OB test 2

Question 1

When do we do amniocentesis to access for chromosomal abnormatlies?

Answer 1

14 - 16 weeks

Question 2

AFP we do at 16 - 18 weeks
If the levels are high they have neural tube defect, if the levels are low they have Down syndrome

Question 3

Direct vs indirect Coombs

Answer 3

The direct Coombs test is done after birth on the babies blood, the indirect blood.
The indirect is done on the mother’s blood

Question 5

RH rhogam rules

Answer 5

If mom is RH negative and baby is positive

Question 6

How many times is rhogam given during pregnancy? What are they?*** this will be on both test!!!

Answer 6

4 times
1. After any bleeding
2. After amniocentesis
3. At 28 weeks regardless
4. After delivery if the child is positive

Question 7

< than 500 ml of amniotic fluid is called what?

Answer 7

Oligohydrominous

Question 8

Persistent vomitning can lead to three things?

Answer 8

Electrolyte imbalance
Metabolic alkalosis
Dehydration
Malnutrition

Question 9

What is the normal temperature of a pregnant women?

Answer 9

Anything under 100.4 is okay

Question 10

Complication of amniocentisis

Answer 10

Bleeding

Question 11

What fluids do we run with TPN?

Answer 11

10 % dextrose

Question 12

How many pads is normal after abortion? How often do we change the pad? ** BOTH TESTS

Answer 12

6 to 8 pads, we change it every 4 hours

Question 13

What is the classic sign of ectopic pregnancy?

Answer 13

Bleeding at 8 weeks with pain radiating to the shoulders

Question 14

You should drink how many liters of water before ultrasound in the first trimester?

Answer 14

2 - 3 liters

Question 15

What is the drug of choice for ectopic pregnancy? ** BOTH EXAMS

Answer 15

Methotrexate, it stops cell division

Question 16

What is the biggest risk with pregnancy mole (throboblast)? What should you remember to teach to patient? ***BOTH EXAMS

Answer 16

1. Cancer
2. Need to be on contraceptives for one year to prevent estrogen cancers

Question 17

What is placenta previa? What will the blood look like? Will there be pain? Will the abdomen be hard or soft?

Answer 17

Low lying placenta, bright red blood, no pain, soft abdomen

Question 18

if someone has total placenta previa, what will have to be done?

Answer 18

They have to get a C section, only for the total kind

Question 19

What is placenta abrupto? What will the blood look like? Will there be pain? Will the abdomen be soft or hard?

Answer 19

When the placenta separates from the wall of the uterus, this is a medical emergency. Dark red blood, bad pain, rigid or board like abdomen

Question 20

You have to have what three symptoms for PIH?

Answer 20

High BP, protienuria, swelling in the face and hands

Question 21

What medication is used for preeclampsia to treat hypertension?

Answer 21

Procardia, nefedapine

Question 22

What are the increase in BP needed to diagnose preeclampsia?

Answer 22

30 systolic and 15 diastolic

Question 23

HELLP syndrome is severe preeclampsia

Question 24

What does HELLP stand for? *** ON BOTH TESTS

Answer 24

Hemolysis
Elevated liver enzyme
L
Low platelets
P

Question 25

When do the lungs mature in fetus?

Answer 25

34 weeks

Question 26

If the baby is below 34 you have to give steroid 2x times prior to removal from preeclampsia

Question 27

What is the theraptic range for magnesium sulfate?

Answer 27

4 - 7 is therapeutic, anything above 8 is toxic

Question 28

What are signs of magnesium sulfate toxicity? *** BOTH EXAMS

Answer 28

B lood pressure low U rine ouput low R espiration low P atella reflex

Question 29

What are two uses for magnesium

Answer 29

Prevent seizures, and stop contractions

Question 30

How often do we test magnesium levels?

Answer 30

Every 6 hours

Question 31

What is the antidote for magnesium sulfate?

Answer 31

Calcium gluconate

Question 32

Why do we give magnesium sulfate in someone with severe pre eclampsia?

Answer 32

Prevent seizures

Question 33

What two medications are used to lower blood pressure?

