Normal Pregnancy

Question 1

Thinning of the cervix, described as percentage of the 4-5cm cervix

Answer 1

effacement

Question 2

eval for membrane rupture includes ______ exam to obtain…

Answer 2

sterile speculum exam

vaginal fluid

Question 3

Most specific form of direct testing of vaginal fluid…

Answer 3

Fern testing

Question 4

air dried sample looking for amniotic fluid directly examined under microscope…

Answer 4

fern testing

Question 5

what test?

POC test
small sample
very specific
$$$

Answer 5

amniosure

Question 6

The degree of descent of baby in relationship to ischial spine, divided into thirds…

Answer 6

station

Question 7

What stage of labor?

contractions accomplish complete dilation and effecement

Answer 7

stage I

Question 8

What stage of labor?

uterine contractions + maternal effort = expulsion of fetus

Answer 8

stage II

Question 9

What stage of labor?

placenta detached from uterine wall and expelled

Answer 9

stage III

Question 10

What stage of labor?

2 hours post delivery of placenta

hemodynamic changes

Answer 10

Stage IV

Question 11

Stage 1, slow and less predictable.

occurs from 0-5cm

Answer 11

latent stage

Question 12

stage 1, fast and more predictable

occurs from 5-10 cm

Answer 12

active

Question 13

Which stage of labor?

urge to push
N/V

Answer 13

Stage II

Question 14

Progression of fetal movements/cardinal movements of labor (6)

Answer 14

engagement
flexion
descent
internal rotation
extension
external rotation

Question 15

duration of stage III labor…

Answer 15

< 30 min

Question 16

3 complications of stage 3 labor…

Answer 16

placenta retention
uterine inversion
hemorrhage

Question 17

What procedure, what stage?

manual pressure against uterus

simultaneous pulling on umbilical cord to expel placenta

Answer 17

stage III, assisted removal

Question 18

The below are signs of…

uterus rise in abdomen
globular config of uterus
gush of blood
lengthening umbilical cord

Answer 18

separation of placenta

Question 19

critical time for women with CV/Pulm diseases…

Answer 19

stage IV

Question 20

3 Ps of labor

Answer 20

Power (mom + uterine contraction)

Passenger (size/position of fetus)

Passage (size/shape of pelvis)

Question 21

Uterine contractions increase in frequency and intensity due to…

Answer 21

prostaglandins

Question 22

adequate labor = _____ contractions in ______ minutes over 30 minutes

Answer 22

3-5 contractions

10 minutes

Question 23

> ______g = macrosomic infant

Answer 23

4500 g

Question 24

4 abnormal presentations of fetus…

Answer 24

face
brow
breech
shoulder

Question 25

Which pelvic shape? MC suited for childbirth

Answer 25

gynecoid

Question 26

Which pelvic shape? occiput posterior presentation is common

Answer 26

anthropoid

Question 27

Which pelvic shape? most unfavorable

Answer 27

android

Question 28

Which pelvic shape? least common

Answer 28

platypelloid

Question 29

normal fetal HR

Answer 29

110-160

Question 30

4 measures in fetal monitoring

Answer 30

baseline fetal HR variability changes contraction pattern

Question 31

What periodic changes? mirrors shape of contraction occurs due to head compression physiologic

Answer 31

early deceleration

Question 32

What periodic changes? variable timing shape, severity variable cord compression

Answer 32

variable decelerations

Question 33

What periodic changes? fetal hypoxia ominous sign

Answer 33

late decelerations

Question 34

basic antepartum testing tests for risk of... (2)

Answer 34

placental insufficiency | fetal acidosis

Question 35

4 components of basic antepartum testing

Answer 35

fetal kick count non-stress testing contraction stress testing biophysical profile

Question 36

reactive non-stress test is...

Answer 36

2 accelerations within 30 min a/w movement

Question 37

What evaluates the below parameters? amniotic fluid gross fetal movement tone fetal breathing activity sustained for 30s

Answer 37

US

Question 38

In building the biophysical profile, each of the 4 parameters are counted as ____ if present, and ___ if absent for a max score of ____

Answer 38

2+ or 0 max score 10

Question 39

What result of contraction stress test? 3 contraction in 10 minutes no late decelerations

Answer 39

negative (reassuring)

Question 40

What result of contraction stress test? late decelerations OR significant variable decelerations with > 50% of contractions in 10 min

Answer 40

positive (non-reassuring)

Question 41

What result of contraction stress test? late decelerations with < 50% of contractions in 10 minutes

Answer 41

equivocal

Question 42

What degree of obstetric laceration? involve vaginal mucosa, perineal skin not underlying tissue

Answer 42

1st degree

Question 43

What degree of obstetric laceration? involves underlying subcutaneous tissue no rectal sphincter or rectal mucosa involvement

Answer 43

second degree

Question 44

What degree of obstetric laceration? extends through rectal sphincter, but not into rectal mucosa

Answer 44

3rd degree

Question 45

What degree of obstetric laceration? extends to rectal mucosa

Answer 45

4th degree

Question 46

the below are risks of... intra-amniotic infx umbilical cord prolapse w. amniotomy c-section delivery/unfavorable cervix decreased oxygen exchange

Answer 46

labor induction

Question 47

the _____ scoring system quantifies risk during induction of labor. __ to ___ = high likelihood of failed induction

Answer 47

modified bishop scoring 0-4 high likelihood failed induction

Question 48

hospitalization in puerperium period should be ____ for vaginal birth and ____ for c-section

Answer 48

1-2 days vaginal 2-4 days c-section

Question 49

post-partum exam occurs ____ after labor

Answer 49

4-6 weeks

Question 50

complications wehre arteriovenous malformations occur in placenta of monochorionic/diamniotic pregnancy...

Answer 50

twin to twin transfusion syndrome

Question 51

twin to twin transfusion syndrome presents in the ____ trimester and must be evaluated with US every ____ weeks beginning at week 16

Answer 51

2nd trimester monitor q 2 weeks