MCN Flashcards
1
Q
Hormone of pregnancy
A
progesterone
2
Q
Primary cause of morning sickness
A
Inc HCG
3
Q
Management for morning sickness
A
crackers
4
Q
Cause of breast enlargement in pregnant women
A
inc estrogen
5
Q
Return of menses in breastfeeding mothers?
A
6 mons
6
Q
Return of menses in non breastfeeding mothers?
A
2-3 mons
7
Q
Cause of amenorrhea in pregnant mothers
A
inc progesterone (mainly) and inc estrogen
8
Q
Cause of easy fatigability of the pregnant mother
A
Dec RBC (iron-def anemia)
9
Q
Iron deposits in the baby’s liver lasts for how long?
A
6 mons
10
Q
Rationale for the principle of introducing 1 food per week to the infant
A
to assess for allergy
11
Q
Secondary hormone that causes morning sickness
A
estrogen
12
Q
Inc HCG is caused by which organ
A
placenta
13
Q
First food to introduce to the infant
A
cereals
14
Q
No. 1 sign of food allergy in infants
A
diarrhea
15
Q
Trimester in which urinary frequency is not normal
A
2nd
16
Q
exercise to strengthen perineal muscles
A
kegel’s exercise
17
Q
confirmatory diagnostic test for H. Mole
A
UTZ
18
Q
Cause of urinary frequency
A
compression of the bladder
19
Q
onset of quickening in a primi patient
A
5th month
20
Q
onset of quickening in a multi patient
A
4th month
21
Q
Quickening felt by the mother: Presumptive, Probable, Positive?
A
presumptive
22
Q
Quickening at 2nd Tri
A
-upper body -Moro reflex is (+) –> developed hearing: brain
23
Q
Site of fertilization
A
Ampulla of the fallopian tube
24
Q
bluish discoloration of the vagina and cervix
A
Chadwick’s sign
25
site of BTL
isthmus of the fallopian tube
26
softening of the cervix
Goodell's sign
27
softening of the uterus
Hegar's sign
28
site of nidation
Uterus (upper) Abnormal: Placenta Previa
29
Layer of uterus, site of implantation
Endometrium Abnormal: Placenta Accreta
30
Confirmatory diagnostic test for pregnancy
UTZ
31
hormone detected by pregnancy test
HCG
32
location of braxton hicks
lower abdomen
33
hormone causing braxton hicks
Estrogen
34
Best position for transabdominal UTZ
dorsal recumbent
35
Transabdominal UTZ: full or empty bladder?
Full bladder: -Give water -2 hr preparation -1000 ml, 4 glasses per 30 mins
36
Best position for transvaginal UTZ
Lithotomy
37
Transvaginal UTZ: full or empty bladder?
empty bladder
38
Early signs of fetal distress
-FHT \>160 bpm (tachycardia) -Hyperactivity (\>12 FM)
39
Late signs of fetal distress
-FHT \<120 bpm (Bradycardia) -Hypoactivity (\<10 FM)
40
side of stethoscope used in assessing FHT
bell (low-pitched sounds)
41
Best position to prevent vena cava syndrome
Left side lying
42
other name for amniotic fluid
fetal urine
43
other name for amniotic sac
bag of water
44
Functions of Amniotic Fluid
1. Protection 2. Thermoregulation 3. Musculo-skeletal development 4. Nutrition 5. Fluid wedge
45
FHT: Doppler. What month
3rd
46
FHT: Fetoscope. What month
4th
47
FHT: Stethoscope. What month
5th
48
Normal L:S ratio
2:1
49
test done to determine fetal lung maturation
amniocentesis
50
Normal color of amniotic fluid
clear straw color/pale yellow
51
test done to differentiate acidic or alkaline fluid
nitrazine paper test
52
NPT: Blue
Alkaline, A. fluid, (+) RBOW
53
NPT: yellow
Acidic, Urine, (-) RBOW
54
DOC to promote fetal lung maturity
Betamethasone
55
Color of amniotic fluid: Black
Fetal death (1 month)
56
Color of amniotic fluid: Green
Meconium staining
57
Color of amniotic fluid: Dark yellow
Inc bilirubin -Rh incompatibility
58
Color of amniotic fluid: Red
Bleeding -A. placenta (Dark) -P. previa (Bright red)
59
Normal volume of amniotic fluid
800-1200 ml
60
Polyhydramnios cause
\>1,200 ml -Fetus (GI problem) -Ex. Cleft lip/palate
61
Oligohydramnios cause
\<800 ml -Fetus (Renal problem)
62
Another name for umbilical cord
Funis
63
normal length of the cord
50-60 cm
64
Bypasses the liver
Ductus venosus
65
Bypasses the lungs
Ductus arteriosis
66
Drugs that promotes closure of the ductus arteriosus
Indomethacin
67
Problem occurring if the fetus has long umbilical cord
\>60 cm -Cord coil/loop/nuchal cord
68
Problem occurring if the fetus has short umbilical cord
Abruptio placenta
69
normal drying of umbilical cord?
