20, and 36 weeks of pregnancy? - Answer - - 12 weeks, intrapelvic organ; 20 weeks at umbilicus; 34-36 weeks, reaches the costal margin"
Quick complications may amniotic fluid cause during trauma - Answer - Amniotic fluid embolism and disseminated intravascular coagulation (DIC)
What is a normal hematocrit in late pregnancy? - Answer - 31-35%
What blood volume could be lost before symptoms of hypovolemia occur - Answer - 1200-1500 mL
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