Final Ob3

Question 1

When do we do amniocentesis to assess for chromosomal abnormalities?

Answer 1

Amniocentesis is done to assess for chromosomal abnormalities when indicated.

Question 2

What is the AFP test and when is it done?

Answer 2

The AFP test is done at 16-18 weeks. If levels are high, it indicates a neural tube defect; if levels are low, it indicates Down syndrome.

Question 3

What are the RH Rhogam rules?

Answer 3

Rhogam is given to Rh-negative mothers to prevent Rh incompatibility.

Question 4

How many times is Rhogam given during pregnancy?

Answer 4

Rhogam is typically given twice during pregnancy.

Question 5

What is less than 500 ml of amniotic fluid called?

Answer 5

Oligohydramnios.

Question 6

What can persistent vomiting lead to?

Answer 6

Persistent vomiting can lead to dehydration, electrolyte imbalance, and weight loss.

Question 7

What is the normal temperature of a pregnant woman?

Answer 7

The normal temperature of a pregnant woman is typically around 98.6°F (37°C).

Question 8

What are complications of amniocentesis?

Answer 8

Complications can include infection, leakage of amniotic fluid, and miscarriage.

Question 9

What fluids do we run with TPN?

Answer 9

TPN is typically run with dextrose and electrolytes.

Question 10

How many pads is normal after an abortion?

Answer 10

It is normal to use 1-2 pads per day after an abortion.

Question 11

How often do we change the pad after an abortion?

Answer 11

Pads should be changed every 4-6 hours or as needed.

Question 12

What is the classic sign of ectopic pregnancy?

Answer 12

The classic sign of ectopic pregnancy is unilateral abdominal pain.

Question 13

How many liters of water should you drink before an ultrasound in the first trimester?

Answer 13

You should drink 1-2 liters of water before the ultrasound.

Question 14

What is the drug of choice for ectopic pregnancy?

Answer 14

Methotrexate is the drug of choice for ectopic pregnancy.

Question 15

What is the biggest risk with a pregnancy mole (throboblast)?

Answer 15

The biggest risk is the potential for choriocarcinoma. Teach the patient about monitoring hCG levels.

Question 16

What is placenta previa?

Answer 16

Placenta previa is when the placenta covers the cervix. The blood will be bright red, there will be no pain, and the abdomen will be soft.

Question 17

If someone has total placenta previa, what will have to be done?

Answer 17

A cesarean section will be necessary.

Question 18

What is placenta abrupto?

Answer 18

Placenta abrupto is the premature separation of the placenta. The blood will be dark red, there will be pain, and the abdomen will be hard.

Question 19

What three symptoms are needed for PIH?

Answer 19

The three symptoms are hypertension, proteinuria, and edema.

Question 20

What medication is used for preeclampsia to treat hypertension?

Answer 20

Labetalol is commonly used to treat hypertension in preeclampsia.

Question 21

What are the increases in BP needed to diagnose preeclampsia?

Answer 21

Blood pressure must increase to 140/90 mmHg or higher.

Question 22

What does HELLP stand for?

Answer 22

HELLP stands for Hemolysis, Elevated Liver enzymes, and Low Platelets.

Question 23

When do the lungs mature in the fetus?

Answer 23

The lungs mature around 34-36 weeks of gestation.

Question 24

If the baby is below 34 weeks, what should you give prior to removal from preeclampsia?

Answer 24

Steroids should be given 2 times.

Question 25

What is the therapeutic range for magnesium sulfate?

Answer 25

The therapeutic range for magnesium sulfate is 4-7 mg/dL.

Question 26

What are signs of magnesium sulfate toxicity?

Answer 26

Signs of toxicity include respiratory depression, decreased reflexes, and cardiac arrest.

Question 27

What are two uses for magnesium?

Answer 27

Magnesium is used for seizure prevention in preeclampsia and for tocolysis.

Question 28

How often do we test magnesium levels?

Answer 28

Magnesium levels should be tested every 6 hours.

Question 29

What is the antidote for magnesium sulfate?

Answer 29

Calcium gluconate is the antidote for magnesium sulfate.

Question 30

Why do we give magnesium sulfate in someone with severe preeclampsia?

Answer 30

Magnesium sulfate is given to prevent seizures.

Question 31

What two medications are used to lower blood pressure?

Answer 31

Labetalol and hydralazine are used to lower blood pressure.

Question 32

What condition should you not give labetalol?

Answer 32

Labetalol should not be given to patients with asthma.

Question 33

What pre-existing medical condition has the highest risk in pregnancy?

Answer 33

Diabetes has the highest risk in pregnancy.

Question 34

What is a normal weight for a baby at birth?

Answer 34

A normal weight for a baby at birth is 5.5 to 8.8 pounds.

Question 35

Anything above 9 pounds in a baby is called what?

Answer 35

Macrosomia.

Question 36

What is the normal blood sugar in a baby?

Answer 36

The normal blood sugar in a baby is 40-60 mg/dL.

Question 37

Rubella should be given postpartum if the titer is what ratio?

Answer 37

Rubella should be given if the titer is less than 1:8.

Question 38

What is the drug of choice for HIV in pregnancy?

Answer 38

Zidovudine is the drug of choice for HIV in pregnancy.

Question 39

Can a mother with HIV breastfeed a baby?

Answer 39

No, a mother with HIV should not breastfeed.

Question 40

What are 3 complications of Group B strep (GBS)?

Answer 40

Complications include sepsis, pneumonia, and meningitis.

Question 41

What is GBS treated with?

Answer 41

GBS is treated with intravenous antibiotics during labor.

Question 42

Anytime membranes rupture, what is the first thing you should do?

Answer 42

Check fetal heart rate.

Question 43

How many fetal movements do you want?

Answer 43

You want to feel at least 10 fetal movements in 2 hours.

Question 44

When should you notify the RN about contractions?

Answer 44

Notify the RN if contractions are regular, last longer than 1 minute, or occur more frequently than every 5 minutes.

Question 45

A contraction should never last longer than what?

Answer 45

A contraction should never last longer than 90 seconds.

Question 46

How long should contractions be?

Answer 46

Contractions should last 30-60 seconds.

Question 47

How long for the posterior fontanelle to close?

Answer 47

The posterior fontanelle typically closes by 2-3 months.

Question 48

How long for the anterior fontanelle to close?

Answer 48

The anterior fontanelle typically closes by 12-18 months.

Question 49

How to confirm ruptured membranes?

Answer 49

Ruptured membranes can be confirmed by a nitrazine test or visualization of amniotic fluid.

Question 50

What are the 3 hormones of pregnancy?

Answer 50

The three hormones are hCG, progesterone, and estrogen.