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OB Flashcards

1
Q

Explain pano compute AOG

A

knuckles in hand =31 days
In between= 30 days
Fen=28 days

Ilang days sa mon ng LMP minus 1st day ng LMP= answer
answer lalagay sa month na un tas add days sa sumunod na months divided by 7 weeks

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2
Q

Term

A

38-42

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3
Q

1 mo=__wks

A

4

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4
Q

Define:
Gravidity
Parity

A

Pregnancy
Nadeliver

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5
Q

Stages of Labor/ delivery

A

Cervical dilation
Fetal delivery
Placental expulsion
Recovery

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6
Q

Stages of cervical dilation with cm

A

Latent 0-3
Active 4-7
Transitional 8-10

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7
Q

Latent in primi and multipara

A

Primipara 8-20 h
Multipara- 5-15 h

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8
Q

Placental delivery normal and abnormal

A

N: 5-15 mins
Abn: 30 mins (report)

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9
Q

1st __hrs ang recovery stage (stage 4)

A

4

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10
Q

Ilang weeks ang post partum

A

After 6 weeks

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11
Q

Return of vagina and uterus to their pre pregnancy state

A

Involution

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12
Q

Per ml ng ilang million ng sperm

A

20-40 million

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13
Q

Per ejac how many sperm

A

400 million

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14
Q

Hormone responsible for uterus and breast

A

Estrogen

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15
Q

Kelan start ng ovarian or men cycle

A

1st day of mens to the 1st day ng next mens

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16
Q

Ovarian/ mens cycle
Average days
Range

A

28 days
23-35 days

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17
Q

Gland that produces estrogen

A

Adrenal gland

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18
Q

Age of puberty / menarche

A

9-16

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19
Q

Young egg cell
Matured egg cell

A

Primordial cell
Graafian

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20
Q

Hormone for implantation inc endometrial cells

A

Estrogen

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21
Q

Phase where estrogen surge

A

Proliferation/ estrogenic/ follicular phase

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22
Q

Hormone pampa ovulate

A

LH

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23
Q

Yellow follicle

A

Corpus luteum

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24
Q

Corpus luteum contains___

A

Progesterone

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25
Q

Chorion and placenta alin mataas sa 1st and 2nd trisem

A

1st- chorion
2nd- placenta

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26
Q

Corpus luteum HCG how many days to wait

A

8-10

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27
Q

Not yellow but white na onti prog and estrogen

A

Corpus albicans

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28
Q

Corpus albicans is what phase

A

Isthreemic phase: 3 days

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29
Q

how many days an egg and sperm cell waits

A

Egg- 2 days
Sperm-5 days

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30
Q

mens
__ days average
—days range
__ml

A

3-5
2-9
30-80ml

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31
Q

Other term of fertilization

A

Conception
Impregnation

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32
Q

in order ng mens cycle (POLIM) and hormones nila

A

Proliferative- estrogen
ovulation- LH
Luteal- progesterone (14th day)
Ischemic- corpus albicans (10 days)
Mens (D1)- 3 days

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33
Q

How to compute for th day ovulation

A

Days ng mens cycle— 14 days

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34
Q

Fertilization process OZMEF

A

Ovum: single cell
Zygote: fertilization
Morulla: Mitosis
Embryo: Implant
Fetus: 8etus bc 8 wks

