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OB review questions final exam > OB intro, prenatal care, L&D (exam1) > Flashcards

OB intro, prenatal care, L&D (exam1) Flashcards

1
Q

estimated due date calculation

A

first day of last menstrual period - 3 months + 7 days

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2
Q

Rh sensitization

A

mom makes Rh antibodies that attack future Rh+ babies in utero

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3
Q

management of RH sensitive (Rh incompatibility)

A

rhogam - prevents rh negative being attacked by rh positive
blood product
deep IM injection

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4
Q

when is Rhogam given

A

mom is Rh negative - prophylactically at 28 weeks
baby is Rh +
indirect coombs is negative

after abdominal trauma
terminated pregnancy before fetal Rh factor
ANY TIME BLOOD CAN MIX

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5
Q

indirect coombs

A

moms blood, detects antibodies for Rh factor

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6
Q

direct coombs

A

babys blood
if positive - cord bili
NEGATIVE IS GOOD

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7
Q

what do you do if mom is RH negative and baby is RH positive

A

give rhogam within 72 hours
give rhogam if indirect coombs is -

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8
Q

GTPAL

A

G pregnancy
T erm births (38-32 wks)
P preterm births (20-37wks)
A bortions (ends prior to 20wks)
L living children

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9
Q

leopolds maneuver

A

4 movements
uterine fundus
sides of uterus
lower abdomen
palpate fetal back to determine flexion of fetal head
feel sides to find fetal back position

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10
Q

expected weight gain in pregnancy

A

3.5- 5 lbs in first trimester (12 weeks)
1lb each week after

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11
Q

first prenatal visit

A

CBC
Rubella
papsmear - HIV, gonorrhea
Hep B
Rh factor
sickle cell

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12
Q

recommended weight gain during pregnancy

A

25-35 lbs

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13
Q

danger signs of pregnancy

A

vaginal bleeding
persistent vomiting
chills/fever
fluid from vagina
chest pain

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14
Q

pregnancy changes/ discomforts

A

dyspnea
backaches
frequent urination
pyrosis
swelling of hands and feet
braxton hicks
increasing weight gain
fatigue

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15
Q

true labor characteristics

A

regular contractions
contractions increase in frequency and intensity
contractions start in back and move to front
walking increases intensity of contractions

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16
Q

false labor characteristics

A

irregular
contractions dont intensify or become more frequent
walking relieves intensity of contraction

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17
Q

premonitory signs of labor

A

7-10 days before labor
lightening ( baby drops)
cervical ripening (mucus plug, bloody show, softening/dilation)
braxton hicks
sudden burst of energy (nesting)
rupture of membranes

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18
Q

what does first stage of labor start

A

when cervix is fully dilated

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19
Q

second stage of labor

A

from time that cervix is completely dilated until delivery of the fetus

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20
Q

meconium

A

baby’s first stool (black tarry)

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21
Q

amnion - bag of waters function

A

allows for bouyancy
protects umbilical cord
sterile
thermoregulation

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22
Q

wartons jelly

A

outside part of umbilical cord - protects blood vessels

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23
Q

fern test

A

amniotic fluid will crystalize

24
Q

if bag of waters breaks

A

immediately check fetal HR
check for cord prolapse
document amniotic fluid (normal: clear)
date/time of rupture

25
Q

aminisure

A

looks like pee stick
+ amniotic fluid
- urine

26
Q

rupture of membranes priority

A

r/f infection (mom) - temp q2hrs till delivery
r/f impaired gas exchange (fetus)
possible cord compression (fetus)

27
Q

meconium stained amniotic fluid

A

fetal distress in utero
risk for aspiration at birth - suction mouth then nose

28
Q

rupture of membranes interventions
r/f infection

A

limit vaginal exams
temp q 2 hrs
assess HR
monitor fluid

29
Q

rupture of membranes interventions
r/f impaired gas exchange

A

administer oxygen to mom 8-10mL (face mask)
reposition
hydration (bolus)

30
Q

if BOW ruptures when do you want to deliver by?

A

within 24 hours

31
Q

prevention of cord prolapse

A

start pelvic exam and move baby up
ongoing assessment of fetal HR
bedrest if fetal head is not engaged

32
Q

total dilation

A

10cm

33
Q

50 % effacement

A

cervix is half thinned

34
Q

0 station

A

head is engaged

35
Q

fetal station

A
  • # above belly button0 - at belly button
    + # below belly button

+4 crowning of fetus

36
Q

abnormal fetal lie

A

transverse (needs c section)

37
Q

normal fetal lie

A

longitudinal
parallel to maternal axis

38
Q

most common breech

A

frank breech
sacrum presents, hips flexed

39
Q

complete breech

A

fully flexed

40
Q

fetal occiput posterior position

A

baby born face up
mom has backaches
pelvic rock
increased pressure on sacral nerves

41
Q

csection birth leads to

A

future csection births

42
Q

fetal heart auscultation

A

listen thru back
if head is down - doppler below belly button
if head is up - doppler above belly button

43
Q

tocodynamometer

A

pressure sensor placed over fundus: point of max contraction force

44
Q

stage 2 birth canal

A

fetal head descends

45
Q

ideal time to give pain meds/ epidural in labor

A

active state of labor
4-7cm

46
Q

cervical softening

A

prepidil / cervidil gel

47
Q

pitocin

A

augmentation of labor
IV drip

48
Q

induction/ augmentation warning signs

A

contraction frequency less than 2 mins
contraction duration greater than 90 secs
contraction strength greater than 90 mmHg
fetal rate variations

49
Q

VBAC - vaginal birth after csection

A

depends on incision - low transverse
one previous csection only
greater risk for uterine rupture
vaginal birth is not guaranteed

50
Q

best position for epidural

A

side of bed with back arched

51
Q

first stage of labor

A

laboring patient
1-10cm

52
Q

red rough side of placenta

A

maternal side

53
Q

endorphins increase _____

A

pain threshold

54
Q

still born at 16 wks considered

A

abortion

55
Q

improper latch causes

A

tenderness

56
Q

massage the fundus when _____

A

boggy uterus

57
Q
A

OB review questions final exam (8 decks)

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