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Andrea Marie M. Cabrera, RN 2023 > OB Normal and Abnormal > Flashcards

OB Normal and Abnormal Flashcards

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NCLEX-RN® flashcards
1
Q

when is Alphafetoprotein test done

A

2nd trimester

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2
Q

where is AFP extracted from

A

liver (serum and AF)

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3
Q

when is BPP done

A

3rd trim

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4
Q

when is chorionic villi sampling done

A

1st trim

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5
Q

preparation for CVS

A

ICF, empty bladder, utz

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6
Q

when is amniocentesis done

A

2nd trim

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7
Q

how many minutes post procedure monitoring for CVS and Amniocentesis

A

30 mins

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8
Q

high AFP indicates

A

open body parts (cleft, NTD)

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9
Q

low AFP indicates

A

down syndrome

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10
Q

what is the L/S ratio

A

2:1

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11
Q

high Spingomyelin

A

fetus is less than 35 weeks, immature lungs

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12
Q

low Spingomyelin

A

lung mature

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13
Q

when is UTZ done to confirm diagnosis, diagnose type of pregnancy

A

1st trim

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14
Q

when utz not routinely done this time but used to check fetal maturity and position

A

3rd trim

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15
Q

when is utz done to look for anomalies, confirm gender, AF amount, placenta

A

2nd trim

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16
Q

describe Placenta previa

A

painless, red bleeding, examined by utz, IE not done, Assess VS

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17
Q

Painful bleeding during 3rd trimester

A

abruptio placenta

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18
Q

painless bleeding during pregnancy

A

placenta previa

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19
Q

bleeding during 1st trimester

A

abortion and ectopic pregnancy

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20
Q

bleeding during 2nd trim

A

incompetent cervix, h.mole

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21
Q

bleeding 3rd trimester

A

Previa, Abruptio, PTL, Accreta

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22
Q

characterized by hemolysis, elevated liver enzymes, low platelet count

A

HELLP syndrome

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23
Q

what is HEELP syndrome

A

hemolysis, elevated liver enzymes, low platelet count

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24
Q

antidote of MagSul

A

Calcium gluconate

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25
Q

PIH SBP increase how much mmHg

A

30 mmhg

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26
Q

PIH DBP increase how much mmHg

A

15 mmHg

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27
Q

PIH BP shows

A

140/90

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28
Q

What antihypertensive drug is contraindicated during pregnancy

A

CCB

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29
Q

why is CCB contraindicated

A

kidney problems to fetus

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30
Q

Signs of magsul toxicity

A

DTR and RR depression

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31
Q

Normal magnesium

A

5-8

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32
Q

how many kcal/day should pregnant woman consume

A

300 kcal/day

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33
Q

best to assess weight gain

A

24 hour recall + PE

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34
Q

how much weight gain during 1st trim

A

1 lb/mo

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35
Q

how much weight gain during 2nd-3rd trim

A

1 lb/week up to 2 lb/week during 2nd trim only

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36
Q

How much iron is need during pregnancy

A

800

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37
Q

how much iron to take

A

27 mg

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38
Q

how much folic acid to take

A

400 mcg

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39
Q

how much calcium

A

1g/d

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40
Q

what to take with Ca

A

vit d or fat soluble

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41
Q

what is a reactive non stress test

A

acceleration of FH rhythm during movement

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42
Q

sabay ang contraction at FHR

A

early deceleration

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43
Q

deceleration caused by cord compression

A

variable deceleration

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44
Q

erratic FHR

A

variable deceleration

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45
Q

FHR comes after contraction

A

late deceleration

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46
Q

what does late deceleration imply

A

uteroplacental insufficiency

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47
Q

how to relieve variable deceleration

A

left side lying or report to MD

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48
Q

indication of early deceleration

A

head compression

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49
Q

other implication of variable deceleration need to be reported

A

cord prolapse

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50
Q

placental stage of labor

A

3rd stage of labor

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51
Q

starts from onset of labor to cervical full dilation

A

first stage of labor

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52
Q

phase that is slow interval, mild intensity, 20-40 seconds duration

A

latent

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53
Q

phase that is stronger, moderate intensity, 40-60 seconds

A

active

54
Q

phase that is fast interval, intense pain, 60-70 seconds duration

A

transitional

55
Q

maximum duration of contraction

A

60-70 secs or 1 min

56
Q

min interval

A

1 min

57
Q

max # of contractions

A

5 contraction in 10 mins

58
Q

dilatation to fetal delivery

A

2nd stage

59
Q

cardinal movements during delivery

A

DFIREERE

descent, flexion, internal rot, extension, external rot, expulsion

60
Q

recovery phase of labor

A

4th stage

61
Q

sudden gush of blood, lengthening of cord, firm uterus, visible placenta in canal

