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Ivy Tech Nursing > OB Mod III Test Review > Flashcards

OB Mod III Test Review Flashcards

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1
Q

Homologous

A

Fundamentally similar in structure and function

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2
Q

Influence the development of secondary sex characteristics

A

androgens and estrogens

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3
Q

stimulate the processes of spermatogenesis and maturation of ova

A

FSH and LH of the anterior pituitary

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4
Q

The ovary is sensitive to

A

FSH, LH

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5
Q

The uterus is sensitive to

A

estrogen and progesterone

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6
Q

Estrogens inhibit….productions and stimulate….production

A

FSH, LH

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7
Q

Hormone of pregnancy

A

Progesterone: allows pregnancy to be maintained

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8
Q

Relaxes smooth muscles and is a potent vasodilator

A

PGE Prostaglandin E

Can be placed in cervical canal for cervical ripening: prepidil, cervidil, hospital prepared

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9
Q

Potent vasoconstrictor and increases contractility of muscles and arteries

A

PGF Prostaglandin F

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10
Q

Two phases of the ovarian cycle

A

follicular phase 1-14; luteal phase 15-28

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11
Q

Hormones that cause the testes to produce testosterone

A

FSH, LH

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12
Q

Stimulates the glandular tissue of the uterus

A

Estrogen

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13
Q

Secrete a thick, sticky mucus that accumulates and forms the mucous plug

A

endocervical glands

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14
Q

Goodell’s sign

A

softening of the cervix

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15
Q

Chadwick’s sign

A

bluish discoloration of the cervix

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16
Q

Causes a thickening of the vaginal mucosa, a loosening of the connective tissue, and an increase in vaginal secretions

A

estrogen

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17
Q

Common in the first trimester and may result from several factors, including elevated human chorionic gonadotropin hCG levels, relaxation of the smooth muscle of the stomach, and changed carbohydrate metabolism

A

nausea and vomiting

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18
Q

Causes smooth muscle relaxation

A

progesterone

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19
Q

Promotes uterine contractility and stimulates ejection of milk from the breasts

A

Oxytocin

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20
Q

TPAL

A

t: term; number of term infants born
p: preterm; number of preterm infants born
a: abortions; number of pregnancies ending in spontaneous or therapeutic abortion
l: living; number of currently living children

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21
Q

Normal BP

A

<,= 120/80

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22
Q

Normal pulse

A

60-100

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23
Q

Normal respirations

A

12-20

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24
Q

Normal Temp

A

97-99.6

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25
Q

Skin assessment abnormal

A

CBC, Bilirubin level, UA, BUN

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26
Q

Mouth edema, inflammation, pale

A

hematocrit for anemia, dental hygiene

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27
Q

Hematocrit

A

38-47%

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28
Q

RBC

A

4.2-5.4 million/ microliter

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29
Q

WBC

A

5000-12,000/ mcL

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30
Q

Neutrophils

A

40-60%

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31
Q

Bands

A

up to 5%

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32
Q

Eosinophils

A

1-3%

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33
Q

Basophils

A

up to 1%

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34
Q

Lymphocytes

A

20-40%

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35
Q

Monocytes

A

4-8%

36
Q

Marked anemia or blood dyscrasias

A

CBC and Schilling differential cell count

37
Q

UA pH

A

4.6-8

38
Q

Pelvic inlet Diagonal conjugate

A

distance from lower posterior border of the symphysis pubis to the sacral promontory at least 11.5 cm

39
Q

Pelvic inlet Obstetric conjugate

A

approximately 1.5 cm smaller than the diagonal conjugate: 10cm or more

40
Q

Pelvic outlet anteroposterior diameter

A

9.5 to 11.5 cm

41
Q

Pelvic outlet transverse diameter

A

bi-ischial or intertuberous diameter 8-10 cm

42
Q

Initial screening tests

A

Pap smear, CBC, HIV, UA, rubella titer, ABO and Rh typing, Hep B, STDs

43
Q

Quad screen

A

performed on mothers serum between 15 and 20 weeks: alpha fetoprotein AFP, human chorionic gonadotropin hCG, unconjugated estriol UE, and inhibin-A; used to determine risk of neural tube defect, multiple gestation, pregnancy further along than believed if high; lower may indicate down syndrome

