OB

Question 1

Mauriceau’s maneuver

Answer 1

method of delivering the head in an assisted vaginal breech birth

performed by placing the index and middle fingers over the maxillary prominence on either side of the nose. fetal body is supported in the neutral position

Question 2

Total breech extraction

Answer 2

Fetal feet are grasped and the entire fetus is extracted

only used for noncephalic second twin

Question 3

Frank breech

Answer 3

Buttocks comes first and legs are flexed at the hip and extended at the knees

Question 4

Complete

(Breech)

Answer 4

Hips and knees are flexed so that the baby is sitting cross legged with feet beside the buttocks

Question 5

Footling

(Breech)

Answer 5

One or both feet come first with the buttocks at a higher position

Question 6

Kneeling

(Breech)

Answer 6

Kneeling position, with one or both legs extended at the hips and flexed at the knees

Question 7

Hyper tonic/ Hyperstimulated Uterus

Answer 7

fewer than five contractions in 10 minutes but interval between contractions is less than one minute

Can be caused by oxytocin overdose

Question 8

Early Deceleration (FHR)

Answer 8

Transient decrease in heart rate that coincides with the onset of a uterine contraction

mirror image of contraction

Not a bad thing

Question 9

Late Deceleration (FHR)

Answer 9

Transient decrease in heart rate occurring at or after the peak of a uterine contraction

may indicate fetal hypoxia/ uteroplacental insufficiency

Question 10

Variable Deceleration (FHR)

Answer 10

Transient series of declarations that vary in intensity, duration, and relation to uterine contraction

Question 11

Periodic Changes (FHR)

Answer 11

accelerations or decelerations in the fetal heart rate associated with uterine contractions

Question 12

Episodic Changes (FHR)

Answer 12

Accelerations or decelerations in FHR not associated with uterine contractions

Question 13

Prolonged Deceleration (FHR)

Answer 13

last more than 2 minutes/ less than 10 minutes
More than 15 BPM below baseline

Question 14

“The Big Three” of PIH

Answer 14

Hypertension(rise of systolic 30mmHG/diastolic-15mmHg/Blood pressure of 140/90 or higher)

Edema

Proteinuria

Question 15

HELLP Syndrome

Answer 15

(Hemolysis, elevated liver enzymes, low platelets)

Complication of severe preeclampsia
**A platelet count lower than 100,000/mm-3

Question 16

Methergine(Methylergonovine)

Answer 16

Blood vessel constrictor and smooth muscle agonist

Used to prevent or control excessive bleeding following childbirth and spontaneous or elective abortion

Question 17

Most common place for ectopic pregnancy?

Answer 17

Fallopian tube

Can occur in cervix, ovaries, and abdomen

Question 18

Betamethasone ( Celestone)

What is it used for?

Answer 18

Steroid used to stimulate fetal lung maturation(Prevention of ARDs and decrease the incidence and mortality from intracranial hemorrhage in premature infants

Mother receives injection

Question 19

Intermittent, painless contraction that may occur every ten to twenty minutes after first trimester

Answer 19

Braxton Hicks

Question 20

Nitrazine paper

Answer 20

Used to test vaginal (pH is normally acidic)/ pH above 7.0 can indicate amniotic sac rupture= blue color

Question 21

Excessive mag sulfate/ overdose presentation

Answer 21

Respiratory depression and loss of deep tendon reflexes

Question 22

Contraindications for mag sulfate

Answer 22

Myasthenia gravis and renal failure

Question 23

Terbualine (Brethine)

Tocolytics

Answer 23

Beta- Sympathomimetic

relaxes smooth muscle in the uterus to inhibit uterine contractions

contraindicated for cardiac dysrhythmia

Question 24

Nifedipine(Procardia, Adlat)
Nicardipine (Cardene)

Tocolytics

Answer 24

Calcium channel blockers

Antagonizes the action of calcium within the myometrial cells to reduce its contractility

Nifedipine is primary

Question 25

Magnesium Sulfate Tocolytics

Answer 25

Intracelluar calcium is displaced by magnesium ions to inhibit uterine contractions

Question 26

Indomethacin Ketorolac Sulindac Tocolytics

Answer 26

NSAIDs limit use of to 48 hours should not be used when women have significant renal or hepatic disease, active peptic ulcers, coagulation disorders, or thrombocytopenia

Question 27

Nitroglycerin tocolytic

Answer 27

Has been used to relax a hypertonic uterus during delivery

Question 28

Adverse effects of Terbutaline

Answer 28

hyperglycemia, cardiac dysrhytmias, MI, PE, hypotension, and tachycardia Fetal adverse effects are hyperinsulinemia= potential newborn hypoglycemia, tachycardia, hyperglycemia, myocardial and septal hypertrophy

Question 29

Macrosomia

Answer 29

Newborn with excessive birth weight

Question 30

Leading cause of preterm labor

Answer 30

Infection

Question 31

Fetal dystocia

Answer 31

abnormal fetal size or position

Question 32

Shoulder dystocia

Answer 32

presentation is vertex, but the anterior fetal shoulder is lodged behind the symphysis pubis, preventing vaginal delivery recognized when fetal head is delivered onto the perneum but appears to be pulled back tightly against the perineum

Question 33

Precipitate

Answer 33

Abnormally rapid labor with strong contractions, rapid cervical dilation, rapid descent of the presenting part and delivery usually occurs in 2 hours from the start of the contractions

Question 34

Retained placenta

Answer 34

Normally separates from the uterus spontaneously in 5- 20 mins after delivery Retained= doesn’t completely come out

Question 35

Umbilical cord prolapse actions that need to be taken

Answer 35

elevating the presenting part off the cord with a hand in the vagina to prevent further cord compression/ patient is placed in trendelenburg or knee- chest position/ give tocolytics

Question 36

Treatment goal for pregnant women with hypertension is

Answer 36

diastolic blood pressure of 90-100 mmHg

Question 37

If there is a possible chance of concealed bleeding in pregnant female, how do you assess?

Answer 37

measuring fundal height

Question 38

Uterine atony

Answer 38

major cause of postpartum hemorrhage due to loss of tone in uterine musculature

Question 39

Lepold's Maneuver

Answer 39

common and systematic way to determine position of the fetus

Question 40

Overdose of what medication can lead to a hyperstimulated uterus?

Answer 40

Overdose of oxytocin

Question 41

What can lead to a fetus presenting with variable decelerations

Answer 41

Cord Problems (prolapse, nuchal, short, compression)

Question 42

Acceleration in FHR for pregnancies under 32 weeks is considered?

Answer 42

Baseline change of 10 or more for 10 seconds 

Question 43

Causes of late deceleration

Answer 43

Pregnancy induced hypertension, diabetes, cardiovascular or kidney disease, smoking, and fetus past date

Question 44

How does FHR variability present with mag sulfate administration

Answer 44

Possible decrease can present

Question 45

When does preeclampsia occur

Answer 45

After 20 weeks/end of second trimester and beginning of third

Question 46

Diastolic BP should be managed at what for pregnancy induced hypertension

Answer 46

90-100 mmHg