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.
All given choices are the Physiologic changes in pregnancy except?
a. Increased Blood volume, cardiac output, Heart rate
b. Increased Clotting factors/ platelets/ WBC
c. Decrease Lipids and Serum cholesterol
d. Increased GFR and creatinine clearance
c. Decrease Lipids and Serum cholesterol -> it should be increased.
All of the following are correct, except?
a. Increased blood plasma may cause Pseudo anemia
b. Hypoventilation
c. Decreased Protein
d. Decreased IgG
b. Hypoventilation -> It should be Mild Hyperventilation - -> Increased by 1 – 2 bpm.
During second and third trimester, the carbohydrates is _______ to prevent _______.
a. Decreased, hyperglycemia
b. Increased, hyperglycemia
c. Decreased, hypoglycemia
a. Decreased, hyperglycemia
When is the carbohydrates is increased during pregnancy?
a. First trimester
b. Second trimester
c. Third trimester
d. Fourth trimester
a. First trimester -> for fetal brain development
What is the normal weight gain in the first trimester?
1lb/ month -> 3lb/ trimester
What is the normal weight gain in the second and third trimesters?
1lb/ week -> 12lbs/ trimester
What is the normal BMI of a female?
a. 20 - 21
b. 19.5 - 25.5
c. 18.5 - 24.9
c. 18.5 - 24.9
What is the normal BMI for a pregnant woman?
a. 20 - 21
b. 19.5 - 25.9
c. 18.5 - 24.9
b. 19.5 - 25.5
What do you call for a syndrome wherein the husband is experiencing sign and symptoms of pregnancy.
a. Couvade syndrome
b. Down syndrome
c. Carpal tunnel syndrome
a. Couvade syndrome
What trimester where the mother is experiencing two opposing feelings
a. 1st trimester : accepting the pregnancy
b. 2nd trimester : Accepting the Baby
c. 3rd trimester : Prepare for Delivery
a. 1st trimester : accepting the pregnancy = Ambivalence and anxiety
Physiological changes in pregnancy where the mother is doing activities such as naming the baby, buying stuff for baby, arranging the room?
a. Mimicry
b. Ambivalence
c. Nesting
c. Nesting
Physiological changes in pregnancy where the mother speak with other pregnant in the community?
a. Mimicry
b. Ambivalence
c. Nesting
a. Mimicry
Physiological changes in pregnancy where the mother is focused on herself?
a. Mimicry
b. Narcissism
c. Nesting
b. Narcissism
Physiological changes in pregnancy where the mother is experiencing two opposing feelings?
a. Mimicry
b. Ambivalence
c. Nesting
b. Ambivalence
What will be your instruction to the client prior in performing the Leopold’s maneuver?
a. Ask the patient to drink plenty of water
b. Place the patient in prone position
c. Empty the bladder
c. Empty the bladder = to promote comfort and accurate result
Nursing Considerations: Use PALMS
What will the position in performing the Leopold’s Maneuver?
a. Prone position
b. Supine position
c. Standing position
b. Supine position
What will be the Position of the nurse in doing Leopold’s Maneuver in a 33 weeks AOG women?
a. Left-handed: Left side
b. Left-handed: right side
c. Right-handed: left side
a. Left-handed: Left side
In performing Leopold’s Maneuver in a 33 weeks old pregnant woman, notes Hard, smooth, and round . This indicates what?
a. Fetal buttocks
b. Fetal head
c. Fetal hands
b. Fetal head
In performing Leopold’s Maneuver in a 28 weeks old pregnant woman, notes soft and glandular to palpate. This indicates what?
a. Fetal buttocks
b. Fetal head
c. Fetal hands
a. Fetal buttocks
In doing Leopold’s maneuver, the first maneuver or fundal grip is perform to determine what?
a. To determine fetal attitude
b. To determine engagement
c. To determine fetal presentation
d. To determine fetal Heart Rate
c. To determine fetal presentation
In doing Leopold’s maneuver, the second maneuver or umbilical grip is perform to determine what?
a. To determine fetal attitude
b. To determine engagement
c. To determine fetal presentation
d. To determine fetal Heart Rate
d. To determine fetal Heart Rate
In doing Leopold’s maneuver, the third maneuver or Pawlik’s grip is perform to determine what?
a. To determine fetal attitude
b. To determine engagement
c. To determine fetal presentation
d. To determine fetal Heart Rate
b. To determine engagement
In doing Leopold’s maneuver, the fourth maneuver or pelvic grip is perform to determine what?
