Prenatal, Parturition Flashcards

1
Q

Fetal movement can be felt by a multigravid as early as

A

16 weeks

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2
Q

Fetal movement can be felt by a primigravid as early as

A

18 weeks

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3
Q

HCG is produced by this cell

A

Syncytiotrophoblast

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4
Q

Most accurate tool for gestational age assignment

A

Crown rump length

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5
Q

Fetal heart sounds can be appreciated by doppler and stethoscope at what weeks AOG

A

6-8 weeks: TVS

10 weeks: Doppler

20 weeks: stethoscope

22 weeks: heart sounds are expected to be heard in all

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6
Q

Normal weight gain per week in the 2nd and 3rd trimester

A

1 pound per week

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7
Q

Folate supplement for all women

A

0.4-0.8 mg per day

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8
Q

Folate supplement that can prevent NTD

A

400mcg

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9
Q

Contraindicated vaccines in pregnancy

A

MMR Varicella HPV

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10
Q

Normal amount of fetal movements

A

10 in 2 hours

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11
Q

Components of biophysical profile

A

NB MAT Nonstress test Breathing Movement Tone Amniotic fluid volume

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12
Q

Baseline change in acceleration occurs when acceleration lasts

A

>10 mins

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13
Q

Prolonged acceleration occurs when acceleration lasts

A

>2 mins but <10mins

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14
Q

Most common deceleration pattern

A

Variable

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15
Q

What nerve is responsible for the decrease in FHR in late deceleration?

A

Vagal nerve

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16
Q

What are the phases of parturition

A

Quiescence Activation Stimulation Involution

17
Q

Which phase of parturition corresponds to the stages of labor?

A

Phase 3

18
Q

Braxton Hicks contraction is in what phase of parturition

A

Phase 1

19
Q

Women with these syndromes have greater prevalence of cervical incompetence

A

Ehlers Danlos Marfan

20
Q

Myometrial changes in the 2nd phase of parturition include increase in uterine irritability and responsiveness to uterotonics due to expression of

A

Contraction associated proteins

21
Q

Formation of the lower uterine segment is brought about by this part of the uterus

A

Isthmus

22
Q

During cervical ripening, these glands occupy most of the cervix

A

Endocervical glands

23
Q

Cervical stretching during dilatation is called this reflex

A

Ferguson reflex

24
Q

More passive part of the uterus during labor

A

Lower segment

25
Q

Structure in the uterus where there is lower segment thinning and upper segment thickening

A

Physiologic retraction ring

26
Q

Also called the pathologic retraction ring where there is extreme lower segment thinning

A

Bandl ring

27
Q

Most important force in fetal expulsion

A

Maternal pushing

28
Q

This is the leading portion of fluid and amniotic sac, located in front of the presenting part Formed during the process of cervical effacement and dilatation

A

Forebag

29
Q

Curve/pattern of cervical dilation during the preparatory and dilatational division of labor

A

Sigmoid

30
Q

Curve/pattern formed when the station of the fetal head is plotted as a function of labor duration

A

Hyperbolic

31
Q

Station 0 corresponds to what anatomical part of the pelvis

A

Ischial spine

32
Q

Most important pelvic floor structure

A

Levator ani

33
Q

Weakest layer of the placenta that separates from the implantation site

A

Decidua spongiosa

34
Q

Terbutaline can cause uterine relaxation by

A

Increase cAMP levels- decreased calcium- relax uterus