OB

Question 1

First menses

Answer 1

Menarche (me nar ki)

Question 2

When menses stop

Answer 2

Amenorrhea

Question 3

Spotting that occurs between periods and is unrelated to pregnancy.

Answer 3

Metrorrhagia

Question 4

Extremely painful menstruation

Answer 4

Dysmenorrhea

Question 5

Abnormally large amounts of bleeding during menses.

Answer 5

Hypermenorrhea

Question 6

A woman has her menses more frequently than once every 21 days. Commonly brought on by stress

Answer 6

Polymenorrhagia

Question 7

Total number of times a woman has been pregnant (regardless of pregnancy outcome);

Answer 7

Gravidity (G)

Question 8

Number of live births a woman had.

Answer 8

Parity (P)

Question 9

Term meaning first pregnancy

Answer 9

Primigravida

Question 10

A woman who only had one delivery

Answer 10

Primipara

Question 11

A woman who had two or more pregnancies

Answer 11

Multigravida

Question 12

A woman who had two or more deliveries

Answer 12

Multipara

Question 13

A woman who never delivered

Answer 13

Nullipara

Question 14

Trimesters and pregnancy weeks

Answer 14

First trimester – conception to 12 weeks.
Second trimester – 13 to 27 weeks.
Third trimester – 28 to 40 weeks.

Question 15

Consequences of enlarged uterus slows venous return

Answer 15

Pooling - higher risk for clots and its consequences (strokes, PE…). If bed ridden - risk of deep venous thrombosis. Also, dependent edema, hemorrhoids, varicose veins.

Question 16

Signs of imminent delivery

Answer 16

1. Contractions close together, longer
2. Urge to push (like bowel movement)
3. Perineal bulging
4. Crowning

Question 17

Large fetus over 4,500 grams (about 9 pound

Answer 17

Fetal macrosomia

Question 18

Head is too big for pelvis - need cesarean section

Answer 18

Cephalopelvic disproportion

Question 19

A part of the body other than the head leads the way in delivery

Answer 19

Breech presentations

Question 20

Foot/feet come out first

Answer 20

Footling breech

Question 21

When a fetus is positioned horizontally across the uterus instead of vertically.

Answer 21

Transverse presentation

Question 22

After the head is delivered but can’t get the shoulders out; impacts newborn’s breathing

Answer 22

Shoulder dystocia

Question 23

Cord comes out first

Answer 23

Prolapsed umbilical cord

Question 24

Fetal buttocks presentation with extended legs

Answer 24

Frank breech

Question 25

Umbilical cord is wrapped around part of the body

Answer 25

Nuchal (noo KL) cord

Question 26

Uterus pressing the inferior vena cava when supine

Answer 26

Supine hypotensive syndrome

Question 27

Hypertensive disorders

Answer 27

Chronic hypertension - above 140/90
Gestational hypertension - above 140/90, (after 20th week, normal before)
Preeclampsia - above 140/90 and clinical findings
Severe preeclampsia - above 160/110
Eclampsia - seizures not explained by other reasons

Question 28

Another name for focal complex seizure (one side of brain, loss of consciousness)

Answer 28

Jacksonian seizures

Question 29

Persistent vomiting and nausea common in first pregnancy, obese, multiple gestations. First trimester

Answer 29

Hyperemesis gravidarum

Question 30

A protein in RBC that the mother doesn’t have but the man has it and baby has it. Complications for the baby.

Answer 30

Rh sensitization

Question 31

Infections that occur in neonates due to organisms passing through the placenta from mom.

Answer 31

TORCH syndrome - Toxoplasmosis, Other agents, Rubella, Cytomegalovirus, Herpes.

Question 32

Caused by eating contaminated food or handling cat litter.

Answer 32

Toxoplasmosis

Question 32

Premature partial separation of placenta from wall of uterus; most common in last trimester

Answer 32

Abruptio Placentae

Question 33

Placenta partially or fully obscuring the cervical canal.

Answer 33

Placenta previa

Question 33

Amniotic fluid volume problems

Answer 33

Polyhydramnios - too much of.
Oligohydramnios - too little

Question 34

A white, fishy-smelling discharge from vagina

Answer 34

G. vaginalis infection

Question 35

Infection of a woman’s reproductive organs.
Pain on movement, unprotected intercourse among multiple partners, pain during and after menstrual period and during sex, purulent (pus) vaginal discharge

Answer 35

Pelvic inflammatory disease (PID)

Question 36

Inflammation of the uterine lining most common cause of infection following child birth

Answer 36

Endometritis

Question 37

Pregnant woman with sudden onset of respiratory distress and hypotension; could have seizures; could have chest pain and/or abdominal pain

Answer 37

Amniotic fluid embolism

Question 38

Twisting of the ovary cutting off blood supply and what it may be related to

Answer 38

Ovarian torsion, can be a complication of an ovarian cyst

Question 39

Most common STI with an estimated 75% of the U.S. population affected

Answer 39

Human Papillomavirus (HPV)

Question 40

Cardiovascular changes in pregnancy

Answer 40

1. Faster HR
2. Heart of mom grows and is displaced up, forward and left with slight rotation
3. Blood pressure drops during the second trimester and increases to pre-pregnancy by term
4. Blood volume increases by 30-50% (avg woman, not pregnant is 4-5 L); (RBC do not increase as much as plasma, though)
5. Faster clotting (more platelets in preparation for delivery)
6. Pco2 decreased to provide gradient for fetal co2.