Pearls for PANCE

Question 1

When can doppler detect fetal heart tones

Answer 1

week 12 of gestation

Question 2

When do Pg women feel mov’t

Answer 2

16-20wks

Question 3

How much does the uterus enlarge?

Answer 3

500 to 1000 times it normal size

Question 4

At what gestational age does the uterus rise out of the pelvis?

Answer 4

12th week

Question 5

What IMZs are contraindicated in Pg?

Answer 5

MMR, varicella, nasal influenza

Question 6

When does labor begin?

Answer 6

When contractions lead to effacement and dilation of the cervix–must have cervical changes.

Question 7

What are the 4 stages of labor?

Answer 7

Stage I: contraction to complete dilation II: dilation to birth Stage III: birth Stage IV: delivery of placenta

Question 8

What is the biggest risk factor for breech presentation?

Answer 8

prematurity

Question 9

What is lochia?

Answer 9

uterine d/c lasting 5 wks after delivery

Question 10

When does ovulation return postpartum?

Answer 10

6 mths if breastfeeding otherwise 1mo for non breastfeedling women

Question 11

When does breast milk production begin?

Answer 11

by 1-2 wks postpartum (colostrum present for 3-4d)

Question 12

All vitamins are found in breastmilk except for which one?

Answer 12

vitamin K

Question 13

Whats the MCC of mastitis? Can nursing continue?

Answer 13

Staph aureus. Yes unless there is an abscess, then no.

Question 14

What is the MC complication of cocaine use during Pg?

Answer 14

abruptio placentae

Question 15

How much blood does the standard size pad absorb?

Answer 15

20 to 30mL

Question 16

What is Sheehan’s syndrome?

Answer 16

anterior pituitary necrosis following post partum hemorrhage and hypotension

Question 17

What percent of Pg end in SABs?

Answer 17

20 to 25%

Question 18

What are the numbers for nml semen analysis?

Answer 18

> 1mL (> 20,000,000 sperm) w/ > 50% motility

Question 19

What is the largest risk for breech presentation?

Answer 19

prematurity