OB SI Review

Question 1

priority anticipatory guidance for 10 week pregnant patient?

Answer 1

Methods to relieve backaches, etc… (things that are coming close and are happening right now)

Question 2

ballottement?

Answer 2

baby rebounds after abdomen has been pushed.

Question 3

chadwicks sign?

Answer 3

bluish coloration of cervix that means they are probably pregnant

Question 4

when should pelvic tilting be taught?

Answer 4

second trimester to help relieve back pain

Question 5

normal RR for pregnant woman?

Answer 5

18-24

Question 6

progesterone in pregnancy?

Answer 6

acts as vasodilator

Question 7

dyspnea when lying flat during later gestation?

What else?

Answer 7

fundal height effects the contraction of diaphragm and expansion of chest

causes hypotension because of uterus resting on inferior vena cava (dizziness, light headed)

Question 8

when would H&H be lowest during pregnancy?

Answer 8

28-32 weeks

Question 9

for prenatal examination, how would the patient lie on the table?

Answer 9

semi-fowlers to keep hemodynamically stable

Question 10

are nosebleeds normal in pregnancy?

Answer 10

Yes, they are caused by hormonal changes during pregnancy (progesterone) REVIEW P. 54!

Question 11

fundal height at 20 weeks?

Answer 11

umbilicus (so 22 weeks it should be 2cm above umbilicus)

Question 12

quickening?

Answer 12

18-20 weeks (primi)

14-16 (multi)

CHART P. 36

Question 13

Lanugo cover body?

Answer 13

20 weeks

Question 14

eyelids open?

Answer 14

28 weeks

Question 15

fingernails fully formed?

Answer 15

20 weeks

Question 16

acrocyanosis?

Answer 16

immature circulatory system.

Question 17

respiratory difficulty symptoms?

Answer 17

grunting

retractions

nasal flaring

Question 18

epsteins pearls?

Answer 18

epithelial white cysts on gums and palate.

Question 19

harlequin sign?

Answer 19

discoloration of skin (one side of body is pink and the other side is white. (vasomotor irritability) NORMAL

Question 20

why do babies breathe through their nose mostly?

Answer 20

so they can breathe through their nose while feeding.

Question 21

lacy and mottled newborn?

Answer 21

due to immature circulatory system.

Question 22

cord care?

Answer 22

don’t clean with hydrogen peroxide, dont wash cord at all

do not remove

CALL IF GREENISH DRAINAGE APPEARS

leave cord open to air to not trap moisture

Question 23

Folic acid prevents?

Answer 23

neural tube defects (like spina bifida)

Question 24

IUGR signs?

Answer 24

low fundal height

Question 25

Smoking causes what to fetus?

Answer 25

causes constriction of maternal blood vessels which doesnt allow for proper fetal nutritions = low birth weight