OB Enhancement (me) Flashcards
What is Ovulation Hormone?
a. Estrogen
b. Progesterone
a. Estrogen
What is the Pregnancy Hormone?
a. Progesterone
b. Estrogen
c. Ovaries
a. Progesterone
Organ that Produces estrogen & progesterone?
Ovaries
__________ site of fertilization?
Ampulla
__________ site of implantation?
Endometrium
The amount of bleeding throughout the menstrual period?
30 - 80 ml | 1/3 of cup
Menstruation starts from what?
Decrease level in estrogen
Hormone that thickens the endometrium?
Estrogen
Luteinizing hormone secretes what?
Corpus Luteum
__________ hormone that maintain thickness of Endometrium?
Progesterone
How many weeks before the placenta will take over for production of estrogen and progesterone?
a. 17 weeks
b. 20 weeks
c. 16 weeks
c. 16 weeks
What is the 3rd phase of menstrual cycle?
Ischemic
When the first phase of cycle of menstrual cycle end?
During ovulation
In the phases of menstrual cycle, __________ is considered as 1st day of female menstrual cycle up to 4th day.
4th phase
When does the ovulation occurs?
14 days before the next menstrual cycle.
When is the most fertile time of the females?
3 - 4 days and after ovulation.
It is the unilateral lower abdominal discomfort.
a. Mittelschmerz
b. Deciduae basalis
c. Spinbarkeit
a. Mittelschmerz
_________ is the elasticity of the cervical mucus.
Spinbarkeit
How are you characterized cervical mucus?
Clear, elastic, thin, slippery (egg white)
What is OZEF? \
Ovum, Zygote, Embryo, Fetus
What is the Lecithin Sphingomyelin (L/S) ratio indicates fetal lung maturity?
a. 1:2
b. 3:4
c. 2:1
c. 2:1
Fertilization takes place within how many hours?
a. 15 hours
b. 12 hours
c. 24 hours
c. 24 hours
When does the organ formation or organo genesis happen?
5 to 9 weeks of pregnancy
What are the types of decidua?
Basalis, Capsularis, and vera.
Is there a direct exchange of blood between the mother and baby during pregnancy?
a. Yes
b. No
b. No
Is there a direct exchange of Nutrient, oxygen, waste products between the mother and baby during pregnancy?
a. Yes
b. No
a. Yes
Placenta serves as fetal ________, ________ and _________.
Lung, kidney, and GIT.
______ is the number of pregnancies regardless of outcome and duration
Gravida
_____ Number of deliveries that reached the age of viability delivered dead or alive.
Parity
______ Age of viability
20 weeks
The Following is the PEAK of the nausea and vomiting, except what?
a. 60th to 80th days
b. 3rd month
c. 5th to 9th weeks
d. end of the first trimester of pregnancy.
c. 5th to 9th weeks
Normal amount of amniotic fluid?
800 -1200 ml
What is the fetal problem with a manifestation of less than 800ml of amniotic fluid?
renal problem = renal agenesis (kidneys are not completely form)
What is the fetal problem with a manifestation of more than 1200ml of amniotic fluid?
GIT problem = Esophageal atresia. (tube that connects the mouth to the stomach) does not develop properly
The baby urinates as early as?
a. 15 weeks
b. 11 weeks
c. 12 weeks
c. 12 weeks
When is the earliest time to perform amniocentesis to a pregnant woman?
a. 15 weeks - 20 weeks
b. 12 weeks - 14 weeks
c. 11 weeks - 15 weeks
b. 12 weeks - 14 weeks
What are the 3 principle in identifying parity?
- Don’t count abortion
- Count stillbirth
- Multiple pregnancy (twins, counted as 1)
When is the time where the Age of gestation weeks is equal to fundic height in cm?
a. 20 - 36 weeks
b. 15 - 20 weeks
c. 20 - 37 weeks
a. 20 - 36 weeks
When does quickening occurs at the primigravids?
a. 16 weeks
b. 12 weeks
c. 20 weeks
c. 20 weeks
When does quickening occurs at the multigravida?
a. 16 weeks
b. 12 weeks
c. 20 weeks
a. 16 weeks
_________ is the discoloration in the face of mother, mask of pregnancy
Melasma/ chloasma
________ is the dark line extending from xyphoid process to symphysis pubis.
Linea nigra
what is the pinkish discoloration in the lower abdomen?
a. Melasma
b. Striae Gravidarum
c. Linea Nigra
b. Striae Gravidarum
What sign of pregnancy is that manifest melasma, linea nigra, and striae gravidarum?
Presumptive
Purplish discoloration of vagina and softening of vagina?
Chadwick’s Sign
________ Softening of cervix
a. Goodell’s sign
b. Chadwicks sign
c. Hegar’s sign
a. Goodell’s sign
__________ softening of lower uterine segment/ uterus
a. Goodell’s sign
b. Chadwicks sign
c. Hegar’s sign
c. Hegar’s sign
_________ painless contractions relieve by walking.
Braxton hicks
All Test that can provide positive sign of pregnancy, except what?
a. Doppler
b. UTZ
c. Braxton hicks
d. Ultra sound
c. Braxton hicks
The woman now is 3rd month of pregnancy and now is complaining nausea and vomiting?
a. normal
b. abnormal
a. normal
R: Peak of nausea and vomiting = 3rd month or end of first trimester.
What management will you perform if the pregnant woman complains of pyrosis manifest of substernal chest pain?
a. Notify the physician
b. Elevate the head of bed 3 hours after meals and milk in between meals
c. Put the patient at fowlers position
b. Elevate the head of bed 3 hours after meals and milk in between meals
The pregnant women asked the nurse in charge in ED asking if the use of stool softener is safe during pregnancy?
a. Yes
b. No
a. Yes, however it should be prescribed.
Safe: Docusate NA (colace), Metamucil, mail of magnesia, bisacodyl.
What is the best exercise for a pregnant woman to prevent back ache during pregnancy?
a. Walking
b. Kegel’s Exercise
c. Pelvic Rocking Exercise
c. Pelvic Rocking Exercise
What is the allowed temperature of warm sitz bath for a pregnant women?
a. 45 degree Celsius
b. 50 degree Celsius
c. 40 degree Celsius
c. 40 degree Celsius
The following statement are not allowed to perform by the pregnant woman during pregnancy, except?
a. Tub bath
b. Napkins
c. Tampons
d. douche
b. Napkins
The mother is lack of calcium but cannot tolerate milk intake, what would be the appropriate action of the nurse?
a. Soya
b. Tofu
c. Banana
b. Tofu - Rich in calcium
In what trimester common is the urinary frequency?
a. First and second trimester
b. First and third trimester
c. Third trimester
b. First and third trimester
A mother who is in second trimester complaints of urinary frequency, what will be the best nursing action?
a. Notify the physician
b. Suspect Gestation Diabetes Meletus
c. Provide the patient health teaching
b. Suspect Gestation Diabetes Meletus
The mother is sleeping for 3 hours and now is complaining dizziness, what will be your response as a nurse?
a. Place the client in 45 degree fowlers position
b. Turn the client to the left side
c. Notify the physician
b. Turn the client to the left side -> this is due to Supine hypotension syndrome or vena cava syndrome.
A pregnant women is in the ED, who is 25 weeks AOG complaining stabbing/ jabbing pain in the lower abdomen aggravated by movements. What will be the best nursing action?
a. Notify the physician
b. Provide Hot sitz bath
c. Teach the client to flex her hips or sit.
c. Teach the client to flex her hips or sit. -> This is due to round Ligament Pain.