Maternity

Question 1

Presumptive signs

Answer 1

ammenorhea, breast tenderness, frequency, novo

Question 2

Probable signs

Answer 2

Goodall sign, Chadwicks sign, Hegar sign, uterine enlargement, braxton hicks, pigmentation of skin: lines nigra, facial chloasma, abdo striae

Question 3

Definite signs

Answer 3

doppler (10-12 weeks), fetoscope (7-20 weeks), ultrasound

Question 4

Goodall sign

Answer 4

softening of cervix, 2nd month

Question 5

Chadwicks sign

Answer 5

bluish colour of vag mucosa and cervix, week 4

Question 6

Hegar sign

Answer 6

softening of lower uterine segment: 2-3rd month

Question 7

Nageles rule

Answer 7

+ 7 days -3 months + 1 year

Question 8

Ado should increase calorie intake by how much

Answer 8

500 cal

Question 9

danger signs

Answer 9

headache, no, sever abode pain, sudden gush of vaginal fluid, temp spike, edema, persistent vo

Question 10

When see Dr

Answer 10

0-26: once a month
26-36: twice a month
36 and up:every week

Question 11

fetal mouv which week

Answer 11

16-20

Question 12

lightening

Answer 12

head in pelvis

Question 13

enagagement

Answer 13

largest part of fetus in pelvic inlet

Question 14

signs of labor

Answer 14

lightening, engagement, bloody show, diarrhea, sudden burst of energy, breathe easier, urinary frequency, softening cervix

Question 15

non stress test

Answer 15

2 or more access with fetal move where the bp is 15 ppm more for 15 sec, goes back to baseline within 2 mins and is recorded in 20 min

Question 16

negative stress test

Answer 16

no late decels, 3 or more contractions lasting 40-60 secs in 10 minute time frame

Question 17

positive stress test

Answer 17

late decals more than half the time

Question 18

major cx of epidural

Answer 18

hypota

Question 19

after epidural, place

Answer 19

semi-fowler on side to prevent mean cava compression (dim venous return, CO, BP, placental perfusion)

Question 20

oxytocin alert for

Answer 20

uterine rupture, fetal distress, hypertonic labor contractions

Question 21

sx incomplete uterine rupture

Answer 21

faint, vo, internal bleeding, lose fetal heart tones, late decal, retard progress

Question 22

discontinue oxytocin if contractions last

Answer 22

more than 90s

Question 23

abdo post partum

Answer 23

diastisis recti

Question 24

uterus few hours after birth

Answer 24

1 finger above umbilici

Question 25

fondus boggy

Answer 25

massage until firm, check for bladder distension

Question 26

lochia

Answer 26

rubia: 3-4
serosa: 4-10
alma: 10-28

Question 27

breast care

Answer 27

extra 500 cal, 8-10 8 ounce glasses of fluid per day

Question 28

causes of late hemm

Answer 28

uterine atrophie, forceps, lacerations

Question 29

patio jaundice

Answer 29

first 24h ABO/RH incompatibility

Question 30

erythroblastosis fetalis

Answer 30

neuro damage, anemia, hyperbole, hydrous fettles, CHF

Question 31

Miscarriage trx, what imp

Answer 31

bed rest, abstinence from sex, measure hug levels

Question 32

abrupito placenta

Answer 32

sx: board like abdomen, pain, internal bleeding, difficult to palpate fetus
causes: MVA, domestic violence, premature membrane rupture associated with cocaine

Question 33

Preeclampsia mild sx

Answer 33

headache, blurred vision, oedema face and hands, clonus, hyperreflexia

Question 34

when giving Mg sulfate

Answer 34

check mg toxicity every 1-2h: BP, LOC, RR, UO, DTR

Question 35

preeclampsia happens after

Answer 35

20th week