1. Chapter 5 Diseases of Pregnancy
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2. Instructions
The following unit contains individual case studies which are based on the information learned in the pathophysiology review.
Evaluate each case, review the signs and symptoms and determine the diagnosis of the disease from the provided options.
Once you have determined the diagnosis, proceed to the next slide to receive the answer with the rationale.
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3. Question 1 of 5
21 year old white/female states she is in her third trimester of her first pregnancy and is now in labor. Ten minutes ago she noted heavy, bright red vaginal bleeding. Pt denies any pain with the bleeding. The patient states the bleeding is worse with uterine contractions.
The patient is alert and oriented to person, place and time. Her skin is pink, warm and dry. Her pupils are equal and reactive to light. Lung sounds are clear in all lung fields. The abdomen is soft, and non- tender to palpation. She moves all extremities with equal range of motion and strength. The patient has no medical history.
Her Blood pressure was 108/64, pulse 98 and regular, respirations 24. Her blood sugar is 124 mg/dl. Oxygen saturation by pulse oximeter is 97%.
a. Ectopic Pregnancy d. Placenta previa
b. Pre-eclampsia e. Placenta abrupto c. Eclampsia
Answer

4. Question 1 of 5
21 year old white/female states she is in her third trimester of her first pregnancy and is now in labor. Ten minutes ago she noted heavy, bright red vaginal bleeding. Pt denies any pain with the bleeding. The patient states the bleeding is worse with uterine contractions.
The patient is alert and oriented to person, place and time. Her skin is pink, warm and dry. Her pupils are equal and reactive to light. Lung sounds are clear in all lung fields. The abdomen is soft, and non- tender to palpation. She moves all extremities with equal range of motion and strength. The patient has no medical history.
Her Blood pressure was 108/64, pulse 98 and regular, respirations 24. Her blood sugar is 124 mg/dl. Oxygen saturation by pulse oximeter is 97%.
Third trimester of her first pregnancy
In labor
Heavy, bright red vaginal bleeding.
Denies any pain with the bleeding.
Bleeding is worse with uterine contractions
Key Indicators
a. Ectopic Pregnancy d. Placenta previa
b. Pre-eclampsia e. Placenta abrupto c. Eclampsia
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5. Question 2 of 5
18 year old black/female has witnessed seizure activity approximately 20 minutes ago. The patient is lethargic and difficult to awaken. Her skin is pink, warm and dry. Her pupils are equal and reactive to light. Lung sounds demonstrate fine crackles (rales) in all lung fields.
The abdomen is soft, and non- tender to palpation. She moves all extremities with equal range of motion and strength. The patient is 36 weeks pregnant and this is her first child. She has a history of Gestational diabetes.
Her Blood pressure was 177/110, pulse 74 and regular, respirations 48 and labored. Her blood sugar is 133 mg/dl. Oxygen saturation by pulse oximeter is 90%.
a. Ectopic Pregnancy d. Placenta previa
b. Pre-eclampsia e. Placenta abrupto c. Eclampsia
Answer

6. Question 2 of 5
18 year old black/female has witnessed seizure activity approximately 20 minutes ago. The patient is lethargic and difficult to awaken. Her skin is pink, warm and dry. Her pupils are equal and reactive to light. Lung sounds demonstrate fine crackles (rales) in all lung fields.
The abdomen is soft, and non- tender to palpation. She moves all extremities with equal range of motion and strength. The patient is 36 weeks pregnant and this is her first child. She has a history of Gestational diabetes.
Her Blood pressure was 177/110, pulse 74 and regular, respirations 48 and labored. Her blood sugar is 133 mg/dl. Oxygen saturation by pulse oximeter is 90%.
Seizure activity
Lethargic and difficult to awaken
Lung sounds demonstrate fine crackles (rales) in all lung fields
The patient is 36 weeks pregnant and this is her first child
Blood pressure was 177/110,
Oxygen saturation by pulse oximeter is 90%.
Key Indicators
a. Ectopic Pregnancy d. Placenta previa
b. Pre-eclampsia e. Placenta abrupto c. Eclampsia
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7. Question 3 of 5
23 year old white/female complains of light vaginal bleeding, nausea and vomiting with pain. Sharp lower abdominal pain, cramping and pain in rectum. She states her last normal menstrual period was eight weeks ago and she is sexually active.
The patient is alert and oriented to person, place and time. Her skin is pink, warm and dry. Her pupils are equal and reactive to light. Lung sounds are clear in all lung fields. The abdomen is soft, and tender to palpation. She moves all extremities with equal range of motion and strength. The patient has no medical history.
Her Blood pressure was 118/74, pulse 74 and regular, respirations 20. Her blood sugar is 98 mg/dl. Oxygen saturation by pulse oximeter is 99%.
a. Ectopic Pregnancy d. Placenta previa
b. Pre-eclampsia e. Placenta abrupto c. Eclampsia
Answer

