Dubose Lectures (Pregnancy)

Question 1

Naegele’s Rule

Answer 1

Due date: 1st day LMP - 3 months + 7 days

Question 2

Hegar’s sign

Answer 2

softening of cervix, uterus more mobile

Question 3

Chadwhick’s sign

Answer 3

blueis discolor of vagina d/t increased blood flow to uterus

Question 4

Fundal heights
16 weeks
20 weeks
36 weeks

Answer 4

16- halfway b/w PS & umbilicus
20- fundal height matches the dates +/- 2 cm
36- drops down

Question 5

When do you feel the fetus first move?

Answer 5

16-18 weeks (“quickening”)

butterflies

Question 6

Fetal HR heard when?

Answer 6

10 weeks

Question 7

Visiting the OB- how often?

Answer 7

<36 weeks- q2 weeks

36+- weekly

Question 8

QUAD test done when?

Answer 8

15-20 weeks

Question 9

OGTT- when?

Answer 9

24-28 weeks

Question 10

Rhogam given when

Answer 10

28 weeks

Question 11

Stages of delivery

Answer 11

1- Onset-10 cm
2- 10 cm- delivery
3- Placental separation
4-Stabilization

Question 12

Triad for knowing if membranes ruptured

Answer 12

Pooling
Nitrazine positive (litmus paper turns blue)
Ferning

Question 13

late decels mean…

Answer 13

utero-placental insuffic

Question 14

iatrogenic episiotomy is equivelant to…

Answer 14

2nd degree tear (vag mucosa and underlying mm b/w vag and anus)

Question 15

3rd degree tear involves…

Answer 15

anal sphincter mm

Question 16

4th degree tear involves…

Answer 16

rectal mucosa

Question 17

3 signs of placental separation

Answer 17

uterus becomes more globular lengthening of cord; expulsion of blood

Question 18

2 accelerations @ least 15 beats above baseline for 15 sec w/in 20 mins of time

Answer 18

reactive non stress test

Question 19

pre term labor:

Answer 19

<36 6/7 wekks

Question 20

Pre-E triad

Answer 20

HTN, edema, proteinuria

Question 21

painless bleeding ~30 weeks

Answer 21

placenta previa

Question 22

painful bleeding d/t placenta prematurely separating from uterine wall

Answer 22

abruptio placentae