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Antepartum > week 2 > Flashcards

week 2 Flashcards

1
Q

relaxation in pelvic joints results from _____

A

hormonal changes

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2
Q

sacrum to top of symphysis

A

true conjugate

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3
Q

sacrum to middle of symphysis

A

obstetrical conjugate

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4
Q

sacrum to bottom of symphysis

A

diagonal conjugate

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5
Q

how is OC calculated?

A

DC- 1.5 to 2= OC

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6
Q

what is normal OC?

A

10cm or more

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7
Q

which is the shortest ap diameter of the inlet? OC, DC, or TC?

A

OC

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8
Q

what is normal DC?

A

12cm

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9
Q

Going from TC to OC to DC what are the normal measurements?

A

11, 10, 12

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10
Q

How is TC calculated?

A

DC-1.2=TC

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11
Q

What is the normal measurement of transverse diameter of outlet? inlet?

A

outlet=11

inlet=13.5

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12
Q

What is the transverse diameter referring to?

A

the distance between the linea terminalis

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13
Q

What is the normal interspinous diameter

A

10cm

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14
Q

What is the normal anteroposterior diameter of the midlplane?

A

11.5

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15
Q

What is the posterior sagittal diameter of the midpane measuring?

A

between the sacrum and the line created by the interspious diameter

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16
Q

what is the normal measurement of the post. sagittal diameter of the midplane?

A

4.5cm

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17
Q

If thoms rule is _____then the bony outlet is adequate

A

> 15cm

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18
Q

Size of non pregnant uterus?

A

mango, pear

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19
Q

Size of 12 week uterus

A

grapefruit or softball

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20
Q

size of 20 week uterus

A

size of cantelope

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21
Q

three denominators

A

occiput, mentum, sacrum

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22
Q

3 fetal lies

A

transverse, longitudinal, oblique

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23
Q

presenting part

A

part of the fetus that is nearest the cervix

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24
Q

attitude

A

relationship of one fetal part to another

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25
Q

presentation

A

part of fetus over the inlet

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26
Q

position

A

relationship o the denominator to the maternal pelvis

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27
Q

Which pelvis is the best for vaginal delivery?

A

gynecoid

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28
Q

which pelvis has a roomy outlet and a round inlet?

A

gynecoid

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29
Q

which pelvis is more prominent in black women?

A

anthropoid

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30
Q

which pelvis has an oval inlet?

A

anthropoid

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31
Q

which pelvis I wider front to back rather then side to side?

A

anthropoid

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32
Q

which pelvis is comparable to a males

A

android

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33
Q

which pelvis is heart shaped?

A

android

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34
Q

which pelvis has reduced posterior segments?

A

android

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35
Q

which pelvis is flat, narrow, and wide?

A

platypelloid

36
Q

which pelvis has a shallow cavity but widens at the outlet?

A

platypelloid

37
Q

Which pelvis is common in native American women?

A

platypelloid

38
Q

suprapubic arch should be at least ___degrees

A

90

39
Q

three presentation

A

cephalic, breech, shoulder

40
Q

three types of attitude

A

flexion, extension, military

41
Q

anterior fontanels are ____shaped

A

diamond

42
Q

post fontanels are ___shaped

A

triangle

43
Q

bregma

A

anterior fontanels

44
Q

lambda

A

post fontanels

45
Q

when do you perform TOC for GC/C?

A

4 weeks and then at the end of pregnancy

46
Q

gbs screen good for ___weeks

A

4

47
Q

what labs do you obtain at 24-28 weeks?

A

glucose, HH, repeat antibody screen if rh-

48
Q

underweight BMI

A

<18.5

49
Q

normal BMI

A

18.5-24.9

50
Q

overweight BMI

A

25-29.9

51
Q

obese BMI

A

> 30

52
Q

weight gain for underweight BMI

A

28-40

53
Q

weight gain for normal BMI

A

25-35

54
Q

weight gain for overweight BMI

A

15-25

55
Q

weight gain for obese BMI

A

11-20

56
Q

why does a pregnant person in second trimester appear more hemodiluted?

A

big surge in blood volume that comes in the form of plasma

57
Q

what is evident of iron deficiency?

A

low MCV

58
Q

criteria for iron deficiency in 1st and 3rd trimesters?

A

hgb <33%

59
Q

criteria for iron deficiency in 2nd trimester

A

hgb<32%

60
Q

take iron with ____to help absorption

A

vit c

61
Q

take iron separate from ___and ____ to help in absorption

A

PNV and Ca

62
Q

important factors to monitor in vegitarians bc there is not much of these in veggies

A

vit b and folic acid

63
Q

moderate caffeine consumption

A

<300mg per day

64
Q

best sweeteners in pregnancy bc they are natural

A

splenda or truvia

65
Q

when are the greatest iron needs for the fetus?

A

3rd trimester

66
Q

which trimester should herbs be avoided?

A

1st

67
Q

abortifactant herbs to avoid

A

rue, tansy, pennyroyal, high vit c with rose hips

68
Q

uterine and nervous system herbs to avoid

A

blue/blach cohosh prior to term, ma huang or Chinese ephedra

69
Q

teratogen herbs to avoid

A

caffeine infusions, excess sucrose and quinine

70
Q

hormonal herbs to avoid

A

estrogens: licorice, black cohosh, dong quai
progesterones: chaste tree berry and wild yam

71
Q

toxic herbs

A

chaparral, comfrey, germander, jin bu haun, lobelia, ma huang, stephania, magnolia, yohimbe

72
Q

st johns wart should be ____

A

avoided

73
Q

placental transport of drugs to the fetus starts at ___

A

5 weeks

74
Q

from 31-71 days, exposure to teratogens is _____

A

organ specific

75
Q

before day 31, exposure to teratogen is _____

A

all or none…usually results in SAB

76
Q

most drugs have a shorter __ ____ in pregnancy

A

half life

77
Q

what four tests make up the quad screen?

A

AFP, estriol, HCG, Inhibin A

78
Q

what causes an abnormally HIGH AFP?

A

leaking from open NTD, wrong gestational age, multiples,

79
Q

what causes a LOW AFP?

A

trisomy 21, 18

80
Q

where is AFP produced?

A

yolk sac then the fetal liver

81
Q

decreased estriol is associated with

A

trisomy 21,18, inaccurate gestational age

82
Q

increased estriol is______

A

normal

83
Q

decreased HCG seen in

A

trisomy 18

84
Q

increased HCG seen in

A

trisomy 21, multiples, inaccurate GA, other anomalies

85
Q

inhibin A follows same abnormals as ___

A

HCG

86
Q

four positions of leapolds

A
  1. feel fundus
  2. feel sides of uterus
  3. pawlicks
  4. feel fundus and pawlicks together

Antepartum (6 decks)

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