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NM 702 Prenatal Care > Module 9 > Flashcards

Module 9 Flashcards

1
Q 
implantation spotting
cervicitis
fibroids
subchorionic hemorrhage
1st trimester pregnancy loss (abortion)
ectopic pregnancy
Post-coital spotting
Polyps
Vaginal Infection
STI
Cervical friability
A

common causes of 1st trimester bleeding

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2
Q 
fever?
how heavy is bleeding?
cramping/pain?
severity of pain?
location of pain?
LMP?
positive pregnancy test?
passing any clots?
Past history (ectopic pregnancies, SABs, medical disorders, risk factors, fibroids)
A

subjective data for woman reports 1st trimester vaginal pain

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3
Q

Light spotting lasting one or two days that occurs approximately 7 to 11 days after conception.

A

implantation spotting

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4
Q

two tests to confirm ectopic pregnancy

A

beta hCG + ultrasound

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5
Q 
S/S of \_\_\_\_\_\_\_\_\_\_\_\_\_\_:
•Abdominal – generalized or localized
•Amenorrhea, positive pregnancy test
•Bleeding often brownish in color
•May have breast tenderness, nausea, and other pregnancy signs
•PE: adnexal mass, acute pain or CMT
A

ectopic pregnancy

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6
Q 
Signs of \_\_\_\_\_\_\_\_\_\_\_\_\_\_:
Hypotension
nausea
pallor
shoulder pain
urge to defecate
A

ectopic pregnancy rupture

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7
Q 
(Woman @ 8w5d pregnancy) Tests to complete with: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_:
Ultrasound
Serum Beta hCG
Blood type
Rh factor
Antibody screen
Speculum exam
A

bright red bleeding

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8
Q

BPP Movement Score 2

A

≥ 3 gross body movements in 30 minutes

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9
Q

BPP Movement Score 0

A

< 3 gross body movements in 30 minutes

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10
Q

BPP Tone Score 2

A

≥ 1 movement of limb from flexion to extension and back to flexion

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11
Q

BPP Tone Score 0

A

Limb extension with no return to flexion

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12
Q

BPP Breathing Score 2

A

≥ 30 seconds of sustained fetal breathing movements in 30 minutes

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13
Q

BPP Breathing Score 0

A

< 30 seconds of sustained fetal breathing movements in 30 minutes

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14
Q

BPP Fluid Score 2

A

≥ 1 AF pocket measuring ≥ 2 x 2 cm in two perpendicular planes

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15
Q

BPP Fluid Score 0

A

No AF pocket measuring ≥ 2 x 2 cm in two perpendicular planes

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16
Q

BPP FHR Score 2

A

≥ 2 accelerations of > 15 bpm lasting ≥ 15 seconds in a 40 minute period

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17
Q

BPP FHR Score 0

A

< 2 accelerations of > 15 bpm lasting ≥ 15 seconds in a 40 minute period

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18
Q

The risk of fetal asphyxia is very low (1/1000 risk of perinatal death within 1 week if not intervention) with these BPP results:

A

10/10
8/10 with normal fluid
8/8 (without NST)

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19
Q

BPP test result that means potential chronic fetal hypoxia

A

8/10 with ABnormal fluid

20
Q

this is an equivocal BPP test result

A

6/10 with normal fluid

21
Q

BPP test result that means possible fetal asphyxia

A

6/10 with ABnormal fluid

22
Q

BPP test results that mean risks of fetal asphyxia is increased

A

4/10
2/10
0/10

23
Q

If membranes intact and there is no renal malfunction/abnormality, delivery is indicated if fetus is term/ If < 34 weeks, increased surveillance may be preferred d/t risks of prematurity
with this BPP result:

A

8/10 with ABnormal fluid

24
Q

Repeat test within 24 hours if BPP results are:

A

6/10 with normal fluid

25
Q

Deliver if term/ If < 34 weeks consider clinical picture and whether increased ANFS to prolong pregnancy is preferred
with this BPP result

A

6/10 with ABnormal fluid

26
Q

Deliver no matter what with these BPP results:

A

4/10
2/10
0/10

27
Q

the best time to iniate kick counts is ___-___ weeks

A

34-36

28
Q

routine use of __________ has not improved perinatal outcomes

A

ultrasound

29
Q

the best practice of fundal height measurement:

A

same midwife each time

30
Q

using acoustic stimulator and waiting longer on NST increases:

A

reactivity

31
Q 
risk factor for \_\_\_\_\_\_\_\_\_\_\_\_\_:
Hx pelvic inflammatory disease
IVF 
gynecological surgery
current IUD
tubal ligation
previous ectopic pregnancy
Infertility
Hx of STIs
History of multiple partners at a young age
Smoking
Douching
A

ectopic pregnancy

32
Q 
Objective Data for \_\_\_\_\_\_\_\_\_\_:
Vital Signs
Abdominal Exam
Speculum Exam
Bimanual exam
A

bleeding/spotting

33
Q 
Differential Dx for \_\_\_\_\_\_\_\_\_\_\_\_:
Spontaneous Abortion (miscarriage)
Ectopic Pregnancy
Hydatidiform Mole
Subchorionic Hemorrhage
Trauma
A

first trimester bleeding

34
Q

medication used to terminate ectopic pregnancy

A

methotrexate

35
Q

labs to collect with spontaneous pregnancy loss

A

beta hCG

36
Q

cervical os is open, there is increased bleeding with cramping/contractions, products of conception may be visible at the cervical os.

A

inevitable abortion

37
Q

products of conception have been expelled. The uterus is small and contracted, the cervix is generally closed (it closes quickly after the products of conception are expelled), there is scant bleeding or cramping.

A

complete abortion

38
Q

Placental tissue or products of conception remain in the uterus or cervix. Bleeding and cramping are present. The uterus is smaller than expected, but not contracted well.

A

incomplete abortion

39
Q

In utero fetal death before 20 weeks with a retained fetus and closed cervix.

A

missed abortion

40
Q

Diagnosis of____________:

Ultrasound may have an abnormal yolk sac, the fetal heartbeat may be slow or absent.

A

spontaneous abortion

41
Q

presence of vaginal bleeding, but the cervical os is generally closed and the uterus is appropriately sized.

A

threatened abortion

42
Q

Signs that indicate an ectopic pregnancy is a _______________:
Abdominal rigidity
Abdominal guarding
Severe tenderness
Evidence of hypovolemic shock (hypotension, tachycardia)

A

surgical emergency

43
Q 
Differential Dx for \_\_\_\_\_\_\_\_\_\_\_\_\_:
Ectopic pregnancy
Upper genital tract infections
Ovarian issues (cysts, torsion)
Fibroids
Abnormal uterine bleeding
Endometriosis
Appendicitis
UTI
Kidney stones
Diverticulitis or other bowel diseases
A

abdominal pain in early pregnancy

44
Q

tests to order when you suspect ectopic pregnancy

A

Pregnancy test
Serum beta HCG test (if pregnancy test was negative and yet you suspect ectopic)
Transvaginal ultrasound

45
Q

hCG will ____________ or _____________ with ectopic pregnancy

A

plateau or increase slowly

46
Q

ectopic pregnancy sx typically appear at ___-___ weeks gestation

A

6-8

47
Q

calculated by adding the depth of the largest vertical pocket in each of the 4 uterine quadrants. (normal= 8 cm - 24 cm)

A

AFI

NM 702 Prenatal Care (8 decks)

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