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35
Q

Most delicate part ng preg what trimester

A

1st

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36
Q

LUNAR MONTH: SC FUSION

A

1st

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37
Q

THIRD AND FOUR LUNAR MOS

A

TOOTH
HEART SOUND
IHI
REFLEX
DOPPLER

FETOSCOPE/LANUGO
ORDINARY STET
URINATE
REVEAL GENDER

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38
Q

SEVEN AND EIGHT LUNAR MOS

A

SCROTUM
EYES
VESSELS
EYE NINETY SURVIVAL

EXTENDS/MORO
IRON
GROW
HERMIT
TIP OF NAILS

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39
Q

SEVEN AND EIGHT LUNAR MOS

A

SCROTUM
EYES
VESSELS
EYE NINETY SURVIVAL

EXTENDS/MORO
IRON
GROW
HERMIT
TIP OF NAILS

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40
Q

Quickening rate good how many weeks

A

12 weeks

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41
Q

Heart contract of bby how many lunar mos

A

8

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42
Q

SPINAL CORD WHAT LUNAR MOS

A

4

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43
Q

What is the maternal serum screening

A

Chorionic villi sampling

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44
Q

Ml kinukuha sa amniocentesis

A

20 ml

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45
Q

Scrotum that dont descend

A

Cryptochordism

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46
Q

Moro reflex, arms doesnt extends dt?

A

Brachial plexus injury

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47
Q

Ilang cm fetus grows faster

A

50 cm

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48
Q

Deadline ng delivery

A

> 42 wks
Diff of delivery
Dec amniotic and placemtal fxning

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49
Q

Alin subjective at objective sa presumptive at probable

A

preSUmptive
prOBable

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50
Q

Leg pain reason

A

Low CA inc Phosphorus

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51
Q

Leg pain mngt

A

Dorsiflex w extended knee

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52
Q

Abn leg pain

Mngt

Prevention

A

DVT bc of uterine pressure

No massage, hot compress, ambulate
Bedrest
Doppler UTZ
Heparin
Embolectomy

Ambulate
Elastic stockings and Panty hose na di umaalis sa bed, if nag ambulate, higa for 30 mins saka suotin
Elevate

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53
Q

Pride of pregnancy and cause

A

Lordosis

Progesterone Relaxin (P-R)

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54
Q

P-R fxm

A

Softens pelvic joints

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55
Q

Lordosis exercise
Mngt

A

PR pelvic rock

Squatting
Back pillow
Stand straight
Shoes low

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56
Q

Headache normal
Mngt

Abn

A

mild occassional
Paracetamol

Severe continuous not relieved ng paracetamol

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57
Q

Hormones responsible sa stuffed nose

A

Estrogen

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58
Q

Cause ng SOB and inc RR

A

Enlarged uterus

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59
Q

IgA produces__
out___

A

Prolactin
Oxytocin

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60
Q

2 hormones ng lactation

A

Progesterone
HPL

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61
Q

Basta abt breast changes anong hormone

A

Estrogen (uterus and breast)

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62
Q

Skin changes dt what hormone and kailan babalik

A

Estrogen
After delivery

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63
Q

Mask of pregnancy

A

Kloasma/Melasma

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64
Q

Mask of pregnancy

A

Kloasma/Melasma

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65
Q

Dark thin line mid abdomen

A

Linia Nigra

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66
Q

Dark thin line mid abdomen

A

Linia Nigra

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67
Q

2 hormones urinary frequency

A

HCG aldosterone

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68
Q

What trisem urinary frequency fades

A

2nd

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69
Q

Inc or dec GFR and ano meron dito

A

Inc
Glycosuria (glucose +1)

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70
Q

Assessment ng quickening:
Frequency:
Position:
Time:
Rate:
If abn:

A

Assessment ng quickening: KICK COUNT
Frequency: OD
Position: LEFT RECUMBENT
Time: 1H POST MEAL
Rate: 10-12/h
If abn: ambulate then repeat

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71
Q

Morning sickness all day or not? Kelan malala

Anong trisem lang

Mngt

A

All day, pagkagising

1st kasi sa 2nd placenta

Dry toast/crackers without fluids after
Delay bfasg
Consult if more than 2 times ka nagsuka
Acupressure and acupuncture
Carbonateds
Sour candy
Snack bago tulog
No spicy seasoned sebo sudden movts
Baking soda