7-10 days
70
Common cause of wet umbilicus \>10 days
Omphalitis (cord infection)
71
special element in the umbilical cord that prevents obstruction and acts as lubrication
wharton's jelly
72
Infections that can cross the plancetal barrier
TORCH -Toxoplasmosis -Others: Syphilis -Rubella -Cytomegalo virus -Herpes simplex
73
normal amount of cotyledons
20-25
74
test done to assess protein in the urine of the pregnant mother
Acetic Acid test
75
Early onset of hypertension (1st tri) is suggestive of what disease?
H-mole
76
(+) acetic acid test
cloudy = proteinuria
77
(-) acetic acid test
clear - no proteinuria
78
Triad manifestations of PIH
Hypertension Proteinuria Edema
79
Hypertension in pregnancy is considered how much increase from their non-pregnant BP?
+30 systolic +15 diastolic
80
Drug of choice for pre-eclampsia
Hydralazine
81
Drug of choice for eclampsia
Magnesium sulfate
82
Earliest sign of Mg SO4 toxicity
Hyporeflexia
83
antidote for magnesium sulfate toxicity
calcium gluconate
84
test done to determine presence of glucose in the pregnant mother's urine
benedict's test
85
Benedict's test screens risk for what disease?
GDM
86
color of benedict's solution
blue
87
+4 Benedict's
Red
88
+2 Benedict's
yellow
89
+3 Benedict's
orange
90
+1 Benedict's
Green
91
Negative Benedict's
Blue
92
Alpha feto protein test is done when?
2nd tri: 4-5 months (16-20 wks)
93
Normal range of alpha feto protein
38-42 mg/dl
94
\<38 AFP
Down syndrome
95
\>42 AFP
neural tube defect
96
Duncan
Dirty: maternal Corner to center RF: retained placental fragments
97
Schultz
Shiny: fetal Center to corner
98
Fourth stage of labor
Recovery/post partum
99
Rubra
Red 1-3 days
100
Serosa
pink (dec bleeding) 4-7 days
101
Alba
white 8-10/14 days
102
Normal blood loss of NSD
500 ml -save perineal pads: weigh
103
Normal blood loss of CS
1000 ml
104
Immune globulin present in breastmilk
IgA! (alaska)
105
Milk code of the Philippines
EO 51
106
Exclusive breastfeeding is until?
6 months
107
most painful fetal position
LOP
108
most common fetal position
LOA
109
Normal blood glucose level of neonates
40-60 mg/dl
110
Ideal number of children
2-3
111
Ideal child spacing
3-5 years
112
Lifespan of a sperm
72 hours (3-5 days)
113
114
pH of semen
7-8 (alkaline)
115
Normal Sperm count analysis:
* Per **ejaculation**
* Per **mL**
* Per **ejaculation** = 400 million
* Per **mL** = 20-150 million
116
How many mL of sperm per ejaculation
3-5 mL (1 tsp)
117
Minimum number of prenatal check-ups?
When?
\< 4 mos
6 mos
8 mos
9 mos
118
#1 cause of male infertility
Oligospermia (low sperm count)
119
Drug the increases sperm production
Clomid (clomiphene citrate)
120
Length of **urethra** in _males_
6-9 inches
121
#1 cause of female infertility
Aging (anovulation)
122
Part of the testes where sperm is produced
Seminiferous tubules
123
