Pregnancy

Question 1

Normal FHR

Answer 1

120-160

Question 2

Preterm birth

Answer 2

birth occurring between 20 0/7 weeks gestation and 36 6/7 gestation.

Question 3

Pre term labor

Answer 3

onset of regular contractions resulting in cervical change between 20-37 completed weeks gestation.

Question 4

Gestational DM screening

Answer 4

Done between 24-28 weeks. Give 50gm oral glucose and do venus blood glucose 1 hour after, if BS greater than 130-140 then do 3 hour glucose test and give 100gm oral glucose. The dx of GDM is made with two elevated blood glucose values.

Question 5

Gestational DM screening

Answer 5

Done between 24-28 weeks. Give 50gm oral glucose and do venous blood glucose 1 hour after, if BS greater than 130-140 then do 3 hour glucose test and give 100gm oral glucose. The dx of GDM is made with two elevated blood glucose values.

Question 6

Rhogam

Answer 6

Sound be given to RH- moms by 28 weeks, a second dose is given within 72 hours of birth for moms who give birth to RH+ infants.

Question 7

Preeclampsia

Answer 7

systolic of 140 or higher and a diastolic of 90 or higher, proteinuria of 1+ on 2 occasions each 4 hours apart or 300mg or greater in a 24 hour time frame or absent proteinuria but the presence of thrombocytopenia, renal insufficiency, impaired liver function, pulmonary edema, CNS or vision changes.

Question 8

HEELP syndrome

Answer 8

Serious complication of preeclampsia, can still occur without preeclampsia, characterized by HTN, elevated liver enzymes, low platelets. May complain of HA, epigastric or chest pain, extreme fatigue, nausea, vomiting and is associated with hepatic rupture, DIC, and eclampsia

Question 9

Eclampsia

Answer 9

Complication of preeclampsia and characterized by tonic-clonic seizures

Question 10

Placenta previa

Answer 10

painless vaginal bleeding is hallmark for placenta previa. bleeding may occur after 24 weeks and is usually bright red. Cervical exams are contraindicated with active vaginal bleeding.

Question 11

Abruptio Placentae

Answer 11

Associated with painful, bright red vaginal bleeding and sudden onset of sharp, localized abd pain. Mild back pain or abd cramping with no vaginal bleeding may also be associated with abrupt placentae. The abd will be board-like firm and FHR may be diminished or absent.

Question 12

Placenta Accreta

Answer 12

villi adhere to myometrium, placenta increta extends into the myometrium, placenta accrete extends through the myometrium. the more C sections a woman has the greater the risk of developing this. Vaginal bleeding can be a sign of this.