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72
Q

No mens dt what hormone

Non breastfeeding at breastfeeding kelan balik

Requirement ng lactational amenorrhea

A

Estrogen

Non breastfeeding: 6-10 weeks (involution)

breastfeeding >3 mos

Pure bf
di nagkakamens
6 mos feeding

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73
Q

Palmar erythema cause and mngt

A

Estrogen
Calamine lotion

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74
Q

Recommended dietary allowance

A

+300 cal/day

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75
Q

Fe (iron) ilang inumin

Rich in fe ano foods

Pano pag vegetarian kulang sa vit B12 kulang sila sa meat

A

800 (500 ke mom, 300 ke bby)

Meats, greens, nuts/grains

Vit b12 27 mg (15-30 mg)

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76
Q

Fe and Fa SE:

Ilang hrs bago oede magbugay ng Ca and Mg

Bat bawal bigay GI stimulants like enema, laxative, mineral oils

Ano lang pede na stool softener

Expected stool color

A

2h gap

Inc contractions

Docusate sodium/ Colace

Dark/ blackish greennish

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77
Q

Inc salivation what term and hormone caused

A

Ptyalism
Estrogen

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78
Q

Abn cravings

A

Pica

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79
Q

Inc secretions med term and hormone cause

A

Leukorrhea Estrogen

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80
Q

Leukorrhea mngt is to prevent infection. Anong 2 A’s if may infection sa bby in 1st tri? 2nd tri?

A

Anomalies Abortion
Preterm

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81
Q

Instead of tampons what to use

A

Pads and cotton tela panty

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82
Q

Instead of tampons what to use

A

Pads and cotton tela panty

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83
Q

NSD or CS if may vaginal infection

A

CS

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84
Q

Varicosed veins cause

A

Uterine pressure

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85
Q

Anong vitamins for varicose

A

CAB

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86
Q

Anong bawal sa varicose and ano position dapat

A

Crosslegs, constrictive clothing

Sims

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87
Q

Palatandaan sa Hemorrhoids

A

COCOMILK
COnstipation mngt
COld compress
Modified sims
Insert gently using fingers
Lotion na witch hazel
Knee chest 15-20 mins

88
Q

Anong ass ang naga use ng measuring tape where 1 cm=1week

A

Mcdonalds

89
Q

Bartholomew palatandaan

A

Sux “sucks”
Symphysis 3 mos
UMBILICUS 5 mos
Xyphoid 9 mos

90
Q

Naegels rule pano

A

LMP tas jan to mar +9+7
The rest mos -3+7+1

91
Q

Positive serum PT probable or positive

A

Probable

92
Q

Positive serum PT created by?

Kelan naga inc, dec, absent

A

Chorion in trophoblasts (HCG)

1st tri, 2nd tri, 1-2 wks after delivery

93
Q

Kelan maga Urine PT

A

1st day ng missed period then after 1 week

94
Q

Ano drug naga pa false + sa urine pt

A

Methadone (opoid) and Chlordiazepoxide (anxiolytic)

95
Q

Outline felt/palpated by examiner probable or positive? Kelan nafefeel anong tri

A

Probable, 2nd tri

96
Q

Leopolds done during?

A

Late 3rd tri
Labor

97
Q

Palatandaan sa leopolds and ano fina found out

A

F U Sy Pepe

Fundal grip-presentation (cephalic, breech, diagonal/oblique, and lie (occiput, sinciput, brow, face)

Umbilical- position (LOA ROA)

Symphysis/Pawlicks- Engagement

Pelvic- attitude

98
Q

Anong fingers if maga IE at ano instruction

A

Middle at pointing

Slowed breathing

99
Q

Kapag floating pa bby ano mafiffeel sa pawlicks grip

A

Magalaw

100
Q

Opposite ng floating

A

Crowning (+1+2+3…)

