OB Flashcards

1
Q

What is a normal term?

A

37 - 41

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2
Q

What is post term?

A

42 weeks +

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3
Q

Pre term is how many weeks?

A

20 - 37 weeks

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4
Q

Abortion is how many weeks?

A

0 - 19 weeks

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5
Q

What is the first biomarker of pregnancy?

A

Elevated HCG level

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6
Q

How many chromosomes does each parent give to the infant?

A

23 chromosomes together it equals 46

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7
Q

Does mom or dad dictate the sex of the fetus?

A

The dad dictates the sex of the fetus

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8
Q

What are the two methods of cell division?

A

Mitosis and Meiosis are used for cell division

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9
Q

Where does fertilization occur?

A

Outer 3rd of the fallopian tube

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10
Q

What are the stages of development of fetus?

A

2 weeks - zygote
2 - 8 weeks - embryo
9 - birth - fetus

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11
Q

How long can sperm last in the cervix?

A

Up to 5 days

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12
Q

Where is the proffered spot of attachment in the uterus?

A

The body of the uterus

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13
Q

Where is gas exchange done for the fetus?

A

In the placenta

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14
Q

When are the lungs functional in the fetus?

A

The lungs are not functional until the fetus comes out

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15
Q

When does a placenta grow?

A

At 7 - 12 weeks, when the placenta is grown THEN it does gas exchange

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16
Q

What are the layers of the amniotic sac?

A
  1. Amnion
  2. chorion
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17
Q

How many ml of fluid is in the placenta?

A

1000 ML

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18
Q

If you have less than <500 amniotic fluid what is it called?

A

Oligohydramius

19
Q

More than 1,000 ML amniotic fluid is called?

A

Polyhydrominous

20
Q

How many vessels come from the umbilical cord?

A

3, 2 arteries and 1 vein

21
Q

Where is blood shunted in fetal circulation?

A

Away from the liver

22
Q

What organ in not neccessary in the fetus?

23
Q

What are the three germ layers?

A

Ectoderm
Mesoderm
Endoderm

24
Q

What is the age of viability? (age at which fetus can survive outside the uterus)

A

20 - 24 weeks a baby can be born, but it would require NICU

25
When do the lungs in the fetus mature?
The lungs of the fetus develop at 34 weeks
26
What hormones does the placenta produce?
HCG, estrogen, HPL, progesterone
27
How many pounds does someone usually gain during pregnancy?
25 - 35 pounds
28
Two immunizations that you can get during pregnancy are what?
Tdap and FLU
28
Who can’t MMR vaccine list 4
No pregnant Nuetropenic Immunocomprimes Recent transpelent People who received IGG within 9 months
29
What does folic acid prevent? How much do we give?
Neural tube defects, and we give 0.4 mg
30
How to calculate EDD (estimated delivery date)
Naegle’s rule is used to calculate it, 1. First day of last period 2. - 3 months 3. + 7 days 4. + 1 year
31
What is the preferable pelvis for delivery?
Gyncoid pelvis
32
What are the fundal heights?
12 weeks symphisis pubis 16 weeks - midway 20 umbilicus 36 weeks - Xiphoid process
33
what is Leopold’s maneuver used for?
Measures the fetus lay and presentation
34
What is the normal fetal heart rate
110 - 160
35
If the patient has naseau or vomiting what do we give them?
Give dry carbohydrates such as crackers
36
There are three signs of pregnancy, what are they?
1. Presumptive, subjective data 2. Probable, Objective data 3. Positive ONLY positive will confirm pregnancy, fetal heart rate, ultrasound too
37
What is the first time we have fetal heart rate
10 - 12 weeks
38
When is the first fetal movement?
16 - 20 weeks
39
Should you ever put a pregnant women to lay down flat on her back?
NO, it causes supine hypotension
40
What are the 4 changes of pregnancy on the cardiovascular system?
1. Diluional anemia 2. Increases risk of clots 3. Blood pressure lowers 4. Blood volume increases by 45%
41
What are the calories needed more than usual while pregnant?
300 more calories than normal
42
What are things to remind someone pregnant who are traveling list 4
1. Walk around 2. Stay hydrated 3. After 28 weeks avoid air travel 4. Wear loose comfortable clothing
43