Gynecology

Question 0

Trisomy 13

Answer 0

Patau syndrome

Question 1

Down syndrome lab data

Answer 1

B-HCG elevated, AFP and Estriol depressed

Question 2

Trisomy 18

Answer 2

Edward syndrome

Question 3

Trisomy 21

Answer 3

Down syndrome

Question 4

Down syndrome clinical features

Answer 4

Low set ear, epicanthic folds, nuchal translucency, excess skin on neck, ear tag, simian crease, OD, CHD, dysplastic 5th, mid phalanx

Question 5

First perception of fetal movement occur at_____

Answer 5

16-20 weeks

Question 6

Uterus enlarge at 12 weeks_____

Answer 6

Above symphysis

Question 7

Uterus enlarge at 20 weeks_____

Answer 7

At umbilicus

Question 8

Hegar’s sign

Answer 8

Softening of cervix

Question 9

Chadwick’s sign

Answer 9

Bluish discoloration of cervix

Question 10

Ultrasound identification of fetus

Answer 10

After 6 weeks

Question 11

Fetal heart tones

Answer 11

After 17-19 weeks by auscultation

Question 12

Tay-Sachs screen particular for

Answer 12

Jewish women

Question 13

Sickle cell screen particular for

Answer 13

Black women

Question 14

AFP test for neural tube defects at

Answer 14

14-16 weeks

Question 15

Serum glucose for gestation diabetes at

Answer 15

26-28 weeks

Question 16

VDRL will pass placenta at ____ so before AP 20th weeks treatment won’t effect to fetus.

Answer 16

AP 18th week

Question 17

A client with preterm labor will feeling____

Answer 17

Low abdominal tightening, intestinal cramping, shows vaginal spotting

Question 18

Contraindications of tocolysis

Answer 18

Cardiac disease, severe H/T, acute infection, eclampsia, severe preeclampsia, fetal distress, placenta abruption, placenta pre via bleeding

Question 19

Elagyl

Answer 19

AP初期不可使用， treats trichomoniasis

Question 20

Yutopar S/E

Answer 20

Pulse rises, palpitation, lung edema, hyperglycemia, hypokalemia, hypotension, dyspnea, acidosis

Question 21

Yutopar antidote

Answer 21

Inderal

Question 22

Contraindications of Yutopar

Answer 22

Heart disease, GDM, hyperthyroidism, active vaginal bleeding

Question 23

Indomethacin effect

Answer 23

Reduce uterus contraction (depressed prostaglandin)

Question 24

Contraindications with indomethacin

Answer 24

GA > 32

Question 25

Magnesium sulfate effection

Answer 25

CNS depressant and anticonvulsant , cause smooth muscle relaxation, reduce uterus contraction

Question 26

Contraindications of Magnesium sulfate

Answer 26

CNS depress

Question 27

Toxicity signs of Magnesium sulfate

Answer 27

Urine, keen-reflex, respiration all depressed

Question 28

Antidote of Magnesium sulfate

Answer 28

Calcium glauconite

Question 29

Progesterone effect

Answer 29

AP 12前給，因為12週前Yutopar receptor 還沒長好所以Progesterone 有效

Question 30

Duvadilan effect

Answer 30

Relieve the symptoms of central and peripheral vascular

Question 31

Adalat effect

Answer 31

Reduce uterus contraction

Question 32

Parlodel effect

Answer 32

It treat amenorrhea, a condition in which the menstrual period does not occur; in fertility in women; abnormal discharge of milk from breast; hypogonadism; Parkinson’s disease; and acromegaly

Question 33

Pintocin = Oxytocin = Piton-s effect

Answer 33

Induce labor, promote milk letdown, should be second IV line

Question 34

Pintocin = Oxytocin = Piton-s S/E

Answer 34

Adverse reactions are rare but may include allergies, dysthymia, changes in BP, uterine rupture and water intoxication; oxytocin may produce uterine hypertonicity resulting in fetal or maternal injury

Question 35

Methergine effect

Answer 35

It is a increase smooth muscle contraction that most acts on the uterus. It is most commonly used to prevent or control excessive bleeding

Question 36

Contraindications of Methergine

Answer 36

Hypertension, preeclampsia

Question 37

PGE-2 effect

Answer 37

The cervix for the induction of labor in pregnant women who are at or near term; vaginal insert

Question 38

Betamethasone effect

Answer 38

Decreased RDS

Question 39

Betamethasone S/E

Answer 39

Pulmonary edema, infection rate raises, G/W intolerance