Question

1-How often should you test the urine during labor?

2-What should you do for a mother with hypotension?

3-How do you recognize shock in a pregnant mother?

4-What are the common causes of shock in the first stage of labor?

5-What volume of urine passed indicates oliguria (decreased urine output)?

6-What are the causes of oliguria in pregnancy?

Answer 1

1. each time the patient passes urine,assess for volume of urine and for ketones as well as proteins in urine

2.-first identify the cause for hypotension

-normal for some patients , so compare with previous readings

-make her lie on left lateral position (to avoid compression of IVC on lying flat)

- due to haemorrhage because of placenta previa , abruptio placenta, if yes have to terminate pregnancy immediately and resuscitate her with blood transfusion if needed

3.- tachycardia

- low blood pressure

- peripheral vasoconstriction with symptoms of cold peripheries,sweating

4.- abruptio placentae

- rupture of uterus

-placentae previa

shock in first stage is always due to haemorrhage

5. less than 20 ml urine output /hour ,about less than 400 to 480 ml urine output per day

6.causes of oliguria in pregnancy

- severe pre eclampsia

-shock

-dehydration