OB Class 1

Question 0

location of fundus at 8 weeks

Answer 0

cannot be palpated: below symphysis pubis

Question 1

how to you find EDD using nagele’s rule

Answer 1

from LNMP
subtract 3months
add 7days
adjust year

Question 2

fundus location at 12weeks

Answer 2

symphysis pubis

Question 3

fundus location at 16weeks

Answer 3

midway between symphysis pubis and umbilicus

Question 4

fundus location at 20weeks

Answer 4

umbilicus

Question 5

fundus location at 36 weeks

Answer 5

xiphiod process

Question 6

fundus location at 40weeks

Answer 6

uterus sinks to lower level after fetal head descends into pelvic cavity (lightening)

Question 7

describe braxton hicks contractions (false labor)

Answer 7

irregular, painless contractions

during 3rd trimester occur more frequently

Question 8

Chadwick’s sign

Answer 8

occurs during first half of pregnancy
hyperemia occurs leading to a bluish purple color extending to the vagina and labia
one of earliest signs of pregnancy

Question 9

Goodell’s sign

Answer 9

cervix softens

Question 10

acidic vaginal discharge leads to

Answer 10

persistent yeast infections

acidic environment favors growth but prevents bacterial growth

Question 11

colostrum present beginning….weeks

Answer 11

12-16weeks

Question 12

blood components that increase…

Answer 12

fibrinogen

leukocytes 5K- 15K

Question 13

describe melisma, cholasma (mask of pregnancy)

Answer 13

areas of increased pigmentation (brownish patches) on forehead, cheeks, and nose that occur as early as 8weeks due to elevated estrogen, progesterone and melanocyte stimulating hormone
-women with dark hair and skin exhibit more hyperpigmentation than women with light hair and skin

Question 14

human chorionic gonadotropin (hCG)

Answer 14

stimulates the corpus luteum to produce progesterone and estrogen
—increased with preg. and tumrs: not best preg indicator

Question 15

estrogen

Answer 15

1) stimulates uterine growth and increase blood supply to uterine vessels
2) aids in developing the ductal system in the breasts in prep for lactation
3) associated with hyperpigmentation

Question 16

Progesterone

Answer 16

maintains endometrial layer for implantation
stimulate lobes and lobules in breast for lactation
facilitate deposit of maternal fat stores
stimulate ventilation: increasing resp sensitivity to CO2

Question 17

***human chorionic somatomammotropin (hCS)

human placental lactogen

Answer 17

increases availability of glucose for the fetus

promotes mobilization and use of free fatty acids to provide energy to the pregnant woman

Question 18

relaxin

Answer 18

softens connective tissue

lengthens pubic ligaments

Question 19

Para: number of pregancy

Nullipara

Answer 19

never completed a pregnancy past 20weeks

Question 20

Primipara

Answer 20

delivered one pregnancy at 20weeks or more

Question 21

multipara

Answer 21

delivered 2 or more pregnancies at 20weeks +

Question 22

***Everytime pt comes in for visit take…

Answer 22

BP
Weight
Urine

Question 23

GTPAL

Answer 23

G: pregnancies
T: term births (38-42)
P: preterm births (20-38)
A: abortions (less than 20weeks)
L: living children

Question 24

Nausea & Vomiting interventions

Answer 24

``` dry crackers before arising small frequent meals fluids separate from meals avoid fried, greasy foods ginger, peppermint or combo tart and salty ```

Question 25

backache

Answer 25

correct posture avoid high heels squat rather than bend to pick up things when sitting, use foot supports, arm rest, and pillows behind back

Question 27

last trimester weight gain

Answer 27

1-2lbs per week

Question 28

normal BMI weight gain total

Answer 28

25-35lbs total

Question 29

low BMI weight gain total

Answer 29

28-40lbs total

Question 30

high BMI weight gain total

Answer 30

12-25lbs total

Question 31

prenatal care starts at ....weeks

Answer 31

8-10weeks

Question 32

foods to avoid during pregnancy

Answer 32

excess fat soluble vitamins (A,D,E,K) caffiene soft cheeses (blue, feta, brie)

Question 33

sex of baby with ultrasound

Answer 33

20weeks

Question 34

first trimester ultrasound

Answer 34

transvaginally | detects presence and location of pregnancy, detect multifetal gestations, and confirm fetal viability

Question 35

2nd & 3rd trimester

Answer 35

transabdominal ultrasound confirm fetal viability, evaluate fetal anatomy, estimate GA, assess progress of fetal growth, eval amniotic fluid, determine location and relation of placenta and umbilical cord

Question 36

****alpha-fetoprotein (AFP)

Answer 36

can be measured in the maternal serum and in the amniotic fluid abnormal concentrations are assoc. with fetal abnormalities ***between 16-18weeks

Question 37

Amniocentesis

Answer 37

***15-20weeks during 2nd trimester examine fetal cells to identify abnormalities eval the fetal condition when woman is sensitized to Rh- blood

Question 38

nonstress test (NST)

Answer 38

ability of fetal heart to respond to stimuli

Question 39

contraction stress test

Answer 39

induced to eval if baby receives enough oxygen during contractions induced by breast stimulation or oxytocin

Question 40

***S/S of fetal hypoxia

Answer 40

erratic fetal heart rate decreased fetal HR (decels) lack of fetal movement

Question 41

***interventions for fetal hypoxia

Answer 41

maternal position changes- knee to chest postions | oxygen mask

Question 42

pt teaching: spotting

Answer 42

expect after intercourse or vag exam o.k if not excessive if occurs w.o intercourse see doctor

Question 43

***pt teaching meds

Answer 43

avoid motrin and aspirin bleeding avoid NSAIDs

Question 44

***pt teaching, signs to report

Answer 44

lower abdominal pain cramping pelvic pain

Question 45

***Preterm labor indicator

Answer 45

baby is balling up then relaxing | ***report immediately

Question 46

3rd trimester if water breaks need to deliver within

Answer 46

24hrs to prevent infection

Question 47

Amniogenesis

Answer 47

baby's organs done forming first 8weeks

Question 48

first trimester weight gain total

Answer 48

3-5lbs

Question 49

normal weight BMI

Answer 49

18.5- 24.9

Question 50

underweight BMI

Answer 50

less than 18.5

Question 51

overweight BMI

Answer 51

25- 29.9

Question 52

obese BMI

Answer 52

30+