101
Q

sequence ng pag pelvic grip

A

Slide downward inward

102
Q

Anong presentation lang ang pede sa pelvic grip

A

Cephalic

103
Q

Flexion or extension gusto natin kay bby

A

Flexion

104
Q

Full flexion

A

Vertex

105
Q

Benefits ng Vertex DILA MO CO

A

DiLation of cervix
MOLDING
CORD PROLAPSE PREVENTION

106
Q

Ballottment

Tri

How to perfrom

A

2nd

One hand abdomen, another sa cervix

107
Q

Bluish vagina called

Hormone caused

A

Chadwick

Estrogen

108
Q

Softening of lower uterine segment

Isthmus-

Cervix-

A

Hegars

Goodles

109
Q

Sac

Characterisitic:
When:

A

Ring
4-6 wks

110
Q

Movements felt by examiner positive of probable

A

Positive
Kasi pag “outline felt” thats probable

111
Q

Heartbeat of fetus

Rate
Earliest seen
Earliest heard
Loudest

A

11-160
2nd mo
3rd mo
Upper back

(Seen muna bago heard)

112
Q

Outline sa UTZ kailan at anong AOG

A

1st
8-10 wks

113
Q

UTZ

Routine
Maaga

Instruction

A

Transabdominal
Transvaginal

Full bladder 1 glass q 15 and before 90 mins
Supine w rolled towel on right side

114
Q

Placenta

Ig?
Barrier sa lahat except

A

IgG
Drugs virus

115
Q

Amniotic fluid

ml

Oligo
Polyh

A

500-1200 ml

<200
>2000

116
Q

compli

Oligo
Poly

A

Cord compression

Cord prolapse
Preterm
Hemorrhage

117
Q

Quickening what tri and rate

A

2nd
10-12/hr

118
Q

Xray

formed
seen
Mineral
Vit

A

3rd mo
4th mo
Ca 1g/day
D

119
Q

Kelan lang naga hypotension

A

2nd tri kasi give way kay placenta

120
Q

Dx ng HPN

A

140/90 2 times take 6 h apart
S+30
D+15

121
Q

Gamot for HPN

Gamot na di ibibigay

A

Lab ni Hyd

Labetalol
Nifedipin
Hydralazine/ Apresoline

ACE inhibitors at ARBS

122
Q

Kelan PIH screening

A

2nd tri

123
Q

Kung may proteinuria sa urinalysis ng pre eclampsia ano naman mababa sa kanya dt sirang oncotic pressure

A

Hypoalbuminemia

124
Q

ano Eliminate for prevention sa seizure

A

Bright loghts dat dim
No penlight
No sudden noise

125
Q

Tuwing kelan mo iassess vs ng pre eclampsia, if severe?

A

q 4 h, q 1h

126
Q

Gamot for seizure and thru/route
Ano babantayan

A

Mag sul
IV infusion
Toxicity

127
Q

Diet pre eclampsia

A

CHON

Mod Salt

128
Q

Pag IO <30 ano possible nangyari

A

Hypermagnesemia(toxicity)

129
Q

Complication sa bata if may pre eclampsia

A

Liver prob (RUQ epigastric pain, sx of bleeding)

130
Q

Therapeutic range ng Mag Sul
Antidote
Check kelan
S/sx ng toxicity

A

5-8 mg/dl
Ca gluconate
Every shift

Dec UO, DTR, RR

131
Q

Normal DTR

A

Patellar +2

132
Q

ECLAMPSIA
To stop convulsion what med

A

DIAZEPAM (Valium)

133
Q

ECLAMPSIA
Position

A

Left side lying to drain secretions

134
Q

ECLAMPSIA til when continue mag sul

A

Up to 24 h after deliver

135
Q

ECLAMPSIA
Ilang 02 give and type ng O2 device?

A

8-10 L/min facemask

136
Q

ECLAMPSIA bat instruct NPO

A

Delivery na

137
Q

ECLAMPSIA bat assess bleeding

A

Baka mag abruptio placenta & affected liver

138
Q

__vaginal bleeding are reported no matter how small the amount

A

ALL

139
Q

1st tri bleeding 3 general sx?

