Teacher Review

Question 1

Molar Pregnancy

Answer 1

No nucleus.

Can be carcinogenic.

Give Rhogam

DNC - can’t get pregnant for a year until hcg is back to 0.

Question 2

Sickle cell

Answer 2

Red cells destroyed.
Pain / oxygenation management.
Mostly african American.

Question 3

Ectopic Pregnancy

Answer 3

Methyltrexic
S/S - pain, bleeding, positive pregnancy test
Needs surgery if size > 4cm

Question 4

Cardiac sphincter

Answer 4

Immature in newborns. Spit up.

Question 5

Postpartum hemmorhage

Answer 5

Oxytocin, methergin, carboprost, methyluerine, misoprostal

Question 6

Hyperemesis treatment

Answer 6

Give a lot of fluids. F&E.

Question 7

Lightening

Answer 7

Occurs round 36 weeks.

Question 8

Cleft lip / palette surgery timing

Answer 8

6-12 weeks. Months for palette.

Question 9

Nuchal ultrasound

Answer 9

11-14 weeks

Question 10

AFP testing / timing

Answer 10

Measures neural tube defects at 15-17 weeks.

Question 11

Variability (absent, minimal, moderate)

Answer 11

0
Minimal < 5
Moderate (Marked) - 6-25
Higher - Trashing

Question 12

Involution

Answer 12

1 cm every day - 2 weeks no longer in abdomen.

Question 13

Cord Prolapse priority

Answer 13

Get presenting part off the cord no matter what.

Question 14

Magnesium sulfate nursing

Answer 14

Watch LOC, decrease in urine, and have calcium reversal ready.

Question 15

Fetal Fibrinetic

Answer 15

Protein in membranes of mother. If have PTH then will probably deliver soon. If not, won’t for at least 10 days most likely.

Question 16

What does Leopold maneuver check?

Answer 16

Attitude, presentation, degree of descent.

Question 17

Tocolytic meds

Answer 17

Terbutaline, mag sulfate, niphedimine, indomethison, betylmetholozon 2 doses, 24 hours apart.

Question 18

What increases after pains?

Answer 18

Breastfeeding, high gestation, multiple births, hydraminose.. anything that stretches uterus.

Question 19

Quad panel tests what?

Answer 19

HcG, esterol, inhibin A, AFP.

Question 20

What does RPR test for?

Answer 20

Syphillis

Question 21

CVS test

Answer 21

Karaotyping at 9-11 weeks.

Question 22

Risks for CVS test

Answer 22

Miscarriage, infection, and bleeding.

Question 23

Cervical insufficiency

Answer 23

• can be caused by cone biops or dr stretching cervix.

- Fixed with cerphlage.

Question 24

Treatment for ITP

Answer 24

Cortiosteroids first.

Question 25

What causes abrupt placenta

Answer 25

Trauma, abuse, MVA, smoking, cocaine, previous abortion, HTN, vasoconstriction.

Question 26

risk for epideral

Answer 26

Maternal hypotension.

Question 27

Best pelvis for birthing

Answer 27

Gynecoid

Question 28

How treat gestational diabetes?

Answer 28

Antihypertensives.

Question 29

Biophysical profile.

Answer 29

Used if NST negative.

Question 30

Meconium aspiration treatment

Answer 30

Dilute fluid with IUPC
Antibiotics
Surfactant
Intubation

Question 31

Episiotomy Tear Scale

Answer 31

1 - skin
2- muscle
3- sphincter
4- rectal wall

Treat with stool softener, sitz bath.

Question 32

Indirect Combs

Answer 32

On mom if sensitivied before than exposed to antibody.

Question 33

Vacuum cephlahemotoma

Answer 33

Under periosteum

Takes few weeks - 6 weeks to resolve

Question 34

Caput succudemum

Answer 34

Blood between skin and skull bone that covers suture lines.

Question 35

What happens with lack of folic acid?

Answer 35

Neural tube defects .. produces RBCs.

Question 36

Difference between PROM and PPROM

Answer 36

PROM - breaks before labor

PPROM - breaks < 37 weeks but not in labor.

Question 37

Shiny Shultz

Answer 37

Baby side of placenta.

Question 38

Dirty Duncan

Answer 38

Mother side of placenta.

Question 39

Signs of Down syndrome

Answer 39

Low set ears
Symeon crease
Flat nose / forehead

Question 40

How much caffeine should a pregnant mother have?

Answer 40

300 mls