week 3&4

Question 1

There is a dexrotation of the uterus in early pregnancy to the ____

Answer 1

right

Question 2

leukorrhea in pregnancy comes from _______

Answer 2

increased lactobacillus production

Question 3

In pregnancy there are three carb metabolim states, what are they?

Answer 3

mild fasting hypoglycemia, pp hyperglycemia, hyperinsulemic state

Question 4

Breastfeeding helps to decreaese _____postpartum

Answer 4

cholesterol

Question 5

heart rate increases by ____

Answer 5

10bpm

Question 6

where is the heart displaced in pregnancy?

Answer 6

left and up

Question 7

tidal volume _____as pregnancy progresses

Answer 7

increases

Question 8

what is the most effected system in pergnancy?

Answer 8

renal

Question 9

what causes the increase in urination in first trimester?

Answer 9

increased uterine weight and softening of isthmus

Question 10

what causes nocturia?

Answer 10

venous return of fluids

Question 11

why is there increases change of gall stones in pregnancy?

Answer 11

progesterone causes statis

Question 12

where is the appendix displaced to in prenancy?

Answer 12

and and lateral, may reach right flank

Question 13

which gland in the brain increases dramtically in size during pregnancy?

Answer 13

pituitary

Question 14

If previous thyroid issues, how frequenty would you monitor thyroid levels during pregnancy?

Answer 14

every trimester unless needed more

Question 15

as far as the thyroid is conderned, there is an increased circulation of ____ in pregnancy

Answer 15

thyroxine

Question 16

nasal congestion in pragnancy caused from ____

Answer 16

edema in the nose on the capillary level.

Question 17

What are Varneys 3 steps to adaptation per trimester?

Answer 17

1st: period of adjustment
2nd: period of radiant health
3rd: period of watchful waiting

Question 18

Safe herbs

Answer 18

rr leaf tea
echinacea
ginger
chamomile

Question 19

what are two phytoestrogen herbs to avoid?

Answer 19

isoflavone extracts and red clover

Question 20

when watching kick counts, elapsed time for baby to make four movements should not exceed ___

Answer 20

60minutes

Question 21

with NST 2 15x15 in 20 minutes applies to what gestation?

Answer 21

> 32weeks

Question 22

what are the five components of BPP?

Answer 22

1. NST
2. fetal breathing movements
3. fetal movement
4. fetal tone
5. fluid level

Question 23

criteria for fetal breathing in BPP?

Answer 23

one or more episodes of fetal breathing rythyms lasting 30 seconds within 30 minutes

Question 24

cirteria for fetal movement for BPP

Answer 24

three or more discrete body or limb movements within 30 minutes

Question 25

fetal tone criteria for BPP

Answer 25

one or more episode of extention of limb and returning to flexion, or opening and closing of hand

Question 26

citeria of amniotic fluid for BPP

Answer 26

single pocket of 2cm or greater

Question 27

what does doppler velocity measure?

Answer 27

blood flow through the umbilical cord

Question 28

Abnormally low HCG can be indicative of ____

Answer 28

ectopic

Question 29

Abnormally high HCG could be from ...

Answer 29

muliple fetus', anomalies, down syndrome (trisomy 21)

Question 30

HCG should ____every 48 hours

Answer 30

double

Question 31

normal HCG at 6-8 weeks should be

Answer 31

15,000-200,000

Question 32

birth rate

Answer 32

the number of live births per 1000 population

Question 33

birth

Answer 33

complete expulsion >20wks and >500g

Question 34

fertility rate

Answer 34

number of live births per 1000 females aged 15-44

Question 35

live birth

Answer 35

used to record a birth when fetus breaths, had any cardiac activity, or volumntary movement

Question 36

still birth/fetal death

Answer 36

absence of signs of life at or after birth

Question 37

early infant death

Answer 37

death during the first 7 days of life.

Question 38

late infant death

Answer 38

death after 7 days but before 29

Question 39

abortus/abortion

Answer 39

fetus expelled before 20 weeks or >500g

Question 40

maternal mortality ratio

Answer 40

the number of maternal deaths resulting from reproductive causes per 100,000 live births

Question 41

term pregnancy

Answer 41

37 completed weeks to 42 completed weeks

Question 42

preterm

Answer 42

fetus born before 37 completed weeks

Question 43

postterm

Answer 43

baby born after 42 completed weeks

Question 44

specificity

Answer 44

negatives, rules out

Question 45

sensitivity

Answer 45

positives, rules in

Question 46

naegeles rule

Answer 46

minus 3 months add 7 days

Question 47

fetal deaths within ____week of antenatal survallence is rare

Answer 47

1

Question 48

nulligravida

Answer 48

not pregnant, never has been

Question 49

nullipara

Answer 49

never completed pregnancy > 20 weeks

Question 50

when is CVS usually obtained

Answer 50

12 weeks

Question 51

when is amniopcentesis perfomed for diagnosis of genetic anomalies?

Answer 51

20weeks