OB quiz 1

Question 1

Pregnancy lasts….

Answer 1

40 weeks/280 days

Question 2

Nagele’s rule

Answer 2

Calculate the due date, you subtract 3 months and add 7 days (from the first day of the last menstrual period).

Question 3

Most critical time in the development of the organ systems and the main external features.

Answer 3

Development of the embryo

Question 4

Chorion

Answer 4

Becomes the fetal side of the placenta and contains the major umbilical blood vessels that branch out over the placenta

Question 5

Amnion and amniotic cavity

Answer 5

Amnion becomes the covering of the umbilical cord and covers the chorion on the fetal surface of the placenta

Question 6

Amniotic fluid

Answer 6

• helps maintain constant body temperature
• cushions fetus from trauma
• Allows freedom of movement for development of musculoskeletal system
• Keeps the fetus from getting entangled in the membranes
• And serves as a source of fluid and a repository for waste.

Question 7

Umbilical cord

Answer 7

contains 3 vessles
2 arteries
1 vein
Wharton jelly covers it and protects it from compression

Question 8

Placenta is completed by week…

Answer 8

12

Question 9

Functions of the placenta

Answer 9

• Metabolic exchange-respiration, nutrition, excretion and storage.
• Drugs can cross the placenta and harm fetus.
• some viruses can cross the placenta
• Only 1 cell layer separates the fetal blood from maternal blood.
• Mom can be Rh negative and baby Rh positive, mom develops antibodies.

Question 10

hCG can be detected in how many days?

Answer 10

7-10.

Question 11

progesterone

Answer 11

Maintains the endometrium, decreases the contractibility of the uterus, stimulates maternal metabolism and development of breast alveoli.

Question 12

Estrogen (Estriol)

Answer 12

Stimulates uterine growth and uteroplacental circulation, causes proliferation of breast tissue, stimulates uterine contractions.

Question 13

Viability

Answer 13

Capability of fetus to survive outside uterus. Limitations based on CNS function and oxygenation capability of lungs. About 22-24 weeks.

Question 14

Lungs are considered to be mature at…

Answer 14

35 weeks gestation, when L/S ration reaches 2:1

Question 15

Fetal hemoglobin

Answer 15

20-30%

Question 16

Gravida

Answer 16

woman who is pregnant

Question 17

Gravidity

Answer 17

Pregnancy

Question 18

multigravida

Answer 18

Woman who has had two or more pregnancies

Question 19

Multipara

Answer 19

Woman who has completed two or more pregnancies to stage of fetal viability

Question 20

Nulligravida

Answer 20

Woman who has never been pregnant

Question 21

Nullipara

Answer 21

Woman who has not completed a pregnancy with fetus who has reached viability

Question 22

Parity

Answer 22

of pregnancies in which fetus or fetuses have reached viability, not # of fetuses (e.g. twins) born. Whether fetus is born alive or is stillborn after viability is reached does not affect parity.

Question 23

Postterm

Answer 23

Pregnancy that goes beyond 42 weeks of gestation.

Question 24

Pre term

Answer 24

Pregnancy that has reached 20 weeks but before completion of 37 weeks.

Question 25

Primigravida

Answer 25

Women pregnant for first time

Question 26

Primipara

Answer 26

Woman who has completed one pregnancy with fetus or fetuses who have reached stage of fetal viablity

Question 27

Term

Answer 27

pregnancy from beginning week of 38 to end of week 42

Question 28

Presumptive signs of pregnancy

Answer 28

Amenorrhea, N/V, urinary frequency, fatigue, quickening

Question 29

Probably signs of pregnancy

Answer 29

Goodell sign, chadwick sign, hegar sign, + pregnancy test, braxton-hicks contractions, ballottement

Question 30

Positive signs of pregnancy

Answer 30

Ultrasound visualization of fetus, fetal heart tones, visualization of fetus via X-ray, fetal heart tones via doppler or fetal stethoscope, fetal movements felt by provider or fetal movements visible by provider.

Question 31

Breast adaptations

Answer 31

Fullness,heaviness, heightened sensitivity from tingling to sharp pain, areolae become more pigmented, colostrum, montgomery’s tubercles

Question 32

General body adaptations

Answer 32

Increased BP, CO, & blood volume. Increased respirations and renal output. Difficulty sleeping, heartburn, backaches, nausea, term changes.

Question 33

Low-birth weight

Answer 33

< 2500 g, 5.5 lbs

Question 34

Poor folic acid intake may lead to…

Answer 34

Neural tube defects

Question 35

Nutrition needs

Answer 35

Energy (calories), protein, calcium, iodine, zinc, the B vitamins, and vitamin C greater than non pregnant needs

Question 36

Initial visit: interview

Answer 36

• Reason for seeking care
• Current pregnancy
• Obstetric and gynecologic history
• Medical history
• Nutritional history
• History of drug use and herbal preparations.
• Family hx
• Hx of abuse
• Review of systems

Question 37

Ultrasonography

Answer 37

Fetal status & gestational age determination

Question 38

Amniocentesis

Answer 38

Amniocentesis is a prenatal test in which a small amount of amniotic fluid is removed from the sac surrounding the fetus for testing, to check birth defects such as downs

Question 39

Pica

Answer 39

Pt craves certain substances- chewing paper bags, frost in freezer, erasers, paste`

Question 40

Hegar sign

Answer 40

softening of cervix

Question 41

Chadwick

Answer 41

Bluing of the cervix

Question 42

Ballottement

Answer 42

Put fingers in and can feel the head

Question 43

Goodell sign

Answer 43

Softening of the cervical tip

Question 44

Quickening

Answer 44

A flutter, fetal movement

Question 45

Montgomery’s Tubercles

Answer 45

These are small goose bump like raised areas on the areola of your breast.

Question 46

Five P’s:

Answer 46

Passenger (fetus and placenta)
Passageway (birth canal)
Powers (contractions) 
Position of mother
Psychologic response