Exam 1

Question 1

Outer layer. Turns into skin, nervous system, and other external parts of the body.

Answer 1

Ectoderm

Question 2

Middle layer. Turns into the circulatory system, urinary and reproductive organs, muscles, and bones.

Answer 2

Mesoderm

Question 3

Inner layer. Turns into the thymus, thyroid, digestive, respiratory, and parts of the GU system.

Answer 3

Endoderm

Question 4

Breast changes, uterine enlargement, amenorrhea, nausea and vomiting, urinary frequency, fatigue, and quickening.

Answer 4

Presumptive signs of pregnancy

Question 5

Goodell Sign (softening of the cervix), Chadwick’s Sign (purple cervix), Hegar’s Sign (softening of lower uterus), positive pregnancy test (serum and urine), Braxton Hicks contractions, ballottement, fetal outline.

Answer 5

Probable signs of pregnancy

Question 6

Visualization of fetus in ultrasound, fetal heart tone detected in ultrasound, visualization of fetus in radiographic study, fetal heart tone detected by Doppler ultrasound stethoscope and fetal stethoscope, and fetal movements palpated and visible.

Answer 6

Positive signs of pregnancy

Question 7

Week 1-13

Answer 7

1st trimester

Question 8

Week 14-27

Answer 8

2nd trimester

Question 9

Week 28-40

Answer 9

3rd trimester

Question 10

Azithromycin

Answer 10

Chlamydia treatment

Question 11

Ceftriaxone

Answer 11

Gonorrhea treatment

Question 12

Penicillin

Answer 12

Syphilis treatment

Question 13

Abdominal ultrasound that measures fetal breathing movements, gross body movements, fetal tone, amniotic fluid index, and NST results.

Answer 13

Biophysical profile (BPP)

Question 14

Placenta previa, vasa previa, preterm labor, multiple gestation, previous classical incision, and reduced cervical competence

Answer 14

Contraindications for contraction stress test (CST)

Question 15

Ultrasound guided needle through the abdomen and uterus to obtain a sample of amniotic fluid, assess fetal lung maturity, alpha-fetoprotein (screens for neutral tube defects).

Answer 15

Amniocentesis

Question 16

Draws placenta blood, performed at 10-13 weeks. Done by inserting a sterile syringe and needle through the abdomen or vagina under ultrasound guidance.

Answer 16

Chorionic villus sampling (CVS)

Question 17

Done by inserting a ultrasound guided needle into the abdomen and into the umbilical cord vein, performed after 18 weeks of gestation, can also be used for fetal blood transfusions in utero.

Answer 17

Percutaneous umbilical blood sampling (PUBS)

Question 18

Maternal serum test performed at 15-20 weeks gestation. Elevated levels are associated with neural tube defects. Used as a screening tool ONLY.

Answer 18

Maternal serum alpha fetoprotein

Question 19

Maternal blood test done to see if mother has developed antibodies against baby’s blood (Rh). Also screens for risk of hemolytic anemia of fetus.

Answer 19

Indirect Coomb’s test

Question 20

Fetal monitoring for 20-30 minutes.
Reactive: accelerations 2x or more in the fetal heart rate within the testing time.
Nonreactive: call provider immediately.

Answer 20

Nonstress test

Question 21

Asymptomatic

Answer 21

Class I of cardiovascular disease in pregnant women

Question 22

Symptomatic with slight activity limitations

Answer 22

Class II of cardiovascular disease in pregnant women

Question 23

Symptomatic with marked activity limitations

Answer 23

Class III of cardiovascular disease in pregnant women

Question 24

Symptomatic and unable to carry out any activity

Answer 24

Class IV of cardiovascular disease in pregnant women

Question 25

Hemolysis, Elevated Liver enzymes, Low Platelets. More common in white women.

Answer 25

HELLP Syndrome