Exam 1 part 6

Question 1

Death per 100,000 live births

Death during pregnancy or within 42 days of pregnancy termination

Answer 1

Maternal mortality

Question 2

directly related to the pregnancy

Answer 2

direct maternal mortality

Question 3

not directly related to pregnancy

Ex. hypertension

Answer 3

indirect maternal mortality

Question 4

death after 42 days

Answer 4

late maternal death

Question 5

death before first birthday

6.1 per 100o live births

Answer 5

neonatal mortality

Question 6

born before 32 weeks

Answer 6

very preterm

Question 7

born 32-33 weeks

Answer 7

moderately preterm

Question 8

born 34-37 weeks

Answer 8

late preterm

Question 9

normal birth weight

Answer 9

2501-3999

Question 10

low birth weight

Answer 10

1500-2500

Question 11

very low birth weight

Answer 11

less than 1500

Question 12

high birth weight

Answer 12

4000

Question 13

when is it considered preterm

Answer 13

more than 20 weeks but less than 37 weeks

Question 14

preterm births are due to

Answer 14

40 due to spontaneous PTL

40 due to PROM

Question 15

what percent does preterm birth account for neonatal deaths

Answer 15

50-70

Question 16

preterm and LBW occur in which ethnicity the most

Answer 16

african american

Question 17

Symptoms of PTL

Answer 17

uterine contractions 
Menstrual like cramps
Constant backache
Pelvic pressure
Increased vaginal discharge 
Blood stained vaginal discharge

Question 18

a test used to determine if a women will go into preterm labor

Answer 18

Fibronectin

Question 19

when can the fribronectin be done

Answer 19

22-35 weeks

Before digital vaginal examination

Question 20

low implantation

Answer 20

placenta previa

Question 21

what is used for uterine irritability

Answer 21

progesterone

Question 22

home management for PTL

Answer 22

tocolytics
Uterine monitoring
Activity restriction

Question 23

initial steps of giving tocolysis

Answer 23

IV hydration
rest
Subcutaneous terbutaline

Question 24

when can steroids be used

Answer 24

26-34 weeks

Question 25

Bethamethason dosage

Answer 25

12 mg IM Q24 X 2 dose

Question 26

Dexamethason

Answer 26

6mg IM Q12 X4

Question 27

premature dilation of cervix usually occurs about 4-5 months History of repeated painless abortions

Answer 27

incompetent cervix

Question 28

Incidence of incompetent cervix

Answer 28

0.1-1

Question 29

treatment used for incompetent cervix

Answer 29

Trendelenburg | Cerclage

Question 30

Spontaneous rupture of the membranes prior to the onset of labor

Answer 30

PROM

Question 31

Causes of PROM

Answer 31

Infection Polyhydramnios or twins Trauma Multiple gestations

Question 32

Incidence of PROM

Answer 32

3-18%

Question 33

Inflammation of fetal membranes | Usually caused by infection

Answer 33

Chrioamnionitis

Question 34

S/S of chorioamnionitis

Answer 34

Maternal and fetal tachycardia Fever Uterine and abdominal tenderness Purulent vaginal secretion

Question 35

Symtoms of cystitis

Answer 35

Dysuria Urgency and frequency Low grade fever Hematuria

Question 36

Symptoms of pyelonephritis

Answer 36

``` Chills Fever Flank pain N and V sign of lower UTI ```

Question 37

hormones related to heartburn

Answer 37

Progesterone and relaxin

Question 38

Increased blood pressure accompanied by proteinuria BP >140/90 urine protein > 300 in 24 hour specimen

Answer 38

Preeclampsia

Question 39

The occurrence of seizures that cannot be attributed to other causes in a women with preeclampsia

Answer 39

eclampsia

Question 40

HELLP syndrome

Answer 40

Hemolysis Elevated liver enzymes Low platelets

Question 41

demonstrates the path changes of preeclampsia but in the absence of hypertension and proteinuria

Answer 41

HELLP syndrome

Question 42

Premature separation of the normally implanted placenta from the uterine wall

Answer 42

Abruptio Placentae

Question 43

Separation begins at the edge o placenta | Vaginal bleeding present

Answer 43

Marginal abruptio placentae

Question 44

separation occurs centrally and blood trapped between placenta and uterine wall Concealed or occult hemorrhage

Answer 44

Central abruptio placentae

Question 45

massive vaginal bleeding evident from vaginal tone with placenta separation

Answer 45

complete abruptio placentae

Question 46

invasion of trophoblast beyond the dicidua

Answer 46

accreta

Question 47

invasion onto myometrium

Answer 47

increta

Question 48

into uterine muscular and adhere to other organs

Answer 48

percreta

Question 49

Implantation of the fertilized ovum in any location other than the uterine cavity

Answer 49

Ectopic pregnancy

Question 50

The chorine villi, instead of forming into a placenta, degenerated into edematous, cystic vesicles that hand in grape like clusters

Answer 50

Hydatidiform Mole

Question 51

A single or two sperm combining with ova which has lost DNA which replicated through mitosis No sign of embryonic or fetal development is present Risk of choriocarcinoma

Answer 51

Complete mole

Question 52

Occurs when an egg is fertilized by two sperm or by one sperm which reduplicates itself yielding the genotype 69 or 92 Embryonic/fetal development may be seen but the fetus is always malformed and is never viable

Answer 52

Parial mole