44
Q

hCG levels < 1 week

A

5-50 mlU/ mL

45
Q

hCG levels 12 weeks

A

15000-220000 mlU/ mL

46
Q

hCG levels males and non-pregnant

A

<5 mlU/ mL

47
Q

Progesterone level first trimester

A

725-4400 ng/ dL

48
Q

Progesterone level second trimester

A

1950-8250 ng/ dL

49
Q

Progesterone level third trimester

A

6500-22900 ng/ dL

50
Q

ptyalism

A

excessive salivating

51
Q

pyrosis

A

heartburn

52
Q

underweight gain

A

bmi< 18.5: 28-40 lbs

53
Q

normal weight gain

A

bmi 18.5-24.9: 25-35 lbs

54
Q

Overweight gain

A

bmi 25-29.9: 15-25 lbs

55
Q

Obese weight gain

A

bmi >30: 11-20 lbs

56
Q

fetus, placenta, amniotic fluid weight

A

11 lbs

57
Q

uterus weight

A

2 lbs

58
Q

increased blood volume weight

A

4 lbs

59
Q

breast tissue weight

A

3 lbs

60
Q

Maternal stores weight

A

5-10 lbs

61
Q

Calcium intake

A

1000 mg/ day; 1300 if < 19bmi

62
Q

Phosphorus intake

A

1300 mg/ day; 1250 if <19bmi

63
Q

Protein intake

A

60 gm/ day

64
Q

Folic acid intake

A

400-800 mg/ day (not in women taking seizure meds)

65
Q

Caffeine max intake

A

200 mg/ day

66
Q

Pica geophagia

A

soil, clay

67
Q

Pica amylophagia

A

laundry starch, corn starch

68
Q

Pica pagophasia

A

soap, baking soda, ice

69
Q

Vegans should take these vitamin supplements

A

B12, calcium, D

70
Q

TORCH

A

toxoplasmosis, rubella, cytomegalovirus, herpes

71
Q

Toxoplasmosis

A

raw uncooked meat, unpasteurized goats milk, cats feces

72
Q

Most frequent cause of viral infection in the fetus

A

cytomegalovirus CMV; kissing, sex, breast milk

73
Q

Iron RDA

A

27 mg/ day

74
Q

Folic acid sources

A

Green leafy vegetables, liver, peanuts, whole grain

75
Q

Rh immune globulin RhoGAM, RhlgG

A

given at 28 weeks and postpartum 300mcg

76
Q

Rh+ blood in the US

A

85% white, 92-95% African American, 1-2% Asian and native american

77
Q

Coomb’s test

A

determines if sensitized to the Rh antigen

78
Q

Ruq pain and tenderness, nausea and vomiting, elevated liver enzymes, low hct and platelets, high uric acid, high creatinine, coagulation abnormalities

A

HELLP syndrome. Hemolysis, elevated liver enzymes, and low platelet count

79
Q

Urine specific gravity norm

A

1.010-1.025

80
Q

Cervidil

A

10 mg timed released vaginal insert; remove 12 hours after insertion or with active labor. Prostaglandin E for cervical ripening

81
Q

Oxytocin/ Pitocin

A

Labor induction
Contraction of uterus before and after birth
Let-down reflex for breast feeding

82
Q

A tocolytic that may be used to stop effects of Pitocin

A

Terbutaline

83
Q

Bishop’s Score

A 
Cervical dilatation
Cervical effacement
Fetal station
Cervical consistency
Cervical position
84
Q

5 P’s of childbirth

A 
Powers
Passageway
Passenger
Position of the mother
Psyche
85
Q

Three types of breech presentation

A

Complete (knees and hips flexed
Frank (legs extended onto abdomen and chest)
Footing (single or double feet first)

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