OB

Question 1

Positive signs of pregnancy

Answer 1

• fetal skeleton on x-ray
• presence of fetus on ultrasound
• auscultation of fetal heart (doppler)
• examiner palpates fetal movement (outline)

Question 2

Naegele’s Rule

Answer 2

1st day of last menstrual period + 7 days - 3 months + 1 year = EDD

Question 3

What month of pregnancy is viable to give birth to?

Answer 3

Week 25 -28

Question 4

What months of pregnancy are lungs developed?

Answer 4

Week 33 - 36

Question 5

Nonstress test

Answer 5

What it is used for: assesses fetal well-being and oxygenation of the placenta
- increase in fetal hr with movement = acceleration = good
- decrease in fetal hr with movement = deceleration = bad
Results:
- reactive: at least two accelerations of 15 beats per minutes for 15 seconds in 20 minute period
- non-reactive: there are not at least two accelerations, further testing is required if result is non-reactive

Question 6

Contraction Stress Test

Answer 6

Performed when the non-stress test is non-reactive
- oxytocin is administered to induce contractions and the baby is monitored for evaluate their response to contractions (whether or not baby will tolerate labor)
Results:
- negative: normal, the baby did not have decelerations in response to contractions
- positive: bad, the baby had decelerations indicating distress in response to contractions

Question 7

GTPAL

Answer 7

G (gravidity), number of pregnancies including current but twins only count as one

T (term), number of pregnancies carried to term (37 wks) but twins only count as once

P (preterm), number of preterms births between 20 and 36 wks) but twins only count as one

A (abortions), number pregnancies ending in abortion prior to 19 wks

L (living children), current number of children alive, twins will count twice

Question 8

Preeclampsia (Proteinuria, Rising BP, Edema)

Answer 8

Blood pressure is >140/90
protein in the urine

Question 9

HELLP Syndrome

Answer 9

hemolysis, elevated liver enzymes, and low platelet count

Question 10

Ectopic Pregnancy

Answer 10

An egg is fertilized, but implants outside of the uterine cavity
S&Sx: dizziness or fainting, nausea and vomiting, abdominal or pelvic pain, loss of appetite
Methotrexate given to abort the fetus + Rh immune globulin

Question 11

Placenta Previa

Answer 11

PAINLESS bright red bleeding
- Do not perform a vaginal exam if you suspect a placenta previa
- Monitor blood loss
- Bed rest
- Monitor Baby
- Cesarean section indicated

Question 12

Abruptio Placentae

Answer 12

PAINFUL bleeding
- S&Sx: dark red bleeding, intense abdominal pain, board like abdomen
- Monitor for fetal distress
- Monitor maternal bleeding
- Keep the BP up with IVF and/or blood products
- C section indicated

Question 13

PostPartum Hemorrhage

Answer 13

• fundal massage
• meds: oxytocin, methylergonovine, blood products