OB/Maternity

Question 1

first trimester = weeks ____ to _____

Answer 1

1, 13

Question 2

positive signs of pregnancy
fetal heartbeat at \_\_\_\_ to \_\_\_\_ weeks with \_\_\_\_\_\_
\_\_\_\_ movement
fetoscope: \_\_\_ to \_\_\_ weeks
sonogram or \_\_\_\_\_\_\_\_

Answer 2

10, 12, doppler
fetal
17, 20
ultrasound

Question 3

G/P and TPAL
\_\_\_\_\_ = # of pregnancies
\_\_\_\_\_ = # of pregnancies with fetus reaching 20 weeks
T = 
P =
A =
L =
A 20 week baby is not \_\_\_\_\_\_

Answer 3

gravidity
parity
term
preterm
abortion
living
viable

Question 4

add _____ calories/day _____ first trimester
expect to gain ____ pounds in the first ______
_____ mcg of folic acid daily to prevent ______ defects
don’t let HR exceed ______ because above 140, uterine ______ drops which means _____ high impact exercise; _____ or _____ are best
overheating can lead to birth ______ d/t increased body temp

Answer 4

300, after
4, trimester
400, neural tube
140
perfusion
defects

Question 5

tell client do do what before ultrasound? ____ to _____ the bladder

Answer 5

drink water, distend

Question 6

primary healthcare provider visit schedule
up to 28 weeks: ______
28-36 weeks: _____
36 weeks until delivery: _____

Answer 6

once a month
every two weeks
weekly

Question 7

expected weight gain in second trimester is _____ pound per week

Answer 7

1

Question 8

fetal HR should be ____ to _____ in 2nd trimester

Answer 8

120, 160

Question 9

FHR key
120-160 = _____
____-____ = worried & watching
less than _____ = PANIC

Answer 9

normal
110-120
110

Question 10

Third trimester weight gain no more than _____ pound per week
report any increase in ______
_____ maneuvers done to determine fetal position
always obtain _______ after membranes rupture
when membranes rupture, worried about _______

Answer 10

1

BP
Leopold
FHR
prolapsed cord (priority over infection)

Question 11

Biophysical Profile
8-10 is a ____ score
usually done in the _____ trimester

Answer 11

good

last

Question 12

Oxytocin Challenge Test is done if ______ is non-reactive
determines if baby can handle the stress of a _______
we want to see _____ late decelerations
want the test to be ______ = NO ____ decelerations
test not usually performed before ____ weeks

Answer 12

NST
contraction
ZERO
NEGATIVE, late
28

Question 13

Decelerations:
V \_\_\_\_\_ = C \_\_\_\_\_\_
E \_\_\_\_\_ = H \_\_\_\_\_\_
A \_\_\_\_\_ = O \_\_\_\_\_\_
L \_\_\_\_\_ = P \_\_\_\_\_\_

Answer 13

variable = cord compression
early = head compression (benign)
accelerations = okay
late = placental insufficiency

Question 14

True vs. False Labor
Contractions are regular in _____ and irregular in _____
frequency and duration of contractions ______ in true
discomfort in abdomen with _____ and in back radiating to abdomen in ____ labor
pain _____ with activity changes in _____ labor

Answer 14

true, false
increases
false
true
decreases, false

Question 15

Epidural given at ______ cm dilation
Usually ______ Headache
Major Complication _______ so monitor ____
alternate position ______ from side to side

Answer 15

3-4
NO
hypotension, BP
hourly

Question 16

If client on Oxytocin/Pitocin _______ leave them
D/C oxytocin if contractions are too ____, contractions last too ______ or there is _____ distress
If you D/C oxytocin, make sure you do not stop ______
Patient should positioned in any way except _____
if late decels occur, do what? _______
ideal contraction rate of 1 every _____ minutes, each lasting ____ seconds

Answer 16

DO NOT
often
long, fetal
fluids
flat
STOP THE INFUSION
2-3
60

Question 17

After delivery, temp may increase to ______ in first ____ hours, BP should be _______, HR may be _______ for _______ days and is common
TACHYCARDIA + _________ = THINK ___________
want the fundus to be _____ (FF) and immediately after birth will be midline, ______ finger breadths below umbilicus, the fundus ________ a few hours after birth
If fundus is boggy, _______ until firm THEN check for _______ distention
fundal height should decrease _____ FB/day

Answer 17

100.4, 4
stable, 50-70
6-10
POSTPARTUM, HEMORRHAGE
firm
2-3
rises
massage
bladder
one

Question 18

Lochia changes
Rubra = \_\_\_\_\_\_ 3-4 \_\_\_\_\_
Serosa = \_\_\_\_\_\_ 4-10 \_\_\_\_\_
Alba = \_\_\_\_\_\_\_ 10-28 \_\_\_\_\_\_
Clots \_\_\_\_\_\_ as long as they are no bigger than a \_\_\_\_\_

Peripad Rule: do not saturate more than ______/hour

teach mom to report foul ______ and _____ changes

Answer 18

dark red, days
pinkish-brown, days
whitish-yellow, days
okay, nickel

ONE

smell, lochia

Question 19

Increase calories by _____/day for breastfeeding mom
clean with _____ water and let _______
8-10 glasses of ______ per day
Not breastfeeding: _____ breasts, chilled cabbage leaves _____ inflammation/engorgement, NO ______ of breasts

Answer 19

500
warm, air dry
fluids
bind
decrease, stimulation

Question 20

Rh issues = when mom is _____ and baby is _____
first baby ______
Coombs tests done on mother (_____) and baby (_____)
when there is an Rh mismatch, frequent ________ to monitor _______ and early ______ when fetus stops ______
RhoGAM given within _______ after birth AND at _____ weeks
RhoGAM also given with any _____ episode like abortion, trauma, ____ pregnancy or amniocentesis

Answer 20

negative, positive
unaffected
indirect, direct
ultrasounds
growth, birth
growing
72, 28

bleeding
ectopic