a. To determine fetal attitude
b. To determine engagement
c. To determine fetal presentation
d. To determine fetal Heart Rate
a. To determine fetal attitude
In performing Leopold’s Maneuver in a 30 weeks old pregnant woman, notes - Hard and smooth to palpate. This indicates what?
a. Fetal buttocks
b. Fetal head
c. Fetal back
c. Fetal back
In performing Leopold’s Maneuver in a 25 weeks old pregnant woman, notes - Irregular and bony to palpate. This indicates what?
a. Fetal buttocks
b. Fetal extremities
c. Fetal back
b. Fetal extremities
In performing Leopold’s Maneuver in a 25 weeks old pregnant woman, notes the head is movable during palpation. This indicates what?
a. Engaged
b. Not engaged
c. Crowning
b. Not engaged
What will be the best time to monitor fetal movement?
a. During meals
b. Before bedtime
c. Early in the morning after meals
c. Early in the morning after meals (para mataas ang energy)
You may also answer “same time each day or before bedtime.”
What is the normal fetal movement count in performing Sandovsky Method?
a. 8 - 10 movements/ hour
b. 10 - 12 movements/ hour
c. 12 - 14 movements/ hour
b. 10 - 12 movements/ hour
How many hours will it last in performing Sandovsky Method?
a. 2 hours
b. 3 hours
c. 4 hours
a. 2 hours
What will be the best equipment used for monitoring FHR if the mother is obese?
a. Ultrasound
b. Stethoscope
c. Doppler
c. Doppler
Earliest time to use doppler in monitoring FHR?
a. 8 weeks of AOG
b. 12 weeks of AOG
c. 20 weeks of AOG
a. 8 weeks of AOG
The pregnant women is in health center for prenatal care, the women is 12 weeks of AOG. What equipment will be used in performing monitoring FHR?
a. Fetoscope
b. Stethoscope
c. Doppler
a. Fetoscope
The pregnant women is in health center for prenatal care, the women is 20 weeks of AOG. What equipment will be used in performing monitoring FHR?
a. Fetoscope
b. Stethoscope
c. Doppler
b. Stethoscope
In monitoring the FHR of a pregnant woman who is now 34 weeks of gestation, and notes 170 bpm of FHR. What will be the appropriate action by the nurse?
a. Refer to physician
b. Provide health teaching
c. Continue monitoring
a. Refer to physician
Rationale: Less than 120 bpm or more than 160 bpm means fetal distress and needs to refer to physician.
While doing non-stress test to 34 week old woman, you note no increase in FHR. This indicates what?
a. Non-reactive
b. Reactive
a. Non-reactive
_________ is test for FHR in response to uterine contractions
Stress Test
What is the normal result for the stress test?
a. Positive result
b. Negative result
b. Negative result
Rationale: - NORMAL result is the NEGATIVE result wherein there is NO decrease in FHR and there is NO deceleration
In monitoring FHT, you note that early deceleration is caused by fetal head compression, what will be your nursing intervention?
a. Notify physician
b. Continue monitoring
b. Continue monitoring
In monitoring FHT, what causes Late deceleration?
a. Head compression
b. Utero Placental Insufficiency
c. Cord compression
b. Utero Placental Insufficiency
In monitoring FHT, what causes Late deceleration?
a. Head compression
b. Utero Placental Insufficiency
c. Cord compression
b. Utero Placental Insufficiency
In monitoring FHT, what causes Early deceleration?
a. Head compression
b. Utero Placental Insufficiency
c. Cord compression
a. Head compression
In monitoring FHT, what causes variable deceleration?
a. Head compression
b. Utero Placental Insufficiency
c. Cord compression
c. Cord compression
What will be the nursing intervention during variable deceleration caused by cord compression?
a. Notify physician
b. Exaggerated left sims position
c. continue monitoring
b. Exaggerated left sims position
The mnemonics for pregnancy and vaccination for THIRD stance for:
a. Tetanus, Hepatitis B, Influenza, Rubella, Diphtheria and pertussis.
b. Tetanus, Hepatitis B., Influenza, Rabies, Diphtheria and pertussis.
b. Tetanus, Hepatitis B., Influenza, Rabies, Diphtheria and pertussis.