A

AMENORRHEA, LOWER ABD PAIN, VAGINAL BLEEDING

140
Q

ABORTION med na causes loss of extremities + anti emetic

A

Thalidomide

141
Q

ABORTION loss extremities dt thalidomide? Short extremities

A

Amelia, Focomelia

142
Q

ABORTION med for uterus contract and cervical ripening, prostaglandin to

A

Misoprostol

143
Q

ABORTION med na di binibigay if di pa ripen cervix, pampacontract

A

oxytocin

144
Q

ABORTION med na progesterone class, pampacontract din

A

Mifepristone

145
Q

ABORTION closed cervix/os

A

Threatened

146
Q

ABORTION open cervix/os

A

Imminent/inevitable

147
Q

ABORTION all products expelled (fetus, placenta, membrane)

A

complete

148
Q

ABORTION some products expelled

A

Incomplete

149
Q

Complete ABORTION report?

A

Heavy bleeding 1:1

150
Q

Incomplete ABORTION bat bawal CBR

A

Pooling of blood sa uterus

151
Q

Incomplete ABORTION anong SST bawal

A

Sex 2 wks
Strenuous exercise 2 days
Tampon

152
Q

Complete & incomplete ABORTION ano mga isa-save and y?

A

Clots, pads, tissues to rule out H mole kasi rx for choriocarcinoma

153
Q

ABORTION no idea pt dt silent sx, aka early pregnancy failure

A

Missed

154
Q

ABORTION 3 consecutive or Habitual

A

Recurrent

155
Q

Recurrent ABORTION causes (ABCDE)

A

Autoimmune, Blood flow resistance, Chorioamnionitis, Defective sperm/egg, Endocrine factors

156
Q

ECTOPIC ano iwa watch out

A

Peritonitis, Shock

157
Q

Implantation outside uterine cavity

A

ECTOPIC

158
Q

ECTOPIC mngt

A

Methotrexate and laparotomy (if ruptured na)

159
Q

2nd tri 2 bleeding disorder

A

H mole, incompetent cervix

160
Q

Aka Gestational trophoblastic dse

A

H mole

161
Q

H. MOLE pattern

A

Snowflaked/ snowstorm

162
Q

H. MOLE fundic ht larger or not

A

Larger

163
Q

H. MOLE describe bleeding

A

Fast fresh

164
Q

H. MOLE ano meron sa vesicles

A

Fluid filled clear

165
Q

H. MOLE mngt

A

Suction Curettage

166
Q

H. MOLE paano follow up

A

2 times weekly then monthly then yearly

167
Q

H. MOLE instruction

A

Pills, no muna pregnancy

168
Q

Painless dilation of cervix at 20 wks AOG so may chance pa mabuhay bby + show

A

CERVICAL INSUFFICIENCY

169
Q

CERVICAL INSUFFICIENCY Anong procedure nakacause

A

Biopsy

170
Q

CERVICAL INSUFFICIENCY 2 surgical mngt

A

Mcdonalds- nylon
Shirodkar- mersilene tape

171
Q

CERVICAL INSUFFICIENCY cerclage/suturing permanent?

A

No, san dadaan si bby

172
Q

CERVICAL INSUFFICIENCY pede ba mag cerclage ba if may amniotic fluid leak? Bleeding? Contractions?

A

NO

173
Q

3rd tri bleedings?

A

Preterm labor, Previa, Abruptio, Accreta

174
Q

Previa meaning

A

Before lowly implanted placenta

175
Q

Diff ng bleeding at site ng ABRUPTIO PLACENTA sa PLACENTA PREVIA

A

DARK RED PAINFUL, UPper site

176
Q

PLACENTA PREVIA Causes

A

Uterus advance, cervix dilate, braxton hicks kc nga 3rd tri na, twins, past CS

177
Q

Premature separation ng placenta

A

ABRUPTIO PLACENTA

178
Q

advance age

A

> 40 y.o

179
Q

PREVIA pag 30% nearness sa opening ung placenta mngt

A

Delivery in double set up

180
Q

ABRUPTIO describe fundus or uterus

A

Rigid to touch, sharp to dull pain bet contraction

181
Q

ABRUPTIO cause

A

Anything na nagpapa tension (HPN, trauma, stimulant drugs)

