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PNLE > OB > Flashcards

OB Flashcards

1
Q

What part of the female reproductive system is responsible for the production of you estrogen and progesterone in non-pregnant women?

A

OVARY/OVARIES

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2
Q

What is the only immunoglobulin/antibody that can pass through the placenta

A

IgG ( immunoglobulin G)

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3
Q

In pregnancy, what will happen to the antibodies? Increase or Decrease?

A

Decrease ( to prevent fetal rejection )

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4
Q

Normal Physiologic Changes in Pregnancy.

Increase or Decrease: GFR, Creatinine Clearance, Urine Output?

Why?

A

Increase ( to eliminate the fetal waste products )

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5
Q

Normal Physiologic Changes in Pregnancy.

Increase or Decrease: BUN and plasma creatinine?

Why?

A

Decrease ( to eliminate waste products )

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6
Q

During pregnancy, vagina is acidic or alkalinic?

follow up ques: Did the pH level increase or decrease?

A

Acidic

decrease ( to maintain normal aciditiy of 3.8 - 4.5 in order to prevent infection )

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7
Q

Normal Physiologic Changes in Pregnancy

Increase or Decrease: Blood Volume, Cardiac Output, Heart rate?

A

Increase ( to support fetus )

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8
Q

Normal Physiologic Changes in Pregnancy.

Normal or Abnormal: increase pseudoanemia?

A

Yes

R: increase plasma = increase pseudoanemia ( to support fetus )

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9
Q

Normal Physiologic Changes in Pregnancy.

Increase or Decrease: Platelets, WBC, clotting factors, Lipids and Serum Cholesterol?

A

Increase

increased Platelets and clotting factors - to prevent bleeding

increased WBC - to prevent infection

increased Lipids and Serum Cholesterol - for source of energy

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10
Q

Normal Physiologic Changes in Pregnancy.

What is normal mild hypoventilation or mild hyperventilation?

A

mild hyperventilation (to support baby)

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11
Q

What maneuver is used to monitor the fetal heart rate?

A

Umbilical Grip

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12
Q

The nurse noted episodic fetal heart accelerations.

A. Notify Physician
B. Document and continue monitoring

A

B. Document and continue monitoring

R: it is normal (FHR = FM)

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13
Q

The nurse noted a decrease in the fetal heart rate that happens on the end of contraction. What will be the appropriate action of the nurse?

A
  1. STOP OXYTOCIN
  2. REPOSITION TO left side-lying postion (to prevent compression of the inferior vena cava - ensure oxygenation)
  3. GIVE O2
  4. NOTIFY MD
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14
Q

According to the Sandovsky method, which is the best time to monitor Fetal Movement Count?

A

Early Morning and After meals

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15
Q

In Sandovsky Method, what is the max. number of attempts to monitor Fetal Movement Count?

A

2 attempts

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16
Q

In Sandovsky Method. What is the normal fetal movement count?

A

10 - 12 movements/hour

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17
Q

In Cardiff method, what is the normal fetal movement count?

A

10 movements in 12 hours

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18
Q

Probable, Presumptive or Positive:

Fetal movement felt by the mother

A

Presumptive

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19
Q

Probable, Presumptive or Positive:

Fetal movement felt by the nurse

A

Positive

20
Q

2 hours after delivery, the nurse palpated the fundus 2 inches above the umbilicus. What will be the appropriate action of the nurse?

A. Document and Continue monitoring
B. Notify MD
C. Encourage the mother to void

A

C. Encourage the mother to void

21
Q

When is the earliest time to monitor for FHR?

A

8 weeks

22
Q

Age of viability

A

20 weeks

23
Q

Onset of Menarche

A

9 - 17 years old

average: 11-13

24
Q

Interval of Menses

A

23 - 35 days

average: 28 days

25
Q

Duration of bleeding

A

2-9 days

26
Q

Menstrual Cycle: Amount

A

30 - 80 ml / 1/3 of a cup / 240 ml

27
Q

Menstrual Cycle: Odor

A

Marigold

28
Q

Which hormone is responsibke for pregnancy?

A

Progesterone

29
Q

What do you call the inner lining of the uterus?

A

Endometrium

30
Q

What is the follicle that surrounds the ovum?

A

Grafien follicle

31
Q

1st Phase of Menstrual Cycle

A

Follicular, Estrogenic

32
Q

Second Phase of Menstrual Cycle

A

Luteal, Progestational phase

33
Q

3rd Phase of the Menstrual Cycle

A

Ischemic

34
Q

4th phase if Menstrual Cycle

A

Menstrual Bleeding

35
Q

Fertile period

A

3 - 4 days before and after ovulation

36
Q

What are the two hormones did the Anterior Pituitary Gland release?

A

FSH and LH

37
Q

What are the purpose of FSH?

A
  • to thicken the endometrium by increased estrogen

- increase follicular fluid for ovulation (rupture grafien follicles)

38
Q

Where is the site of fertilization?

A

Ampulla

39
Q

Where is the site of implantation?

A

Endometrium

40
Q

What to do you call the fluid inside the grafien follicle?

A

Follicular fluid

41
Q

Who is responsible for the release if ovum?

A

Ovary/Ovaries

42
Q

How does the Female Reproduction start?

A

Decrease in Estrogen

43
Q

What maintains the thickness of the endometrium?

A

Progesterone

44
Q

A patient came into the prenatal clinic, she asks the nurse why she is not menstruating/first menstrual cycle yet? She is 16 y/o. Is this normal?

A

Yes ( average : 9-17 y/o)

45
Q

What is the expected date of ovulation of a woman woth 34 days cycle?

A

34 - 14 = 20th day

46
Q

How do you characterize a fertile cervical mucus?

A

Clear, Elastic, Thin. Slippery / Eggwhite

PNLE (6 decks)

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