pregnancy, PTL & PIH

Question 1

placenta functions

Answer 1

hormone production
respiration from mom to baby
nutrition from mom to baby
elimination

Question 2

hydramnios

Answer 2

too much amniotic fluid
greater than 2000mL

Question 3

oligohydramnios

Answer 3

too little amniotic fluid
less than 400mL

Question 4

hormones of pregnancy

Answer 4

HCG
estrogen
progesterone
HPL

Question 5

primary amenorrhea

Answer 5

absence of a period after 15 yrs of age

Question 6

HCG

Answer 6

conception occurs
keeps corpus luteum alive
produced by zygote - doubles every 48hrs
causes N/V

Question 7

32 week gestation pt with bright red painless bleeding intervention

Answer 7

NO vaginal exams
continuous fetal monitoring

THIS IS PLACENTA PREVIA

Question 8

calcium gluconate administration

Answer 8

slow push
over 2-5 mins

Question 9

most common sexual disease

Answer 9

chlamydia
erythromycin given to babies for chlamydia and ghonorrea

Question 10

which sexual disease affects the organs

Answer 10

syphillis

Question 11

sexually transmitted disease with the characteristic of blisters

Answer 11

herpes

Question 12

gel that helps soften cervix

Answer 12

prostaglandin

Question 13

magnesium sulfate administration

Answer 13

given for preeclampsia
ALWAYS GIVE SLOW, can cause cardiac arrest
1-2 mins

Question 14

presumptive changes in pregnancy

Answer 14

amenorrhea
N/V
urinary frequency
breast tenderness
quickening (fetal movement 18-20wks)

Question 15

probable changes of pregnancy

Answer 15

chadwicks sign - bluish purple vagina
goodells sign - softening of cervix
hegars sign - softening of lower uterine seg.
pregnancy tests
uterine souffle

Question 16

positive changes of pregnancy

Answer 16

funic souffle - blood floow in UC (fetal P)
fetal HR
fetal movement
ultrasound

Question 17

proteinuria in pregnancy

Answer 17

can indicate preeclampsia

Question 18

preterm premature
rupture of membranes

Answer 18

PPROM
rupture before 37 wks gestation

Question 19

premature rupture of membranes management

Answer 19

bed rest
pelvi crest
monitor VS
fetal movement monitoring
routine NST
CBC 1-2x/wk

Question 20

signs and symptoms of preterm labor (PTL)

Answer 20

abd pain
low back pain
pelvic pain/pressure
uterine contractions
change in amt of vaginal discharge
urinary frequency

Question 21

fetal fibronectin testing

Answer 21

negative result means little chance of preterm labor within next 7 to 10 days
positive result means pt may go into preterm labor soon or may not for weeks

Question 22

preeclampsia

Answer 22

most common hypertensive disorder in pregnancy
increase in BP after 20 wks accompanied by proteinuria

Question 23

preeclampsia risk factors

Answer 23

maternal obesity
primagravida
extremes of age
Hx
multiples

Question 24

clonus

Answer 24

pronounced hyperreflexia and CNS irritability

Question 25

HELLP syndrome

Answer 25

H emolysis (anemia)
E levated
L iver enzymes (blood flow obstructed)
L ow
P latelets

Question 26

HELLP syndrome presentation

Answer 26

malaise
flu like symptoms
N/V
epigastric or RUQ abd pain