OB - Module 5

Question 1

Spontaneous abortion

Answer 1

Loss of pregnancy prior to 20 weeks

Question 2

Types of Abortions
Threatened
Inevitable
Incomplete
Missed
Complete
Reccurent

Answer 2

Threatened - Increased chance to lose pregnancy
Inevitable - Cannot be stopped
Incomplete - Not all products of conception have passed
Missed - Fetus dies in 1st trimester and is still in the uterus
Complete - All products of conception have passed
Reccurent - 2 or more spontaneous

Question 3

Difference between threatened and inevitable abortion

Answer 3

In a threatened abortion, the membranes are intact and cervix is not opening

Question 4

Intervention for Threatened Abortion

Answer 4

Bed rest for 24 hours, still allowed to get up, but should limit activity. No sexual activity and count pads

Question 5

Inevitable abortion intervention when fetus is not expelled

Answer 5

Vacuum curretage in the early weeks or Dilation and curretage in the late weeks

Question 6

Missed abortion characteristic

Answer 6

Uterus stops growing and dark brown bleeding. also at risk for Disemminated intravascular clot

Question 7

Gestational Trophoblastic Disease

Answer 7

Uterus not compatible with life. Increased HCG levels and managed by removing tissue with vaccuum.

Question 8

Hyperemesis Gravidarum

Answer 8

Persistent, uncontrolled vomiting

Question 9

Placenta Previa
Marginal
Partial
Total

Answer 9

Placenta implanting in the lower part of the uterus.
Marginal - Barely extends to cervical os (does not cover)
Partial - Does not fully cover cervical os
Total - Fully covers cervical os
TOTAL/PARTIAL REQUIRES C-SECTION

Question 10

Gestational Hypertension

Answer 10

BP 140/90 without proteinuria

Question 11

Drug of choice for Preeclampsia

Answer 11

Magnesium Sulfate (CNS depressant), reduces seizures and BP. ALWAYS PIGGYBACK and hourly assessments (especially BP and RR).

Question 12

HELLP syndrome

Answer 12

Severe form of Pre/Eclampsia

Hemolysis of rbcs 
Elevated
Liver enzymes
Low
Platelets

Question 13

Pregnancy Antihypertensive medications

Answer 13

Labetalol and Hydralazine

Question 14

Blood incompatiblity

Answer 14

RH- mother and RH+ baby
Type O mother and baby is a,b, or ab
Mother is given RhoGAM if RH- after invasive procedures, 28 weeks, and after birth of infant.

Question 15

When do pregnant mothers develop a resistance to their own insulin?

Answer 15

Week 20-26. could cause gestational diabetes.

Question 16

Insulin needs during pregnancy

Answer 16

1st trimester - Decreased demand
2/3 trimester - Large Increased demand
Labor - Tight glycemic control
Postpartum - Rapid decrease. Need to monitor

Question 17

Glucose Challenge test

Answer 17

done at 24-26 weeks, takes 1 hour, >140 mg/dl indicates further testing (they do a 3hr glucose tolerance test)

Question 18

Oral glucose tolerance test

Answer 18

3 hour test, gold standard that determines diet and insulin needs.

Question 19

Cardiac disease Class

Answer 19

Class I - Unrestricted activity
Class II - Slightly restricted activity, activity causes PAFD (palpitations, angina, fatigue, dyspnea)
Class III - Moderately restricted activity, activity causes palpitation, angina, fatigue, dyspnea
Class IV - Discomfort with all activity, activity causes angina and cardiac insufficiency at rest.

Question 20

What is megaloblastic anemia

Answer 20

Folic acid deficiency

Question 21

Antiphospholipid disease

Answer 21

Recurrent arterial/venous clots and decreased platelets

Question 22

What is Cytomegalovirus’ effect and transmission?

Answer 22

Transmitted through breast milk and causes deafness, blindness, mental retardation and seizures.

Question 23

What is Rubella’s effect and transmission?

Answer 23

Transmitted through placenta and causes deafness, retardation, cardiac defects, and microcephaly.

Question 24

Varicella transmission and effect?

Answer 24

Transmitted Direct, Respiratory tract, and through placenta. Causes limb hypoplasia, scars, cataracts, and microcephaly. Baby is protected ONLY if baby is born 6 days before the mother develops varicella as maternal antibodies protect the fetus. If

Question 25

Toxoplasmosis

Answer 25

Educate to avoid contaminants and practice hand hygiene. As it is found in poorly cooked meat, cat feces, and infected soil.

Question 26

GBS

Answer 26

Group B strep. Leading cause of perinatal life-threatening infection. Could need antibiotics.