Question

Match term to the patient scenario

Rosie Holloway, Room 301

Select the term from drop-down that applies to the scenario below.

A G1P0 at 38 weeks is transferred to the Antepartum holding/testing area from her doctor’s office for monitoring and evaluation. In the office her cervix was 2-3 cm and 50% effaced. Earlier in the day, on admission, she had complained of irregular contractions and a persistent headache for the last 24 hours and decreased fetal movements as well as complaints of heart burn that had not been relieved with the OTC Tums. Blood pressures are 160-180/90-100. After 2 hours on the monitor the uterine activity monitor shows regular uterine contractions every 2-5 minutes apart, with the patient complaining of pain with a 7 out of 10 pain scale. The fetal heart rate of 130 has minimal to moderate variability and an absence of accelerations. Non-reassuring decelerations are ABSENT at this time. Many of the patient’s blood tests are pending; however, the labs that have been received are showing a low platelet count, elevated (ALT, AST) liver enzymes. Urine test is 2+ for protein. The patient’s cervix is examined again and is now 3-4 cm dilated and 80%.

DROP DOWN:

Abruptio Placentae

Augmentation of Labor

Contraction Stress Test (CST)

Gestational Diabetes Mellitus (GDM)

HELLP Syndrome

Incompetent Cervix

Induction of Labor

Mecomium Staining

Nonstress Test

Plancenta Previa

Post Term Pregnancy

Preeclampsia

Premature Labor

Premature Rupture of Membrane (PROM)

Umbilical Cord Prolapse

Answer 1

Answer

HELLP SYNDROME

Reason: HELLP SYNDROME is a life threatening complication and can be considered as a variant of pre eclampsia. It usually occurs during the later stages of pregnancy or after the delivery. The characteristic features of this syndrome include hemolysis, low platelet count and elevated liver enzymes. Patient also suffered from high blood pressure,headache and gastric problems.