Powerpoints Female

Question 1

What is full term?

Answer 1

37 weeks

Question 2

What are the best cycle days for conception?

Answer 2

days 10-18

QOD coitus

Question 3

What weeks for the first trimester?

Answer 3

0-13 weeks

Question 4

What weeks make up the second trimester?

Answer 4

14-26 weeks

Question 5

What weeks make up the third trimester?

Answer 5

27-40 weeks

Question 6

What weeks make up the post dates?

Answer 6

> 41 weeks

Question 7

How is plasma volume affected by 32 weeks?

Answer 7

increased by 50%, RBCs only 25%

Question 8

What is a normal WBC count?

Answer 8

Leukocytosis <30,000 WBCs

Question 9

What is a common platelet count?

Answer 9

thrombocytosis >300,000 platelets

Question 10

How is fibrinogen affected?

Answer 10

increase by 50%

Question 11

How is PT/PTT affected?

Answer 11

shortened PT-PTT

Question 12

What are the iron needs during pregnancy?

Answer 12

1,000 mg / 40 weeks

Question 13

How is cardiac output affected at 24 weeks? and at term?

Answer 13

at 24 weeks increase by 40%

100% at term

Question 14

How is blood volume affected?

Answer 14

increase 50%

Question 15

How is HR affected?

Answer 15

increase 15 bpm

Question 16

What murmur is common in 90% of gravida?

Answer 16

pansystolic murmur

Question 17

When is peripheral edema common?

Answer 17

> 28 weeks

Question 18

BP decreases until _____ to ___ weeks.

Answer 18

24-28 weeks

Question 19

What heart sound is common in >50% gravida?

Answer 19

S3 gallop

Question 20

EKG may show what?

Answer 20

left axis deviation

Question 21

When is vena canal compression common?

Answer 21

> 28 weeks

Question 22

How does the vasculature change?

Answer 22

decreased systemic and pulmonary vasculature resistance

Question 23

What are common symptomatic pulmonary changes? (4)

Answer 23

nasal congestion
nasal edema
epistaxis
polyposis

Question 24

How is ventilation affected?

Answer 24

hyperventilation increase 45%

Question 25

How causes hyperventilation changes?

Answer 25

secondary to increased CO2 burden and mechanical changes

Question 26

What % is dyspnea common?

Answer 26

65%

Question 27

What are common pulmonary function changes?

Answer 27

minute ventilation increases by 30-40% increase tidal volume 30-40% decreased total lung capacity by 5% decreased pCO2 with comp respiratory alkalosis

Question 28

What remains unchanged on PFT? (4)

Answer 28

FEV1 Peak flow vital capacity respiratory rate

Question 29

When does N&V peak?

Answer 29

6-14 weeks

Question 30

What causes pyrosis?

Answer 30

decreased lower esophageal sphincter tone and increased gastric pressure

Question 31

What are common hepatic changes? (4)

Answer 31

cholesterol increase 200% fibrinogen and coat factors increase albumin decreases alk phos increases

Question 32

What are the common changes in the gallbladder? (3)

Answer 32

increase bile increases stasis increase stones

Question 33

How long does it take for cholesterol to return to normal postpartum?

Answer 33

may take a full year

Question 34

What are the GU changes in pregnancy?

Answer 34

Increase kidney ca 1 cm increase in renal calyx and retail diameters hydroureter & hydronephrosis

Question 35

What causes the increase in hydroureter & hydronephrosis?

Answer 35

secondary to obstruction & slowing

Question 36

How is filtration of the kidney affected? (5)

Answer 36

``` increase renal plasma flow 75% increase GFR 50% by 28 weeks Increase creat clearance 40% Increase glucose loss Decrease both creatinine and uric acid ```

Question 37

Is protein loss normal in pregnancy?

Answer 37

NO

Question 38

How are the adrenals affected?

Answer 38

increased cortisol & DHEAS (androgen)

Question 39

How does fat metabolism change?

Answer 39

increased lipolysis

Question 40

What % is spider angiomata seen?

Answer 40

65% of gravida

Question 41

When is hair loss common?

Answer 41

2-4 months postpartum, regrowth by 12 months

Question 42

What are the ocular changes?

Answer 42

increased corneal thickness & radius of curvature | decreased intraoccular pressure

Question 43

What is the necessary calcium intake?

Answer 43

1,400mg/day | 3 ES TUMS/day

Question 44

What are the additional energy needs?

Answer 44

300kcal/day

Question 45

When are prenatal care visits every 2 weeks?

Answer 45

at 36 weeks

Question 46

WHen is the Quad alphaFP screen done?

Answer 46

15-20 weeks

Question 47

When is the ultrasound done?

Answer 47

16-20 weeks

Question 48

What leads are done at 28 weeks?

Answer 48

1 hr GCT Rh Antibodies Hb UA C&S

Question 49

When are you thinking ectopic pregnancy?

Answer 49

with beta hCG does NOT double with spotting

Question 50

When should fundal height increase 1cm/week?

Answer 50

20-30 weeks

Question 51

How many weeks does fundal height become less reliable?

Answer 51

after 30 weeks

Question 52

When is quickening noted in the landmarks of pregnancy?

Answer 52

17-19 weeks

Question 53

When is the gestational sac seek on US?

Answer 53

5 weeks

Question 54

When is the fetal pole seen on US?

Answer 54

6 weeks

Question 55

When is fetal heart motion SEEN on US?

Answer 55

7 weeks | to rule out ectopic

Question 56

What are complications of the hematologic?

Answer 56

DVT & PE

Question 57

What are complications of the cardiovascular system? (3)

Answer 57

cardiomyopathy dysrhythmias CHF

Question 58

What are complications of the pulmonary system?

Answer 58

asthma | pneumonia

Question 59

What are dermatologic complications of pregnancy?

Answer 59

PUPP | Herpes gestationis

Question 60

What is a complication of pregnancy that results in painful bleeding?

Answer 60

Abruptio placenta

Question 61

What is a complication of pregnancy that results in painless bleeding?

Answer 61

Placenta Previa

Question 62

What is the 1st stage of labor?

Answer 62

beginning contractions to complete dilation

Question 63

What are the 2 parts of the first stage of labor?

Answer 63

latent phase: until dilation begins | active phase: time of dilation

Question 64

What is the average 'active phase' in primip?

Answer 64

6-18 hours | minimum 0.5cm/hour

Question 65

What is the average 'active phase' in multip?

Answer 65

2-10 hours | minimim 1.0cm/hour

Question 66

What is the second stage of labor?

Answer 66

complete dilation to delivery of the infant

Question 67

What is the third stage of labor?

Answer 67

delivery of indent to delivery of placenta | less than 30 minutes

Question 68

What are the stages of head crowning?

Answer 68

``` anteroposterior slit oval opening circular shape crowning extension with restitution ```

Question 69

Which shoulder is delivered first?

Answer 69

anterior shoulder