OB Flashcards

1
Q

A condition in which the mothers’ pelvis is too small for the
baby to pass through.

A

CPD (contracted pelvis)

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2
Q

Hormone of pregnancy

A

Progesterone

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3
Q

Hormone for breast growth and other female characteristics

A

Estrogen

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4
Q

Follicular phase (number of days) in a menstrual cycle

A

1-14 days

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5
Q

Level of fundus at 12 weeks

A

Symphysis pubis

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6
Q

Level of fundus at 20 weeks

A

Umbilicus

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7
Q

Number of weeks to accurately determine age of gestation

A

22 weeks

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8
Q

Amount of normal amniotic fluid

A

500 ml-1, 000ml

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9
Q

Oligohydramios

A

Amniotic fluid less than 0.5 L between 32-36 weeks
Related to fetal problems such as obstruction in the
urinary tract, IUGR, any condition that prevents the
formation of urine or the entry of urine in to amniotic
sac results in oligohydramios.

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10
Q

Polyhydramios

A

Amniotic fluid greater 2,000 ml between 32-36
weeks. It is associated with maternal diabetes (Type
or Type II, multiple gestation, CNS anomalies and
iso-immunization.

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11
Q

Purpose of amniotic fluid

A
  1. Protects the fetus from a direct blow.
  2. Provides an environment so that fetus could
    move and promoting grown and development.
  3. Maintaining constant body temperature and
    prevents heat loss.
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12
Q

Normal fetal heart rate (FHT)

A

120-160 beats per minute

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13
Q

Fetal heart tones heard thru fetoscope

A

By 20 weeks of gestation

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14
Q

Fetal heart tone that is bradycardic is

A

Less than110 beats per minute

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15
Q

Fetal heart tones that is tachycardic is

A

Greater than 160 beats per minute

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16
Q

Polyhydramios

A

Amniotic fluid exceeds 2,000 ml between 32-36
weeks. It is associated with maternal diabetes (Type
or Type II, multiple gestation, CNS anomalies and
iso-immunization

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17
Q

Normal characteristics of Amniotic fluid

A

Clear to stra0colored and no foul odor

PH ranges from neutral to slightly alkaline

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18
Q

Fetal stool is called

A

Meconium

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19
Q

Uterine infections are caused by.

A

HIV, Hepatitis A and B, Syphilis

not due to bacterial infection

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20
Q

Are decreases in the FHR baseline, can be abrupt or gradual.

A

Decelerations

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21
Q

Drug used to manage eclamptic seizure

A

Magnesium Sulfate

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22
Q

Frequency of Magnesium level monitoring

A

Every 4-6 hours

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23
Q

Used as anticonvulsant by reducing muscle excitability, and hyperreflexia

A

Magnesium Sulfate

24
Q

Nurse alert prior to administering magnesium Sulfate

A

Patellar reflex, urine output, and respiratory rate

25
Q

Antidote of Magnesium overdose

A

Calcium Gluconate 1 gram over 3 minutes IVP, may
be repeated every 4 hours as needed up to 8
injections in 24 hours.

26
Q

Drug of choice of hypertension near term or during labor

A

Hydralazine(Apresoline)

27
Q

Ferning pattern

A

Positive test result for ruptured membranes

28
Q

Nitrazine test result would reveal (color and pH)?

A

Blue-green color, a pH Of 6.5 (not definitive)

29
Q

Nitrazine paper will change to yellow color

A

Negative for amniotic fluid

30
Q

Maybe indicative of infected amniotic fluid

A

Foul-smelling

31
Q

If RhoGam is not given to a mother with Rh-, it may cause

A

Erythroblastosis Fetalis

32
Q

RhoGam is administered within 72 hours after delivery

A

To protect the next pregnancy or miscarriage.

33
Q

Purpose of RhoGam

A

To prevent maternal production of blood antibodies.

34
Q

Pitocin drip should be stopped when contractions lasting for?

A

Over 90 seconds or a resting phase of less than 30
seconds or 60 seconds is acceptable between
contractions.

35
Q

SIADH effective treatment

A

Decrease specific gravity of urine

36
Q

PH of urine of 6.5

A

Probably membranes are ruptured

37
Q

Severity of hyperemesis gravidarum what to assess

A

Check for glucose level

38
Q

Insulin requirement of patient with infection

A

Increased insulin need

39
Q

Magnesium Sulfate should never be administered in the

absence of?

A

Patellar reflex

40
Q

Reverses the effect of opiods

A

Narcan (Naloxone), administer slowly to prevent

seizures and severe pain

41
Q

Effect of epidural anesthesia to mother.

A

Maternal hypotension and urinary retention.

42
Q

Intake should be monitored and limit to prevent

A

Pulmonary edema

43
Q

Major cause of uterine atony

A

Due to a full bladder

44
Q

Nursing responsibility bore administering Methylergonovine

A

TO check blood pressure before giving to client.

45
Q

Use of Methylergonovine

A

Use to prevent or control post partum hemorrhage.

46
Q

Hemolysis, Elevated Liver enzymes, Low Platelet count

HELLP

A

Platelet count is less than 100,000/mm3

Hypoglycemia may be present in client with HELLP.

47
Q

An outcome of Rh incompatibility

A

Erythroblastosis fetalis

48
Q

Hydroxyzine (Vistaril) is limitedly administered via

A

2-3 days

Intramuscular injection using -track technique

49
Q

First fetal movement felt by number of weeks of gestation by

multiparas

A

Quickening by 16-18 weeks of gestation

50
Q

First fetal movement felt by number of weeks of gestation by

primigravidas

A

Quickening by 18-20 weeks of gestation

51
Q

Reduces neural defects such as spina bifida.

A

Folic acid

52
Q

Foods to avoid by mother while breastfeeding.

A

Gas forming such as cabbage, broccoli, and onions

53
Q

Assessment technique to look for the fetal lie, position, and
presentation

A

Leopoid’s maneuver

54
Q

Iron is best taken

A

After meals daily, treatment usually for 2nd-3rd
trimestral of pregnancy.
SE: Constipation or diarrhea to others, abdominal discomforts.

55
Q

Being experienced by mother and it is due to a rapid hormonal
shift about 2-7 days after delivery.

A

Post partum blues

56
Q

Iron can be administered orally, intramuscularly, and I.V.

iron supplements are:

A

Monitor hypotension for IV administration.

Feosol, Slow Fe, Feratab, Slow FE, Fer-In-Sol

57
Q

Oral contraceptives predisposes to?

Prone

A

Candidiasis