maternal exam 1 review

Question 1

Nagele’s Rule is used to determine what?

Answer 1

estimated delivery date

Question 2

How do you calculate estimated delivery date

Answer 2

LMP - 3 months + 7 days

Question 3

What does Coomb’s test identify

Answer 3

Rh incompatibility

Question 4

what does a direct coomb’s test look for?

Answer 4

maternal Rh antibodies in fetal cord (goes directly to the source)

Question 5

What does an indirect coomb’s test look for?

Answer 5

Rh antibodies in maternal blood

Question 6

what is given to prevent Rh incompatibility?

Answer 6

Rhogam

Question 7

what is RhoGAM

Answer 7

ready made immunoglobulin

Question 8

Rh(0) is?

Answer 8

RhoGAM

Question 9

condition in which large amounts of fluid build up in a baby’s tissues and organs, causing extensive swelling is called

Answer 9

hydrops fetalis

Question 10

what causes hydrops fetalis

Answer 10

Rh incompatability

Question 11

what gloves should be used on pt w/ placenta previa

Answer 11

sterile gloves

Question 12

what lab should be obtained for any pt w/ bleeding issue

Answer 12

CBC

Question 13

what measures amount of surfacant in baby

Answer 13

l/s ratio

Question 14

non painful vaginal bleeding can be an indication of what preg complication

Answer 14

placenta previa

Question 15

painful vaginal bleeding can be an indication of what preg complication

Answer 15

abruptio placentae

Question 16

how many times should fetus move in 12 hrs

Answer 16

10x

Question 17

what preg complication increases risk of type 2 dm after pregnancy

Answer 17

gestational dm

Question 18

frequent yeast infections can cause what preg complication

Answer 18

gestational dm

Question 19

what oral hypoglycemic is given for preg pts with headaches

Answer 19

glyburide

Question 20

why is glyburide given to preg pts instead of other oral hypoglycemics?

Answer 20

other hypoglycemics are teratogenic

Question 21

if oral glucose test is over 130 what should you do

Answer 21

redo test after pt has a 3 hr fast

Question 22

what do 2 abnormal oral glucose tests indicate

Answer 22

gestational dm

Question 23

HbA1c results over 10% indicate a high risk of what

Answer 23

congenital anomalies

Question 24

what effect does insulin have on potassium

Answer 24

it lowers potassium

Question 25

what should you monitor when giving insulin to pt

Answer 25

potassium lvls

Question 26

when does gestational dm appear during preg

Answer 26

by 20 weeks

Question 27

is a primigravida pt that is 27 y/o at risk for gestational htn?

Answer 27

no only pts with age extremes

Question 28

what are age extremes?

Answer 28

younger than 18 and older than 40

Question 29

is protein deficiency a risk for gestational htn

Answer 29

yes

Question 30

what happens to eclampsia pt if they go into a coma

Answer 30

hemolysis of blood cells
elevated liver enzymes
low platelets syndrome

Question 31

what is the last resort treatment for eclampsia pt

Answer 31

deliver baby

Question 32

surgery to remove fallopian tubes is called

Answer 32

salpingectomy