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NUR 332 OB > Sprint review > Flashcards

Sprint review Flashcards

1
Q

When would edema be concerning?

A

Generalized or doesn’t resolve with rest

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2
Q

Exercises you can do to strength the pelvic floor muscles?

A

Kegel Exercises

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3
Q

Comfort strategies for heartburn?

A

Don’t lie down after eating
Small frequent meals
Avoid trigger foods

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4
Q

When would urinary frequency be worrisome?

A

If accompanied by pain, burning, urgency

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5
Q

What period of development would be most concerning for exposure to substances?

A

1st trimester

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6
Q

Is SOB expected in the third trimester?

A

Yes, but not OK if persistent or have cough, chest pain, heart palpitations

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7
Q

What is guidance you would give to help a patient avoid round ligament pain?

A

Slow transitions from lying-sitting-standing

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8
Q

What are some dangers/ warning signs in pregnancy that would be important to report for a patient <37 weeks gestation?

A

Vaginal bleeding
>4-6 CTXs/hr
Leaking of fluid
Decreased FM

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9
Q

When would be you concerned about fetal movement?

A

<10 movements in 2 hours after FM regular

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10
Q

Should you/could you do the following during pregnancy?
Exercise?
Drink Alcohol?
Have sex?
Smoke?
Caffeine?

A

Exercise- Yes
Drink alcohol- No, FAS, increased risk of miscarriage, IUFD, LBW
Sex- Yes
Wear a seat belt- Yes, lap belt under abdomen
Smoke- No, preterm birth, IUGR/LBW, premature rupture of membranes, placental problems, SIDS
Caffeine- Yes limit to 200mg/day

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11
Q

What is a craving for nonnutritive substances called?

A

Pica

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12
Q

What is the phenomenon whereby expectant partners experiences symptoms of pregnancy?

A

Couvade

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13
Q

At what age (at delivery) is a woman considered Advanced Maternal Age (AMA)?

A

35

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14
Q

Risk of AMA?

A

Chromosomal abnormalities
Infertility
Miscarriage
GDM
Preeclampsia
Preterm delivery
LBW
Cesarean delivery
Multiple gestation

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15
Q

Risk of adolescent pregnancy?

A

Preterm birth
LBW
Preeclampsia
Anemia
CPD
STI
Effects of drugs/alcohol

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16
Q

Carrier screening
Screening or diagnosis?
When done?
What is assessed

A

Screening
Anytime
Blood or cells from cheeck

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17
Q

MSAFP (Quad screening)
Screening or diagnosis?
When done?
What is assessed

A

Screening
15-22 weeks
Maternal blood

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18
Q

NIPT (cell free DNA)
Screening or diagnosis?
When done?
What is assessed

A

Screening
Starting at 10 weeks
Maternal Blood

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19
Q

Nuchal Translucency
Screening or diagnosis?
When done?
What is assessed

A

Screening
11-14 weeks
Back of fetal neck (+ maternal blood)

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20
Q

Chorionic Villis Sampling (CVS)
Screening or diagnosis?
When done?
What is assessed

A

Diagnostic
10-13 weeks
Sample of chorionic Villi

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21
Q

Amniocentesis
Screening or diagnosis?
When done?
What is assessed

A

Diagnostic
Typically 15-20 weeks for genetics
Amniotic fluid

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22
Q

L/S ratio indicating fetal lung maturity

A

2:1 (Done amniocenesis)

23
Q

CST with contractions in 10 minutes and late decelerations of the FHR would be noted as?

A

Positive

24
Q

NST on patient at 35 weeks with 2 accelerations (15 beats by 15 seconds) but no decelerations noted as?

A

Reactive`

25
Q

Components of BPP

A

Fetal breathing
Fetal gross body movements
Fetal Tone
Amniotic fluid volume
NST (if indicated)

26
Q

Normal or abnormal? 6/8

A

Abnormal likely send for NST

27
Q

When would a transvaginal ultrasound be done?

A

Early pregnancy or measure cervical length/ assess for preterm labor

28
Q

Recommended daily folic acid intake prior to and during pregnancy?

A

400mcg

29
Q

Why is folic acid recommended?

A

Prevent neural tube defects/ promote closure of neural tube

30
Q

How much folic acid recommended if mother has hx of having a baby with neural tube defect?

A

4mg

31
Q

IPV tends to go in what direction during pregnancy?

A

Increases

32
Q

Uterine/ cervical changes:
Softening of cervix?

A

Goodell’s sign

33
Q

Softening of uterus?

A

Hegar’s sign

34
Q

Bluish discoloration of the cervix?

A

Chadwick’s sign

35
Q

Which hormone is primarily responsible for relaxing body structures?

A

Progesterone

36
Q

Nutrient-dense milk substance produced by breasts?

A

ColostrumWh

37
Q

What type of breathing do expectant mothers usually use in 3rd trimester?

A

Thoracic

38
Q

Condition caused by gravid uterus compressing vena cava resulting in a drop in maternal blood pressure?

A

Supine hypotension

39
Q

Normal or Abnormal?
Hematocrit slightly lower than non-pregnancy levels?

A

Normal

40
Q

Normal or Abnormal?
SOB at rest in 1st trimester?

A

Abnormal

41
Q

Normal or Abnormal?
Increase in clotting factors?

A

Normal

42
Q

Normal or Abnormal?
Hyperpigmentation across cheeks and forehead?

A

Normal

43
Q

Normal or Abnormal?
Separation of rectus abdominus muscles

A

Normal

44
Q

Total amount of recommended weight gain in woman with normal BMI?

A

25-35 lbsP

45
Q

Presumptive signs of pregnancy?

A

Amenorrhea
N/V
Excessive fatigue
Urinary frequency
Breast changes
Quickening

46
Q

Probable signs of pregnancy?

A

Change in pelvic organs
Enlargement of abdomen
Braxton hicks contractions
Abdominal striae
Other hyperpigmentation
Uterine souffle
Positive pregnancy test
Palpation of fetal outline

47
Q

Positive Signs of pregnancy?

A

Auscultation of fetal heart beat with doppler
Fetal movement felt by hands or seen on US
Visualization of fetus on US

48
Q

Using Naegele’s rule, calculate a patients EDC with an LMP of January 30th.

A

Nov. 6th

49
Q

At how many weeks do you begin measuring fundal height?

A

20 weeks

50
Q

You want fundal height and gestational age to be how close?

A

+/- 2cm

51
Q

What method should be used to calculate a due date if LMP is undertain?

A

U/S

52
Q

Why should rubella vaccine not be given in pregnancy

A

Live vaccine

53
Q

At what gestational age do we test for Group B strep?

A

36 weeks

NUR 332 OB (6 decks)

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