Cumulative Testing

Question 1

Nagele’s Rule +7+9 9/12/2011

Answer 1

6/19/2012

Question 2

GTPAL
Julia is now pregnant for the 6th time, she has 3 living children who were born at 38+5 weeks, 37+3 and 34 weeks gestation. She had a miscarriage at 7 weeks. Her last pregnancy ended with the delivery of an 18 weeker. What is her obstetric history using the 5-digit system (GTPAL)?

Answer 2

G6T1P2A2L3

Question 3

CBC with Normal level

Answer 3

Hgb: 12-16, Hct: 36%-46%

Question 4

S&S of Hypovolemia

Answer 4

^ HR, vBP, ^ Breathing, v SPAO2

Question 5

GBBS

Answer 5

Immunity to strep, Give ampicillin, clendamycin if allergic to PNC

Question 6

rH status

Answer 6

If rH neg, give RhoGam at 28 weeks and after birth. Mom is - and baby is +, vice versa

Question 7

Blood type incompatibility

Answer 7

More occurrence with ABO

Question 8

RPR/VDRL

Answer 8

Tests for syphilis and venereal disease

Question 9

Rubella

Answer 9

Gien when mother leaves the hospital because it is a live vaccine

Question 10

HSV

Answer 10

Herpes, mother cannot give vaginally if there is an open lesion

Question 11

Gonorrhea & Chlamydia

Answer 11

Erythromycin is put in the eyes of the newborn

Question 12

Initial labs run on mother at the beginning of pregnancy (8)

Answer 12

CBC, Hep B, HIV, Rubella, rH, Herpes, VDRL for syphilis, Urine Drug Screen

Question 13

Labs given at 6 weeks (1)

Answer 13

AFP

Question 14

Labs given at 36 weeks (4)

Answer 14

CBC, GBBS, HIV, urine drug screen

Question 15

40 weeks/in labor (1)

Answer 15

GBBS (amp or clendmycin)

Question 16

Epidural Anesthesia

Answer 16

Works by gravity so rotate. Causes hypotention due to v CO and v SV

Question 17

Hemorrhage within 24 hours of birth

Answer 17

Uterine Atony (massage the funds), lacerations, or DIC

Question 18

Hemorrhage after 24 hours of birth

Answer 18

Subinvolution R/T Retained placental fragments

Question 19

Meds given with hemorrhage

Answer 19

Oxytocin, Methergen, Ergotrate

Question 20

During breastfeeding the anterior pituitary gland releases what hormone

Answer 20

Prolactin

Question 21

During breast feeding the posterior pituitary gland releases what hormone

Answer 21

Oxytocin

Question 22

What is in the breasts for the initial 72-96 hours after birth?

Answer 22

Colostrum

Question 23

After Colostrum has turned into milk, what happens to the breasts

Answer 23

Warm, Firm, and tender, as well as fuller