182
Q

ABRUPTIO compli

A

DIC

183
Q

Abruptio and previa consideration na bawal

A

Internal Exam and abd palpation

184
Q

PRETERM LABOR anong weeks

A

Before 38 wks

185
Q

PRETERM LABOR goal

A

Patigilin

186
Q

PRETERM LABOR cause “dati”

A

DHN/ DM/ tension
Amnionitis
Tension/trauma
Infection/ illness

187
Q

PRETERM LABOR 2 meds

A

Tocolytics and corticosteroids

188
Q

4 na Tocolytics (Mint)

A

Magsul
Indomethacin
Nifedipine
Terbutaline

189
Q

PRETERM LABOR Anong Tocolytics unang ibibigay na beta 2/relaxant

A

Terbutaline

190
Q

PRETERM LABOR Tocolytics contraindications

A

amniotic leak, bleeding, distress, active labor

191
Q

PRETERM LABOR 2 corticosteroids

A

Beta/dexamethasone (lung surfactant)

192
Q

PRETERM LABOR anong IV fluid at bat NPO

A

LR, kasi baka maglabor

193
Q

Deeply implanted placenta

A

ACCRETA

194
Q

ACCRETA arrange in order pinakamalala

A
  1. Accreta (endometrium)
  2. Increta (invades myometrium)
  3. Percreta (penetrates myometrium)
195
Q

INCRETA mngt

A

Hysterectomy

196
Q

ACCRETA mngt

A

Manual Removal w BEMONC training

197
Q

Lahat ng bleeding during pregnancy anong dx

A

UTZ

198
Q

BEMONC training meaning

A

Basic Emergency Maternal Obstetric Neonatal Care

199
Q

CEMONC training meaning

A

Comprehensive Emergency Maternal Obstetric Neonatal Care + BT & CS

200
Q

Lahat ng bleeding during pregnancy anong bawal gawin, ilang O2 lagi

A

Internal Exam & abd palpation
8-10 LPM facemask

201
Q

BLOOD INCOMPATIBILITY 2 antigens?

A

ANTIGEN A, ANTIGEN B

202
Q

Blood type Universal donor?

A

O

203
Q

Blood type Universal recipient ?

A

AB

204
Q

BLOOD TYPE B pede makareceive ng blood types?

A

B, O

205
Q

BLOOD TYPE AB pede makareceive ng blood types?

A

A, B, AB, O

206
Q

BLOOD TYPE O pede makareceive ng blood type?

A

O

207
Q

Diff ng RH incompatibility sa ABO incompatibility

A

More severe, less common

208
Q

Anong antigen seen sa RH+

A

Antigen D

209
Q

Anong Ig lang nagapass through sa placental barrier

A

IgG

210
Q

sino positive at negative RH sa RH incompatibility

A

Nega mom, positive bby

211
Q

Fetus Jaundice normal and abnormal

A

Jaundice agad paglabas (pathologic/abnormal)
Normal: 2-3 days kc liver immature, return 1wk

212
Q

Rh Incompatibility mga bagay na pede maghalo blood ni mom & bby

A

Invasive procedures
Nanganak na/ loss
Placental prob

213
Q

Rh Incompatibility ml ng blood escape

A

> 10 ml

214
Q

Rh Incompatibility sino affected na bby 1st or 2nd

A

2nd

215
Q

Rh Incompatibility: med that prevents isoimmunization

A

Rhogam/ RhIg

216
Q

Rhogam given
Route:
when:
Duration ng action:
Pag di maalala kung nabigyan ba:

A

IM
72h after delivery
2wk-2mo
Bigay lang bc di gamot + passive antibodies lang naman

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