Antepartum

Question 1

In order to administer METHOTREXATE to a patient to dissolve an eptopic pregnancy…..

Answer 1

the pregnancy must be LESS THAN 3.5CM
the patient must be STABLE
the patient cannot take FOLIC ACID
the patient will receive RHOGAM if she is Rh-
may require a SECOND DOSE a few days later

Question 2

In an aminocentesis, the lamellar bodies should be _____; which indicates the baby is ready to be born

Answer 2

In an aminocentesis, the lamellar bodies should be MORE THAN 32,000; which indicates the baby is ready to be born

Question 3

What are the trimesters?

Answer 3

1 - 13 WEEK = trimester 1
14 - 26 = trimester 2
27 - 40 = trimester 3

Question 4

What is the treatment for a missed miscarriage?

Answer 4

• blood clotting factors for ONE MONTH

- D/C MAY occur IF retained for more than 5 weeks after 12 weeks gestation!

Question 5

In a missed miscarriage, we generally dont let it go past ____ with a fetus with

Answer 5

In a missed miscarriage, we generally dont let it go past ONE MONTH with a fetus with NO HEARTBEAT

**would require D&C

Question 6

What are the 4 main purposes for using contraceptives?

Answer 6

1) prevent unwanted pregnancies
2) improve perinatal outcomes
3) facilitate a wanted pregnancy
4) screen for STIs

Question 7

What is Nagele’s Rule?

Answer 7

1st day of LAST KNOWN MENSTRAL PERIOD, MINUS 3 months, plus 7 days (or plus 9 months)

Question 8

Antepartum Fetal Assessment

Answer 8

In a Non Stress Test - NST, you need to see the FHR go up 15 BPM ABOVE BASELINE, for at last 15 SECONDS and it needs to happen AT LEAST TWICE in 20 MNIUTES

Question 9

In pregnancy, blood volume increases by ___%, or ___mL

Answer 9

In pregnancy, blood volume increases by 50%, or my 1500mL

Question 10

During pregnancy, it is recommended that a woman does not get her HR above ___ for a long period of time during exercise!

Answer 10

During pregnancy, it is recommended that a woman does not get her HR above 90BMP for a long period of time during exercise!

Question 11

Ectopic pregnancy pre-rupture S/S include:

Answer 11

• abdominal pain
• delayed menses
• abnormal bleeding 6-8 weeks after LNMP

Question 12

5 Digit system: GTPAL

Answer 12

G: gravidity
T: term
P: preterm
A: abortions
L: living

Question 13

2 digit system: GP

Answer 13

G: gravidity = pregnancies
P: pariety = pregnancies past 20 weeks gestation

G= always includes current pregnancy
P= only includes previous births

Question 14

What is the treatment for septic miscarriage?

Answer 14

ACUT
A= antibiotics
C= cervical culture
U= uterus emptied
T= treat spetic shock

Question 15

____ is when you push on the cervix and the baby pushes up and rebounds back down

Answer 15

BALLOTEMENT is when you push on the cervix and the baby pushes up and rebounds back down

Question 16

In pregnancy, edema ___ _ ___ is normal, but edema ___ _ ___ is NOT

Answer 16

In pregnancy, edema BELOW THE WAIST is normal, but edema ABOVE THE WAIST is NOT

Question 17

In an ectopic pregnancy, do not do ____; it may cause rupture!!!

Answer 17

In an ectopic pregnancy, do not do BIMANUAL EXAM; it may cause rupture!!!

Question 18

what does EAB stand for?

Answer 18

ELECTIVE ABORTION

Question 19

What does EDB stand for?

Answer 19

ESTIMATED DATE OF BIRTH

Question 20

What does EDC stand for?

Answer 20

ESTIMATED DATE OF CONFINEMENT

Question 21

What does EDD stand for?

Answer 21

ESTIMATED DATE OF DELIVERY

Question 22

What is the prenatal routine?

Answer 22

every 4 weeks, until the END of the 2nd trimester

every other week until week 36

at least once a week until delivery

Question 23

Ectopic pregnancy post-rupture symptoms:

Answer 23

FLUSH
F= faintness + dizziness
L= lower abd pain
U= umbilical ecctymotic blueness (cullen sign)
S= should pain
H= hypotension + tachycardia

Question 24

After a miscarriage, the patient needs to take ___ and ___ for blood loss

Answer 24

After miscarriage, the patient needs to take FOLIC ACID and IRON SUPPLEMENTS for blood loss

Question 25

Non Stress Test - NST; reactive is _____

Answer 25

Non Stress Test - NST; reactive is GOOD

Question 26

When does pregnancy begin?

Answer 26

AT IMPLANTATION (that is when pregnancy hormones are detectable)

Question 27

Clotting tendencies ____ during pregnancy because of ____.

Answer 27

Clotting tendencies INCREASE during pregnancy because of ESTROGEN.

Increases risk of DVT, monitor closey!

Question 28

In pregnancy, cardiac output _____; prior history of heart disease can lead to ____ ____.

Answer 28

In pregnancy; cardiac output INCREASES UP TO 50%; prior history of heart disease can lead to HEART FAILURE.

Question 29

What helps promote placental perfusion?

Answer 29

laying on side, preferably the left!

Question 30

When the baby “drops down” its known as ____. This only occurs in __ ___ ___.

Answer 30

When the baby “drops down” its known as LIGHTENING; This only occurs in THE FIRST PREGNANCY

Question 31

What is linea nigra?

Answer 31

LINEA NIGRA is a dark line appearing on the abd and extending from the pubis towards the umbilicus, fades after delivery

Question 32

What is melasma?

Answer 32

MELASMA is the “mask of pregnancy”, a patchy tan-to-dark brown discoloration of the face; cause by estrogen

Question 33

What medication is generally given to dissolve an ectopic pregnancy. How much?

Answer 33

METHOTREXATE is generally given to dissolve an ectopic pregnancy. It is given INTRAMUSCULAR, 1mg/kg

Question 34

What does multigravida mean?

Answer 34

MULTIGRAVIDA means a woman who has been pregnant x2

Question 35

What does multipara mean?

Answer 35

MULTIPARA means a woman who has completed 2+ pregnancies to at least 20 weeks gestation

Question 36

What is nullgravida?

Answer 36

NULLGRAVIDA means a woman who has never been pregnant and is not currently pregnant

Question 37

After miscarriage, the patient needs ___ ___ for at least _ ___ after ___ __ ___.

Answer 37

After miscarriage, the patient needs PELVIC REST for at least THREE WEEKS after THE BLEEDING HAS STOPPED!