Answer 33

Hydralazine, and labetalol

Question 34

What condition should you not give labetolol?

Answer 34

You should not give labeltalol to someone with asthma

Question 35

What pre existing medical condition has the highest risk in pregnancy?

Answer 35

Diabetes

Question 36

What a is a normal weight for a baby at birth?

Answer 36

6 - 9 pounds

Question 37

Anything above 9 pounds in a baby is called what?

Answer 37

Macrosomic

Question 38

Normal blood sugar in a baby is what?

Answer 38

40 - 60

Question 39

Rubella give post partum if the titer is what ratio?

Answer 39

< 1 : 8

Question 40

What is the drug of choice for HIV in pregnancy? *** BOTH TESTS

Answer 40

retrovir, remember these drugs cause agranulocytosis

Question 41

Can a mother with HIV breast feed a baby?

Answer 41

NO

Question 42

Group B strep (GBS) what are 3 complications of it, what is treated with?

Answer 42

Sepsis, meningitis, and bacterial pnemomia, the treatment is penicillin

Question 43

Anytime membranes rupture the first thing you should do is what?

Answer 43

Check fetal heart rate

Question 44

How many fetal movements do you want?

Answer 44

10 kicks per 12 hours

Question 45

When should you notify RN about contractions? If the mother has contractions that are what? list 3

Answer 45

1. Any that occur more than every 2 minutes 2. Last longer than 90 seconds 3. Have resting intervals shorter than 60 seconds

Question 46

A contraction should never last longer than what?

Answer 46

90 seconds

Question 47

How long should contractions be?

Answer 47

0 - 90 seconds

Question 48

How long for the posterior fontanelle to close?

Answer 48

6 - 8 weeks

Question 49

how long for the anterior fontanelle to close?

Answer 49

12 - 18 weeks

Question 50

How to confirm ruptured membrane? 2 answers

Answer 50

1. Nitrazine test 2. Fern test

Question 51

What are the 3 hormones of pregnancy?

Answer 51

1. Oxytocin 2. Prostaglandin 3. Prolactin

Question 52

What does prostaglandin do in birth?

Answer 52

Softens the cervix

Question 53

What does oxytocin do?

Answer 53

Stimulates contractions

Question 54

What does prolactin do?

Answer 54

Stimulates breast milk production

Question 55

How many stages of labor are there?

Answer 55

4 stages of labor

Question 56

What are the four stages of labor? *** BOTH EXAMS

Answer 56

1. Dilation and effacement of cervix 2. Delivery of baby 3. Delivery of placenta 4. Postpartum care

Question 57

How to measure fetal monitoring?

Answer 57

V E A L C H O P

Question 58

How to manage variable deceleration and late accelerations, list 5.

Answer 58

1. Position change 2. Oxygen with a face mask 3. Fluid bolus 4. Stop contractions 5. Call doctor for emergency removal

Question 59

The first stage of labor is dived into 3 stages, what are they?

Answer 59

1. Latent phase 0 - 3 cm 2. Active 4 - 7 cm Transition stage 8 - 10 cm

Question 60

In stage 3 of labor what happens?

Answer 60

Delivery of placenta

Question 61

In stage of labor 2 what happens?

Answer 61

The child comes out

Question 62

What happens in stage 4 of labor? FINAL SKIP FOR TEST 2

Question 63

All IM injections in baby are in where? What muscle?

Answer 63

Vastus lateralis

Question 64

What are three reasons we do amnioinfusion?

Answer 64

1. Oligohydraminous 2. muconium in amniotic fluid 3. Variable deceleration

Question 65

What is the difference between induction and augmentation?

Answer 65

Induction - labor was started artificially Augmentation - contractions started naturally but then stopped for some reason

Question 66

After you do artificial rupture of membrane what should you look at?

Answer 66

The heart rate

Question 67

If you change the position of the fetus what can happen?

Answer 67

It can get tangled in the umbilical cord

Question 68

what is precipitous birth?

Answer 68

A birth that is completed in less than 3 hours

Question 69

What are the four tocolytics?

Answer 69

I ndomethacin N ifedipine M agnesium sulfate T erbutaune

Question 70

What do oxytoxic