8. Question 3 of 5
23 year old white/female complains of light vaginal bleeding, nausea and vomiting with pain. Sharp lower abdominal pain, cramping and pain in rectum. She states her last normal menstrual period was eight weeks ago and she is sexually active.
The patient is alert and oriented to person, place and time. Her skin is pink, warm and dry. Her pupils are equal and reactive to light. Lung sounds are clear in all lung fields. The abdomen is soft, and tender to palpation. She moves all extremities with equal range of motion and strength. The patient has no medical history.
Her Blood pressure was 118/74, pulse 74 and regular, respirations 20. Her blood sugar is 98 mg/dl. Oxygen saturation by pulse oximeter is 99%.
Light vaginal bleeding
Nausea and vomiting with pain
Sharp lower abdominal pain, cramping and pain in rectum
Last normal menstrual period was eight weeks ago and she is sexually active
Key Indicators
a. Ectopic Pregnancy d. Placenta previa
b. Pre-eclampsia e. Placenta abrupto c. Eclampsia
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9. Question 4 of 5
24 year old white/female states she is in her third trimester of her first pregnancy and is now in labor. She now has significant vaginal bleeding and continuous abdominal pain. She also states that the uterine contractions do not relax.
The patient is alert and oriented to person, place and time. Her skin is pink, warm and dry. Her pupils are equal and reactive to light. Lung sounds are clear in all lung fields. The abdomen is soft, and non- tender to palpation. She moves all extremities with equal range of motion and strength. The patient has no medical history.
Her Blood pressure was 99/54, pulse 112 and regular, respirations 24. Her blood sugar is 104 mg/dl. Oxygen saturation by pulse oximeter is 99%.
a. Ectopic Pregnancy d. Placenta previa
b. Pre-eclampsia e. Placenta abrupto c. Eclampsia
Answer

10. Question 4 of 5
24 year old white/female states she is in her third trimester of her first pregnancy and is now in labor. She now has significant vaginal bleeding and continuous abdominal pain. She also states that the uterine contractions do not relax.
The patient is alert and oriented to person, place and time. Her skin is pink, warm and dry. Her pupils are equal and reactive to light. Lung sounds are clear in all lung fields. The abdomen is soft, and non- tender to palpation. She moves all extremities with equal range of motion and strength. The patient has no medical history.
Her Blood pressure was 99/54, pulse 112 and regular, respirations 24. Her blood sugar is 104 mg/dl. Oxygen saturation by pulse oximeter is 99%.
Third trimester of her first pregnancy and is now in labor
Significant vaginal bleeding
Continuous abdominal pain
Uterine contractions do not relax
Blood pressure was 99/54, pulse 112
Key Indicators
a. Ectopic Pregnancy d. Placenta previa
b. Pre-eclampsia e. Placenta abrupto c. Eclampsia
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11. Question 5 of 5
27 year old black/female complains of the presence of blood in her urine, she has generalized swelling all over the body including the face and extremities. She is 35 weeks pregnant and this is her first pregnancy. The patient is alert and oriented to person, place and time.
Her skin is pink, warm and dry. Her pupils are equal and reactive to light. Lung sounds are clear in all lung fields. The abdomen is soft, and non- tender to palpation. She moves all extremities with equal range of motion and strength. The patient has no medical history.
Her Blood pressure was 168/94, pulse 84 and regular, respirations 20. Her blood sugar is 103 mg/dl. Oxygen saturation by pulse oximeter is 99%.
a. Ectopic Pregnancy d. Placenta previa
b. Pre-eclampsia e. Placenta abrupto c. Eclampsia
Answer

12. Question 5 of 5
27 year old black/female complains of the presence of blood in her urine, she has generalized swelling all over the body including the face and extremities. She is 35 weeks pregnant and this is her first pregnancy. The patient is alert and oriented to person, place and time.
Her skin is pink, warm and dry. Her pupils are equal and reactive to light. Lung sounds are clear in all lung fields. The abdomen is soft, and non- tender to palpation. She moves all extremities with equal range of motion and strength. The patient has no medical history.
Her Blood pressure was 168/94, pulse 84 and regular, respirations 20. Her blood sugar is 103 mg/dl. Oxygen saturation by pulse oximeter is 99%.
Blood in her urine
Generalized swelling all over the body including the face and extremities
35 weeks pregnant and this is her first pregnancy
Blood pressure was 168/94
Key Indicators
a. Ectopic Pregnancy d. Placenta previa
b. Pre-eclampsia e. Placenta abrupto c. Eclampsia
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13. COMPLETE UNIT 5