OB Normal and Abnormal Flashcards
1
Q
when is Alphafetoprotein test done
A
2nd trimester
2
Q
where is AFP extracted from
A
liver (serum and AF)
3
Q
when is BPP done
A
3rd trim
4
Q
when is chorionic villi sampling done
A
1st trim
5
Q
preparation for CVS
A
ICF, empty bladder, utz
6
Q
when is amniocentesis done
A
2nd trim
7
Q
how many minutes post procedure monitoring for CVS and Amniocentesis
A
30 mins
8
Q
high AFP indicates
A
open body parts (cleft, NTD)
9
Q
low AFP indicates
A
down syndrome
10
Q
what is the L/S ratio
A
2:1
11
Q
high Spingomyelin
A
fetus is less than 35 weeks, immature lungs
12
Q
low Spingomyelin
A
lung mature
13
Q
when is UTZ done to confirm diagnosis, diagnose type of pregnancy
A
1st trim
14
Q
when utz not routinely done this time but used to check fetal maturity and position
A
3rd trim
15
Q
when is utz done to look for anomalies, confirm gender, AF amount, placenta
A
2nd trim
16
Q
describe Placenta previa
A
painless, red bleeding, examined by utz, IE not done, Assess VS
17
Q
Painful bleeding during 3rd trimester
A
abruptio placenta
18
Q
painless bleeding during pregnancy
A
placenta previa
19
Q
bleeding during 1st trimester
A
abortion and ectopic pregnancy
20
Q
bleeding during 2nd trim
A
incompetent cervix, h.mole
21
Q
bleeding 3rd trimester
A
Previa, Abruptio, PTL, Accreta
22
Q
characterized by hemolysis, elevated liver enzymes, low platelet count
A
HELLP syndrome
23
Q
what is HEELP syndrome
A
hemolysis, elevated liver enzymes, low platelet count
24
Q
antidote of MagSul
A
Calcium gluconate
25
PIH SBP increase how much mmHg
30 mmhg
26
PIH DBP increase how much mmHg
15 mmHg
27
PIH BP shows
140/90
28
What antihypertensive drug is contraindicated during pregnancy
CCB
29
why is CCB contraindicated
kidney problems to fetus
30
Signs of magsul toxicity
DTR and RR depression
31
Normal magnesium
5-8
32
how many kcal/day should pregnant woman consume
300 kcal/day
33
best to assess weight gain
24 hour recall + PE
34
how much weight gain during 1st trim
1 lb/mo
35
how much weight gain during 2nd-3rd trim
1 lb/week up to 2 lb/week during 2nd trim only
36
How much iron is need during pregnancy
800
37
how much iron to take
27 mg
38
how much folic acid to take
400 mcg
39
how much calcium
1g/d
40
what to take with Ca
vit d or fat soluble
41
what is a reactive non stress test
acceleration of FH rhythm during movement
42
sabay ang contraction at FHR
early deceleration
43
deceleration caused by cord compression
variable deceleration
44
erratic FHR
variable deceleration
45
FHR comes after contraction
late deceleration
46
what does late deceleration imply
uteroplacental insufficiency
47
how to relieve variable deceleration
left side lying or report to MD
48
indication of early deceleration
head compression
49
other implication of variable deceleration need to be reported
cord prolapse
50
placental stage of labor
3rd stage of labor
51
starts from onset of labor to cervical full dilation
first stage of labor
52
phase that is slow interval, mild intensity, 20-40 seconds duration
latent
53
phase that is stronger, moderate intensity, 40-60 seconds
active
54
phase that is fast interval, intense pain, 60-70 seconds duration
transitional
55
maximum duration of contraction
60-70 secs or 1 min
56
min interval
1 min
57
max # of contractions
5 contraction in 10 mins
58
dilatation to fetal delivery
2nd stage
59
cardinal movements during delivery
DFIREERE
descent, flexion, internal rot, extension, external rot, expulsion
60
recovery phase of labor
4th stage
61
sudden gush of blood, lengthening of cord, firm uterus, visible placenta in canal
placental separation stage
62
lochia 1-3 days red
rubra
63
lochia 4-7 days pink or brown
serosa
64
lochia 7-10 days white
alba
65
effect of GDM in first trim
anomalies and abortion
66
