Exam 1

Question 1

good indicator of transition phase

Answer 1

• urge to have bowel movement
• vomit
• pt wants to give up

Question 2

indication of placental separation

Answer 2

• umbilical cord lengthens
• gush of dark blood
• fundus firm upon palpation (uterus ctx)

Question 3

presumptive signs (7)

Answer 3

•amenorrhea
•fatigue
•N/V
•urinary frequency
•breast changes
•quickening
•uterine enlargement
*subjective

Question 4

probable signs (7)

Answer 4

•abdominal enlargement
•Hegar's sign
•Goodell's sign
•ballottement
•Braxton hicks
•positive preggo test
•fetal outline palpated 
*objective

Question 5

positive sign (3)

Answer 5

• FHT
• U/S visualization of fetus
• fetal movement palpated by examiner

Question 6

complications r/t breathing

Answer 6

• dry mouth

* resp. alkalosis

Question 7

visceral pain

Answer 7

• slow deep pain
• cervical dilation in 1st stage AND after pain
• “everywhere” in lower abdomen
• tx w/ epidural

Question 8

somatic pain

Answer 8

•localized, intense, sharp
•2nd stage- descent of fetal head
•perineal tearing 
•"burning"
*this part can't be controlled w/ epidural

Question 9

spinal block

Answer 9

•quicker than epidural for C/S
•hypotension/HA likely
•quick onset, short duration
*never used for vaginal birth

Question 10

variable deceleration tx (4)

Answer 10

• vag exam to r/o cord prolapse
• reposition mom
• O2 @ 40% w/ mask
• stop Pitocin

Question 11

late deceleration tx (5)

Answer 11

• turn mom to left side
• correct hypotension w/ IVF bolus
• stop/decrease Pitocin
• stop ctx w/ tocolytic drugs (Brethine)
• O2 at 40% w/ mask

Question 12

when to r/o cord prolapse

Answer 12

• variable deceleration

* ROM

Question 13

normal labor complete…

Answer 13

•w/in 18 hrs

Question 14

1st/3rd trimester lowest acceptable H&H

Answer 14

• 33%

* 11

Question 15

2nd trimester lowest acceptable H&H

Answer 15

• 32%

* 10.5

Question 16

hCG detected…

Answer 16

• 7-10 days
• higher levels if multiple fetuses
• lower levels if miscarriage

Question 17

frequency ctx measured in…

Answer 17

•min

Question 18

duration ctx measured in…

Answer 18

•sec

Question 19

para

Answer 19

• # of pregnancies reaching 20 wks GA

* viable fetus

Question 20

term

Answer 20

•deliveries at 38-42 wks

Question 21

preterm

Answer 21

•deliveries prior to 37 wks and after 20 wks

Question 22

post-term

Answer 22

• > 42 wks GA

Question 23

pregnancy after twins

Answer 23

• G2
• T1
• P0
• A0
• L2

Question 24

underweight BMI & weight gain

Answer 24

• <18.4

* should gain 27-40 lbs

Question 25

normal weight BMI and weight gain

Answer 25

* 18.5-24.9 | * should gain 25-35 lbs

Question 26

overweight BMI and weight gain

Answer 26

* 25-29.9 | * should gain 15-25 lbs

Question 27

obese BMI and weight gain

Answer 27

* >30 | * minimal gain (as much as fetus)

Question 28

when is fist missed period

Answer 28

•3 weeks gestation

Question 29

when does fetal heart start beating

Answer 29

•17-18 days

Question 30

when does quickening first appear

Answer 30

•16-20 weeks | *also best time for U/S

Question 31

minimum GA for possible viability if born

Answer 31

•23-24 weeks

Question 32

minimum GA for good survival chances

Answer 32

•28 weeks

Question 33

when does fundus height start increasing by 1 cm/wk

Answer 33

* after 20 cm | * once reaches umbilicus

Question 34

how to rule out getting mom HB instead of fetus

Answer 34

•take mom radial pulse or attach pulse ox

Question 35

ptyalism

Answer 35

•excessive secretion of saliva

Question 36

length of pregnancy

Answer 36

``` •280 days (40 wks) •3 trimesters 1. 1-13.9 wks 2. 14-26.9 wks 3. 27-40 wks ```

Question 37

frequency 1st/2nd trimester visits

Answer 37

•q 4 weeks

Question 38

frequency 3rd trimester visits

Answer 38

* q 2 weeks until week 36 | * q week 36-delivery

Question 39

when is L/S ratio obtained

Answer 39

•29-32 weeks

Question 40

when can baby hear

Answer 40

* 24 weeks | * 2nd trimester

Question 41

when is GDM screening

Answer 41

* 24-28 weeks | * 2nd trimester

Question 42

when is GBS screening

Answer 42

* 34-36 weeks | * 3rd trimester

Question 43

when is Rhogam admin

Answer 43

* 28 weeks | * 2nd trimester

Question 44

when does baby lightening occur

Answer 44

* 38-40 weeks * 3rd trimester * pressure/breathing relief for mom

Question 45

latent phase characteristics

Answer 45

* 1-3 cm dilation * ctx q 5-30 min * ctx last 30-45 sec * 6-8 hr duration

Question 46

active phase characteristics

Answer 46

* 4-7 cm dilaiton * ctx q 3-5 min * ctx last 40-70 sec * 3-6 hr duration

Question 47

transition phase characteristics

Answer 47

* 8-10 cm dilation * ctx q 2-3 min * ctx last 45-90 sec * 20-40 min duration

Question 48

2nd stage characteristics

Answer 48

* 10 cm dilaiton * ctx q 1-2 min * ctx last 60-70 sec * duration 30-120 min