Flashcards in ACNM Review Session Deck (84)
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1
Pyrosis is caused by
Reflux of the acidic secretions into lower esophagus
2
a function of progesterone in pregnancy is to
suppress maternal immunologic response to fetal antigens
3
the softness and compressibility of the uterine isthmus is called
Heagar's sign
4
the disproportion of erythrocytes to plasma results in which type of anemia
physiologic anemia
5
the end of the eight postferilization week also marks the end of which period
embryonic period
6
oxygenated blood enters the placental intervillous space by way of the
spiral arteries
7
this pelvis type has an inlet which is characteristically oval with an AP diameter much larger then the transverse diameter
anthropoid
8
Naegele's rule is calculated by
first day of LMP minus 3 months,plus 7 days
9
CVS testing screens for all the following EXCEPT
neutral tube defects
10
women who do a lot of gardening are at an increased risk for
toxoplasmosis
11
Auscultation with a fetoscope should be possible at which gestion
18-20 weeks
12
exercise in pregnancy may help to prevent/treat which condition
gestational diabetes
13
when is the fetus seen as a separate object it's own identity
third trimester
14
a 25 yo G2P0101 at 8 weeks gestation reports her first baby was born at 33 weeks after going into spontaneous labor. what should she be offered
progesterone injections
15
a 36 yo at 36 weeks gestation reports having young some moderate bright red vaginal bleeding. Which is the best method to asses the bleeding
sterile speculum exam to evaluate at cervical os
16
a 33 yo G2P1001 at 34 weeks gestation is at her routine prenatal visit. her internal history to date has been bening. today her fundal height is measuring 31 cm. which is the best action at this visit
order an an abdominal ultrasound
17
what best describes growth of the uterus in the 2nd half of pregnancy
hypertrophy results in increased oxygen receptors and expression of those receptors
18
which medications will relax the uterus
calcium channel blockers, beta agonists, magnesium suflate
19
terutaline
is contraindicated beyond 48-72 hours of use for treatment of PTL
20
what is true concerning induction of labor
safety issues are a concern with elective induction prior to 39 completed weeks
21
what hormone initiates labor
prostaglandins
22
what may prevent a successful IOL for jennifer
nulliparity and unfavorable cervix
23
what is your treatment approach for GBS in this situation
obtain a GBS culture. start antibiotics. if the culture is negative, you may discontinue antibiotic prophylaxis
24
what is the appropriate treatment regimen
start vancomycin 1 g IV q 12 hours until delivery
25
engagement in cephalic presentation
involves the widest portion of the presenting part
26
what is the result of flexion
the presenting diameter changes from occipitofrontal to sboccipiotbregmatic
27
how would you appropriately monitor this patient
intermittent auscultation is acceptable
28
how frequently and when will you auscultation Cindy's FHR
Q 15-30 minutes, before and after interventions
29
what is true about electronic teal monitoring (EFM) and FHR patterns in a low-risk labor
reassuring FHR patterns indicate normal fetal acid-base balance
30
