Test 3 Part 5

Question 1

What is Post-term Pregnancy? How common is this?

Answer 1

Pregnancy that reaches 42+ weeks;

5-10% of pregnancies

Question 2

T/F: Pernatal mortality rate doubles by 42 weeks and is 4-6x greater at 44 weeks.

Answer 2

True

Question 3

Nonreassuring test results, oligohydramnios, and 42+ weeks’ gestation are all indications for what?

Answer 3

labor induction

Question 4

What is the term for glucose intolerance that begins, or is first recognized, during pregnancy?

Answer 4

Gestational Diabetes

Question 5

When is screening for Gestational Diabetes usually done?

Answer 5

24-28 weeks gestation

Question 6

What are the 5 most common management options for Gestational Diabetes?

Answer 6

Oral Hypoglycemic Medications,
Insulin,
Blood glucose monitoring,
Exercise,
Diet

OH MI BED

Question 7

What is the most common complication of babies whose mothers had Gestational Diabetes?

Answer 7

Shoulder dystocia

Question 8

T/F: Mothers with Gestational Diabetes typically require insulin in the postpartum period.

Answer 8

False; rarely required (breastfeeding improves glycemic control)

Question 9

T/F: Mothers with Gestational Diabetes have no increased risk of Type 2 Diabetes.

Answer 9

False; there is an increased risk for developing type Diabetes in their future.

Question 10

What striae gravidarum?

Answer 10

stretch marks that tend to appear in the 2nd and 3rd trimester

Question 11

What is the term for pigmentation of the linea alba from the symphysis pubis to the top of the fundus?

Answer 11

Linea nigra

Question 12

What 4 things are included in the assessment of the pregnant abdomen?

Answer 12

measurement of the fundal height,
fetal growth,
position of the fetus,
monitoring of fetal well-being

Question 13

What is the Naelgele Rule?

Answer 13

add 7 days to the first day of the last normal menstrual period and count back 3 months to determine due date

Question 14

What is the average duration of a pregnancy?

Answer 14

40 weeks (280 days)

Question 15

What should the patient do before you measure the fundal height?

Answer 15

empty her bladder

Question 16

When is the fundal height measurement the most accurate?

Answer 16

20-30 weeks

Question 17

Obesity, amount of amniotic fluid, multiple gestation, fetal size/attitude, and the position of the uterus are all factors that may affect the accuracy of what?

Answer 17

fundal height measurement

Question 18

What is/are Leopold’s maneuvers used to determine?

Answer 18

fetal position

Question 19

If the long axis of the fetus is aligned to the mother’s what is the “lie” considered? if the long axis is perpendicular to the mother’s? in between?

Answer 19

longitudinal;
transverse;
oblique

Question 20

What are the 5 options for describing the fetal presentation?

Answer 20

vertex, breech, brow, facial, or shoulder

Question 21

What are the 3 options for describing the fetal attitude?

Answer 21

flexed, deflexed, extended

Question 22

What is the denominator? What are the options?

Answer 22

a letter that represents the presenting fetal part; O for occiput, S for sacrum, M for mentum, F for frontal, AC for acromion, or SC for scapula

Question 23

What are the 8 Flexed Vertex Presentation possibilities?

Answer 23

LOL, LOA, LOP,
ROL, ROA, ROP,
OP and OA

Question 24

In a full/complete breech, how are the arms and legs positioned?

Answer 24

both flexed in the feta position

Question 25

In a Frank Breech, how are the arms and legs positioned?

Answer 25

arms flexed, legs extended straight up over head

Question 26

What is the term for when one or both feet are extended downward and may exit the birth canal first?

Answer 26

Footling Breech

Question 27

What is determined by the amount of head that is above or below the pelvic brim and is usually done by dividing the head into fifths?

Answer 27

Engagement

Question 28

During Leopold’s maneuvers, why is a small rolled towel placed under the patient’s right hip?

Answer 28

to get pressure off of the vena cava

Question 29

What is determined during the First Maneuver?

Answer 29

what part of baby is inthe fundus

Question 30

What is determined during the Second Maneuver?

Answer 30

position of the baby’s back

Question 31

What is determined during the Third Maneuver? Fourth?

Answer 31

what part is lying above the inlet; flexed/deflexed/extended?

Question 32

Which of Leopold’s Maneuvers can only be performed if the baby is not engaged?

Answer 32

Fourth Maneuver

Question 33

What is domestic abuse mostly about?

Answer 33

control