Ob Test

Question 1

Hyperemesis Gravidum s/s

Answer 1

Persistent emesis, significant weight loss, dehydration, electrolyte Imbalance

Question 2

Ectopic pregnancy

Answer 2

Implanted ovum is outside the uterine cavity, 95% occur in Fallopian tubes

Question 3

Treatment for an incompetent cervix

Answer 3

Cerclage- suturing the cervix.

Question 4

Hydatidiform mole

Answer 4

Molar pregnancy

Question 5

Placenta prévia

Answer 5

Placenta developed in lower uterine segment rather than the upper.

Question 6

Types of placenta previa

Answer 6

Marginal, partial or total

Question 7

Abruptio placrntae

Answer 7

Premature separation of placenta

Question 8

Abruptio placentae s/s

Answer 8

Lower back pain, dark vaginal bleeding

Question 9

Gestational HTN was known as what

Answer 9

Formally known as eclampsia

Question 10

Gestational htn s/s

Answer 10

Edema, vision changes, seizures

Question 11

Hellp syndrome letters stand for?

Answer 11

hemolysis (breakdown of RBC), elevated liver enzymes, low platelets

Question 12

Treatment for gestational diabetes is what and why?

Answer 12

Insulin. Because insulin doesn’t cross through the placenta.

Question 13

Gestational diabetes risk factors

Answer 13

Macrosomia (infant greater than 9.9 lbs) , excessive amniotic fluid (polydramnios)

Question 14

Torch infection

Answer 14

Toxoplasmosis- non viral
Rubella- viral
Cytomegalovirus- viral
Herpes type 2- infection becomes dormant in nerves

Question 15

Two types of dysfunctional labor

Answer 15

Hypotonic- contractions are too weak to be effective

Hypertonic- frequent, poorly coordinated contractions

Question 16

Precipitate birth happens in how long

Answer 16

3 hours or less

Question 17

PROM

Answer 17

Premature rupture of membranes

Question 18

Test for PROM

Answer 18

Fern test- nitrogen paper turns blue for positive . A fern like pattern is seen under a microscope

Question 19

Characteristics of what happens after uterine rupture

Answer 19

Shock- abdominal pain , pain between scapula with inspirations, abnormal or absent fetal tones

Question 20

Amniotic fluid embolism

Answer 20

Abrupt onset of hypotension, respiratory distress and coagulation abnormalities

Question 21

Uterine atony

Answer 21

Lack of muscle tone , descending rate of uterus

Question 22

Sub-involution

Answer 22

Slower than expected return of the uterus to its non pregnancy condition.

Question 23

Sub-involution s/s

Answer 23

Fundal height greater than expected, persistent lochia rubra, pelvic pain and fatigue

Question 24

What are the four degrees of laceration

Answer 24

First Degree: superficial injury to the vaginal mucosa that may involve the perineal skin.

Second Degree: first-degree laceration involving the vaginal mucosa and perineal body.

Third Degree: second-degree but with anal sphincter involvement

fourth Degree: extends through anal sphincter into rectal mucosa- requires surgical repair

Question 25

Treatment for mastitis

Answer 25

Antibiotics
Removal of milk
Mild analgesics
Heat promotes blood flow

Question 26

Postpartum depression s/s

Answer 26

Lack of enjoyment, disinterest, loss of mental concentration, disturbed sleep