effect of GDM in 2nd and 3rd
fetal hypoglycemia
67
hormone that causes GDM
human placental lactogen
68
when is insulin increased during pregnancy
2nd-3rd trim
69
when is less insulin used during pregnancy
1st trim to prevent hypoglycemia
70
PTL causes
dehydration, amnionitis, Tension(HTN)/ Trauma, Infection (UTI)
71
when is rhogam given
Rh - mom, Rh + baby
72
when is rhogam given considering coombs test
Rh - Coombs -
73
what does coombs imply
presence of antibody production
74
Distraction therapy during labor
Lamaze
75
Therapy that uses education
dick-read therapy
76
Type of massage that trace line of abdomen
Effleurage
77
Type of massage that uses shaking and trembling
Vibration
78
Type of massage that uses squeezing of muscle
Petrissage
79
Type of massage uses percussion and cupping of hands
Tapotement
80
Leopold maneuver that measures attitude
Pelvic grip
81
L. Maneuver that measures presentation and fetal lie
Fundal grip
82
Desired presentation
Cephalic
83
Desired lie
Vertical
84
Desired position
LOA/ROA
85
painful and prolonged labor position
LOP/ROP
86
Grip that measures fetal engagement and movement
Pawlick's grip
87
Grip measures fetal position
Umbilical grip
88
blood loss of more than 500 ml in 24 hrs
Post partum hemorrage
89
intermittent contractions and bleeding during postpartum
Retained placental fragments
90
Fast labor
Precipitous labor
91
How many hours labor in precipitous
3 hours
92
slow and prolonged labor
Dystocia
93
heavy mens soaking 1 pad in 1 hour
Menorrhagia
94
closed cervix in abortion
threatened
95
open cervix in abortion
inevitable
96
expulsion of products of conceptus (placenta and baby)
complete
97
can cause artificial ROM, increased contractions, and descend of baby
Amniotomy
98
NRES during amniotomy
Check FHRwh
99
why is it needed to assess FHR in amniotomy
prone to cord prolapse
100
Postpartum psychological state that has s/sx of schizophrenia and loss of touch in reality
P. psychosis
101
Normal feeling after childbirth due to hormonal changes manifested by crying and sadness
P. blues
102
Isolation and extreme sadness after childbirth
P. depression
103
best indicator of hematoma
check VS
104
bluish vagina
chadwick sign
105
softening of cervix
goodels sign
106
softening of lower uterine segment
haegar sign
107
when to resume sexual intercourse in NSD
2-4 weeks
108
when to resume sexual intercourse in CS
6-10 weeks (full involution)
109
Signs of laceration
trickle pains and bleeding
110
Given to avoid PPH
Methergine
111
Given during preterm labor
tocolytic: MagSul and Terbutaline
112
Placenta that is shiny
Schultz
113
placenta that is dirty
Duncan
114
soft flabby and boggy uterus
uterine atony
115
causes of PPH
Tone, Trauma, tissue, thrombin problems
116
Earliest signs of hypovolemia in PPH
altered LOC
117
post partum position
modified trendelenberg
118
position during fetal kick test
recumbent
119
how many kicks in an hour
10-12 kicks
120
when is kick count done
post meal
121
How to prevent engorgment
allow milk let down, continue BF, wear tight fitting bra, use cold compress for pain and warm for swelling
122
cause of mastitis
crack in nipples
123
other risk factors of mastitis
use of soap and alcohol, baby sitting, nipple fissue
124
phase where mother focus on self and what she did after delivery
Taking In phase
125
phase where mother tries to connect with baby
taking hold
126
phase where mother puts baby first at all times
letting go
127
single most important rule if patient has milk leg
never massage
128
correct way of assessing uterus post partum
base of uterus first starting in symphysis pubis then fundus of uterus
129
unilateral pain, hypo tachy tachy, scant red bleeding, tender abdominal pain (rigidity)
ruptured ectopic pregnancy
130
when to report meconium
fresh and thick meconium