During labor and delivery what is the exercise that Increases blood supply to the uterus?
a. Tailor sitting
b. Squatting
c. Kegel exercise
b. Squatting
During labor and delivery what is the best source of exercise?
a. Tailor sitting
b. Squatting
c. Walking
c. Walking
During labor and delivery what is the exercise that strengthens the perineal muscle?
a. Tailor sitting
b. Squatting
c. Kegel exercise
c. Kegel exercise
During labor and delivery what is the exercise that tightens the perineal muscle?
a. Tailor sitting
b. Squatting
c. Walking
a. Tailor sitting
The mother is experiencing sudden increase of energy in late stage of pregnancy, what will be the best advice for a pregnant woman?
a. Go shopping
b. Conserve Energy
c. Travel
b. Conserve Energy
o Instruct the women to conserve energy = to be used during delivery.
When the lightening occurs for a primipara mothers?
a. 1 week before labor
b. 2 wees before labor
c. 3 weeks before labor
a. 1 week before labor
When the lightening occurs for a multipara mothers?
a. 3 days before labor
b. a day before labor
c. 2 days before labor
b. a day before labor
All of the following are the true labor contraction, except?
a. Decreasing intervals
b. Painless contractions
c. Increasing intensity
d. Regular contractions
e. Progressive Cervical Effacement
b. Painless contractions
What is the most important sign in assessment during labor and delivery?
a. Decreasing intervals
b. Painless contractions
c. Increasing intensity
d. Regular contractions
e. Progressive Cervical Effacement
e. Progressive Cervical Effacement
Effacement (thinning of the cervix) and Dilation (increased in diameter of cervix).
During labor and delivery, what do you call the pain radiating from the back to the abdomen?
GIRDLE like pain
During labor and delivery, you know that the mother is approaching to her delivery when the pain is what?
a. Pain radiating from the back to the abdomen
b. Pain radiating from xyphoid process to umbilicus
c. Pain radiating from head to toe
a. Pain radiating from the back to the abdomen.
The mother asked you if she can have covid-19 during pregnancy?
a. After giving birth
b. After 1st trimester
c. During labor and delivery
b. After 1st trimester
- > could be only given after 1st trimester of pregnancy (organogenesis).
The mother asked you if she can have Pneumococcal & meningococcal during pregnancy?
a. After giving birth
b. After 1st trimester
c. During labor and delivery
d. Given if indicated
d. Given if indicated
During duty on labor and delivery, you know that the only pelvic measurement obtained thru vaginal or internal examination is:
a. Obstetric Conjugate
b. Diagonal Conjugate
c. Oblique Conjugate
b. Diagonal Conjugate
What is the normal pelvic diameter in performing diagonal conjugate?
a. 8.5 - 10 cm
b. 9.5 - 12 cm
c. 11.5 - 13 cm
c. 11.5 13 cm
You are nurse on duty on the ED, you know that the - Most important pelvic measurement will be:
a. Obstetric Conjugate
b. Diagonal Conjugate
c. Oblique Conjugate
a. Obstetric Conjugate
it will determine the ability fetal head to pass thru the maternal pelvic outlet during delivery.
The mother of 34 weeks of AOG asked you what is the normal fetal diameter, your response will be?
a. 8.5
b. 9.5
c. 11.5
b. 9.5
How will you measure the obstetric conjugate of an 36week AOG with a diagonal conjugate of 12cm?
a. 12
b. 9
c. 10
c. 10
Formula: Diagonal Conjugate (DC) - Obstetric Conjugate (OC). 12 cm -2 = 10 cm
The mother is at the first stage of labor, what will be the best nursing intervention to help to descend the fetal head and widened pelvic outlet.
a. Sitting position
b. Lithotomy position
c. Squatting
c. Squatting
If there is no squatting in the exam = choose Upright position, and if still not upright then go with any position of comfort
The following are the major concepts of natural birth except:
a. Administering Iv fluids
b. Woman should be supported and move freely
c. Position in an upright or side lying position
a. Administering Iv fluids
After the expulsion of the baby, when will you cut the cord?
a. Right after the expulsion
b. During delivery
c. Wait for the pulsation to stop before cutting the cord or wait for 1-3 minutes.
c. Wait for the pulsation to stop before cutting the cord or wait for 1-3 minutes.
