Oral exam answer
List Factors Affect Process of Labor (5Ps)
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List GATHER approach for appropriate counseling about family planning
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List Complication of diabetes in pregnancy
Maternal
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Fetal
1- –
2- –
3- –
4- –
List First aid management of bleeding in early pregnancy
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List Five Predisposing and risk Factors of pre-Eclampsia
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Oral exam answer
List Factors Affect Process of Labor (5Ps)
- Passenger (Fetus).
- Passage(birth canal)
- Power ( contraction)
- Placenta
- psychological status of woman
List GATHER approach for appropriate counseling about family planning
- Greet the clients
- Ask them about themselves
- Tell clients about family planning methods
- Help clients choose a method
- Explain how to use the method
- Return for follow-up
List Complication of diabetes in pregnancy
Maternal
- Preterm labor
- hypertension
- Infection
- Antepartum hemorrhage
Fetal
- Fetal malformations
- Macrosomia
- Intra uterine growth retardation (IUGR)
- Unexplained intra uterine fetal death (IUFD)
List First aid management of bleeding in early pregnancy
- Insert two wide IV cannula then withdraw blood for cross -matching investigations
- Start a crystalloid solution infusion (saline or Ringer’s lactate) as a fast drip
- If the patient is in shock or ectopic pregnancy is suspected
- Cross-match at least one unit of whole blood
- Insert a Foley catheter and monitor urine output
- Give antibiotic therapy
- Always check vital sings( BP, RR, Temp, Pulse) blood pressure, respiration, temperature, pulse
List Five Predisposing and risk Factors of pre-Eclampsia
- Age: (extremes of age) younger than 20 or older than 40
- Parity: increased in primiparous
- low Social status
- African-American race
- Genetic predisposition( family history)
- Multiples pregnancies
- Obesity
- Smoking
- Hydrops fetalis and polyhydramnios
- Hydatidiform mole
- DM, kidney disease
- Previous preeclampsia
- Climate and seasons