A

placental separation stage

62
Q

lochia 1-3 days red

A

rubra

63
Q

lochia 4-7 days pink or brown

A

serosa

64
Q

lochia 7-10 days white

A

alba

65
Q

effect of GDM in first trim

A

anomalies and abortion

66
Q

effect of GDM in 2nd and 3rd

A

fetal hypoglycemia

67
Q

hormone that causes GDM

A

human placental lactogen

68
Q

when is insulin increased during pregnancy

A

2nd-3rd trim

69
Q

when is less insulin used during pregnancy

A

1st trim to prevent hypoglycemia

70
Q

PTL causes

A

dehydration, amnionitis, Tension(HTN)/ Trauma, Infection (UTI)

71
Q

when is rhogam given

A

Rh - mom, Rh + baby

72
Q

when is rhogam given considering coombs test

A

Rh - Coombs -

73
Q

what does coombs imply

A

presence of antibody production

74
Q

Distraction therapy during labor

A

Lamaze

75
Q

Therapy that uses education

A

dick-read therapy

76
Q

Type of massage that trace line of abdomen

A

Effleurage

77
Q

Type of massage that uses shaking and trembling

A

Vibration

78
Q

Type of massage that uses squeezing of muscle

A

Petrissage

79
Q

Type of massage uses percussion and cupping of hands

A

Tapotement

80
Q

Leopold maneuver that measures attitude

A

Pelvic grip

81
Q

L. Maneuver that measures presentation and fetal lie

A

Fundal grip

82
Q

Desired presentation

A

Cephalic

83
Q

Desired lie

A

Vertical

84
Q

Desired position

A

LOA/ROA

85
Q

painful and prolonged labor position

A

LOP/ROP

86
Q

Grip that measures fetal engagement and movement

A

Pawlick’s grip

87
Q

Grip measures fetal position

A

Umbilical grip

88
Q

blood loss of more than 500 ml in 24 hrs

A

Post partum hemorrage

89
Q

intermittent contractions and bleeding during postpartum

A

Retained placental fragments

90
Q

Fast labor

A

Precipitous labor

91
Q

How many hours labor in precipitous

A

3 hours

92
Q

slow and prolonged labor

A

Dystocia

93
Q

heavy mens soaking 1 pad in 1 hour

A

Menorrhagia

94
Q

closed cervix in abortion

A

threatened

95
Q

open cervix in abortion

A

inevitable

96
Q

expulsion of products of conceptus (placenta and baby)

A

complete

97
Q

can cause artificial ROM, increased contractions, and descend of baby

A

Amniotomy

98
Q

NRES during amniotomy

A

Check FHRwh

99
Q

why is it needed to assess FHR in amniotomy

A

prone to cord prolapse

100
Q

Postpartum psychological state that has s/sx of schizophrenia and loss of touch in reality

A

P. psychosis

101
Q

Normal feeling after childbirth due to hormonal changes manifested by crying and sadness

A

P. blues

102
Q

Isolation and extreme sadness after childbirth

A

P. depression

103
Q

best indicator of hematoma

A

check VS

104
Q

bluish vagina

A

chadwick sign

105
Q

softening of cervix

A

goodels sign

106
Q

softening of lower uterine segment

A

haegar sign

107
Q

when to resume sexual intercourse in NSD

A

2-4 weeks

108
Q

when to resume sexual intercourse in CS

A

6-10 weeks (full involution)

109
Q

Signs of laceration

A

trickle pains and bleeding

110
Q

Given to avoid PPH

A

Methergine

111
Q

Given during preterm labor

A

tocolytic: MagSul and Terbutaline

112
Q

Placenta that is shiny

A

Schultz

113
Q

placenta that is dirty

A

Duncan

114
Q

soft flabby and boggy uterus

A

uterine atony

115
Q

causes of PPH

A

Tone, Trauma, tissue, thrombin problems

116
Q

Earliest signs of hypovolemia in PPH

A

altered LOC

117
Q

post partum position

A

modified trendelenberg

118
Q

position during fetal kick test

A

recumbent

119
Q

how many kicks in an hour

A

10-12 kicks

120
Q

when is kick count done

A

post meal

121
Q

How to prevent engorgment

A

allow milk let down, continue BF, wear tight fitting bra, use cold compress for pain and warm for swelling

122
Q

cause of mastitis

A

crack in nipples

123
Q

other risk factors of mastitis

A

use of soap and alcohol, baby sitting, nipple fissue

124
Q

phase where mother focus on self and what she did after delivery

A

Taking In phase

125
Q

phase where mother tries to connect with baby

A

taking hold

126
Q

phase where mother puts baby first at all times

A

letting go

127
Q

single most important rule if patient has milk leg

A

never massage

128
Q

correct way of assessing uterus post partum

A

base of uterus first starting in symphysis pubis then fundus of uterus

129
Q

unilateral pain, hypo tachy tachy, scant red bleeding, tender abdominal pain (rigidity)

A

ruptured ectopic pregnancy

130
Q

when to report meconium

A

fresh and thick meconium

Andrea Marie M. Cabrera, RN 2023 (2 decks)

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