What stages of labor start from the onset of true contractions to full cervical dilation?
a. First stage of labor
b. Second stage of labor
c. Third stage of labor
a. First stage of labor
A 28 year old primipara rushed to a ED, notes 7 cm cervical dilation with a duration 50 seconds in contraction, in what stage manifest this criteria?
a. Latent
b. Active
c. Transition
b. Active
Dilation 4 - 7 cm
Duration 40 - 60 sec
Frequency q5 mins
The primipara mother with a 36 weeks on labor asked you how long it will take to her to reached full dilation?
a. 8 hours
b. 13 hours
c. 14 hours
c. 14 hours
The multipara mother with a 36 weeks on labor asked you how long it will take to her to reached full dilation?
a. 8 hours
b. 13 hours
c. 14 hours
a. 8 hours
It is the uncontrollable urge to push or urge to defecate during labor and deliver?
a. Dilation
b. Ferguson’s Reflex
c. Braxton sign
b. Ferguson’s Reflex
What is the frequency or interval in performing Internal Examination on a 35 week old woman in labor room?
a. Every 2 hours
b. Every 4 hours
c. Every 6 hours
b. Every 4 hours -> To prevent infection
A nurse is monitoring the a client in labor and know that the stage of labor starts from full cervical dilation to expulsion of the fetus is:
a. First stage of labor
b. Second stage of labor
c. Third stage of labor
b. Second stage of labor
What is the usual time of rupture of membranes during pregnancy?
a. Early first stage of labor
b. Early second stage of labor
c. Early third stage of labor
b. Early second stage of labor
How long it last for a primipara mother who is in second stage of labor?
a. 1 hour
b. 2 hours
c. 3 hours
a. 1 hour
How long it last for a multipara mother who is in second stage of labor?
a. 30 minutes
b. 1 hour
c. 3 hours
a. 30 minutes
What do you call the rupture of membrane before the onset of labor?
Premature Rupture of Membrane (PROM)
During your duty on OR/DR you know that the third stage of labor is:
a. Separation of uterus
b. Separation of placenta
c. Separation of fundus
b. Separation of placenta
During the placental separation the uterus becomes:
a. Soft and globular
b. Firm and soft
c. Firm and globular
c. Firm and globular
After the delivery of the baby, you know the signs of placental separation except,
a. Uterus becomes firm and globular
b. Sudden gush of fluid
c. Lengthening of the cord
d. Quickening
d. Quickening
What is the most definitive sign of placental separation?
a. Uterus becomes firm and globular
b. Sudden gush of fluid
c. Lengthening of the cord
d. Quickening
c. Lengthening of the cord
What is the better way of handling the placental separation?
a. Crede’s Maneuver
b. Brant Andreus Maneuver
c. Leopold’s Maneuver
a. Crede’s Maneuver -> apply gentle downward pressure to fundus while delivering the placenta.
After delivery you noticed that the placental characteristic of the mother is dirty or maternal side, this is called:
a. Shultz’s Mechanism
b. Normal Mechanism
c. Duncan’s Mechanism
c. Duncan’s Mechanism
After delivery you noticed that the placental characteristic of the mother is Shiny, this is called:
a. Shultz’s Mechanism
b. Normal Mechanism
c. Duncan’s Mechanism
a. Shultz’s Mechanism
___________ return of the reproductive organs to its prepregnant state.
INVOLUTION
if the fundus is found 1cm or above the umbilicus do the following except:
a. Breast feed
b. Notify the physician
c. Massage the uterus
d. Empty bladder
b. Notify the physician
4hrs after the delivery, the nurse palpated the fundus 1inch above the umbilicus. What will be the appropriate action of the nurse?
a. Notify Physician
b. Document & continue monitoring
c. Empty bladder
c. Empty bladder
After fetal delivery where can palpate the fundus?
a. below the level of umbilicus or at the level of umbilicus.
b. between the umbilicus & symphysis pubis.
c. at the level of the umbilicus.
c. at the level of the umbilicus.
After placental delivery where can palpate the fundus?
a. below the level of umbilicus or at the level of umbilicus.
b. between the umbilicus & symphysis pubis.
c. at the level of the umbilicus.
b. between the umbilicus & symphysis pubis.
One hour after delivery where can palpate the fundus?
a. below the level of umbilicus or at the level of umbilicus.
b. between the umbilicus & symphysis pubis.
c. at the level of the umbilicus.
a. below the level of umbilicus or at the level of umbilicus.
NOTE: Fundus goes down 1cm per day.
You are on duty on the ED, you know that 4 days after delivery the mother and notes bright red vaginal discharge. You the color of this lochia will be
a. Lochia serosa
b. Lochia rubra
c. Lochia alba
b. Lochia rubra