CNM Varney's Review Book Part B Flashcards Preview

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Flashcards in CNM Varney's Review Book Part B Deck (110)
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1

Measurement of abdominal girth in a woman of average size is a helpful adjunct to fundal heaight in dx of what?

polyhydramnios

2

in a face presentation, which of the following will be the cephalic prominence that is palpable during the fourth leopold's maneuver?

occiput

3

which is the cephalic prominence that is palpable during the fourth Leopold's maneuver in well-flexed cephalic presentation

sinciput (front of skull from forehead to crown)

4

if you feel cephalic prominence on same side as fetal parts, is indicative of ?

vertex presentation

5

if both hands simultaneously encounter a hard mass that is equally prominent on both sides, indicates what?

sinciput/military presentation

6

pelvis is comprised of how many bones?

four (innominate x 2, sacrum, coccyx)

7

which diameter of pelvic inlet can be measured clinically?

diagonal conjugate

8

what is the plane of least dimensions?

midplane

9

minimal measurement of the angle of the pubic arch that determines adequacy of pelvic outlet

90 degrees

10

pelvimetry reveals:
inlet: oval with forepelvis more narrow than posterior pelvis; A--P diameter much larger than transverse diameter
sacrum: flat, long and posteriorly inclined
sacrosciatic notch: wide
sidewalls: somewhat convergent
ischial spines: prominent but not encroaching
pubic arch: slightly narrow:

The book says anthropoid, but I swear it's supposed to be android.

11

least common pelvic shape among women?

platypelloid

12

anthropoid pelvises are most associated with what labor problem?

posterior position of the fetus

13

what is the shortest A-P diameter of the pelvis?

obstetrical conjugate

14

woman at 39 wks GA, 5'3", now weighs 138 lb. Prepregnancy 115 lb. How do you categorize total pregnancy weight gain?

insufficient

15

weight gain advised with BMI <18.5

28-40 lb
2.2-6.6 lbs first trimester
1 lb/wk in second & third trimesters

16

weight gain advised BMI 18.6-24.9

25-35 lb
2.2-6.6 lb first trimester
1 lb/wk in second & third trimesters

17

weight gain advised BMI 25-29.9

15-25 lb
2.2-6.6 lbs first trimester
0.6 lb/wk in second & third trimesters

18

weight gain advised BMI >30

11-20 lb
1.1-4.4 lb in first trimester
0.5 lb/wk in second and third trimesters

19

mitosis

form of nuclear division of cells which already have a set arrangement of chromosomes

20

meiosis

rearrangement of the sets of chromosomes before division

21

convert kg to lb

1 kg = 2.2 lb

22

which is the least likely to affect a newborn's birth weight?
maternal parity, maternal prepreg weight, maternal height, GA

maternal height

23

head-sparing IUGR is most likely due to what?

uteroplacental insufficiency

24

what is the optimal birth weight range in grams?

3500-3999 gm

25

RDA for calories and protein for pregnant women?

2500 calories, 60 gm protein

26

RDA calcium during pregnancy?

1200 mg

27

appropriate amt of vit C supplementation during pregnancy?

250 mg

28

which is a source of complete protein?
tofu, green peas, peanut butter, lentils

tofu (cited by Livestrong.com)
lentils (when sprouted)

29

at what GA is it important to reevaluate a client's nutrition to ensure adequat diet during the peak in cellular growth of the fetal brain?

28 weeks

30

The Higgins Intervention Methodology for determineng weight requirements uses what to determine calorie and protein intake?

ideal body weight and individual activity level