Lecture ten- OB

Question 1

Naegeles rule

Answer 1

1st day of last menstrual period + 7 days - 3 months

Question 2

in the 1st trimester mom should gain

Answer 2

1lb per month; 3lbs total

Question 3

in the 2nd & 3rd trimester mom should gain

Answer 3

1lb per week

Question 4

how to calculate ideal weight of mom

Answer 4

take week of gestation and - 9

Question 5

the fundus is not palpable until

Answer 5

wk12 after 1st tri

Question 6

the fundus should be at the umbilicus at

Answer 6

20-22wks

Question 7

date of viability is between

Answer 7

22-24wks

Question 8

positive signs of pregnancy

Answer 8

fetal skeleton on xray
fetal presence on ultrasound
auscultation of FHR (8-12wks)
examiner palpates fetal movement

Question 9

Norm FHR

Answer 9

140bpm

Question 10

a pos pregnancy test is not a pos sign of

Answer 10

pregnancy

Question 11

probable signs of pregnancy

Answer 11

urine/blood tests

Question 12

chadwicks sign

Answer 12

darkening/bluing of cervix

Question 13

goodells sign

Answer 13

softening of cervix

Question 14

hegars sign

Answer 14

softening of uterus

Question 15

chadwicks, goodell, hegar signs in order of occurrence

Answer 15

chadwick
goodells
hegar

Question 16

mom should visit ob __ times a month until wk 28

Answer 16

one time

Question 17

after week 28 mom should visit every

Answer 17

2wks until 36

Question 18

after 36 wks mom should visit

Answer 18

every week until delivery or 42wks

Question 19

hgb in pregnancy

Answer 19

will drop; due to decreased cardiac output

norm:12-16

Question 20

1st tri hgb

Answer 20

11 norm

Question 21

2nd tri hgb

Answer 21

10.5 norm

Question 22

3rd tri hgb

Answer 22

10 norm

Question 23

1st tri discomforts

Answer 23

morning sickness, urinary incontinence, difficulty breathing

Question 24

2nd tri discomforts

Answer 24

back pain

Question 25

back pain ix

Answer 25

pelvic tilt or foot on stool

Question 26

3rd tri discomforts

Answer 26

urinary incontinence, difficulty breathing, back pain

Question 27

truest sign a woman is in labor

Answer 27

onset of regular progressive contractions

Question 28

ischeal spines

Answer 28

sm narrowest part of pelvis if bby doesnt fit no vag delivery

Question 29

fetal lie

Answer 29

the relationship between the spine of mom and the spine of baby

Question 30

ideal fetal lie

Answer 30

vertical

Question 31

bad fetal lie

Answer 31

transverse & perpendicular

Question 32

fetal presentation

Answer 32

part of baby entering canal first

Question 33

ideal fetal presentation

Answer 33

ROA, LOA | occiput anterior

Question 34

4 stages of labor

Answer 34

Stage1;labor; 3 phases Stage2;delivery of baby Stage3;delivery of placenta Stage4;recovery (2hrs)

Question 35

1st stage of labor; 3 phases

Answer 35

latent: 0-4cm; contractions 5-30min apart, 15-30sec, mild active: control pain; 5-7cm, 3-5min apart, 30-60sec, moderate transition: 8-10cm; check dilation, aid in breathing, pain mngmt; 2-3min apart, 60-90sec, strong

Question 36

purpose of contractions in the 1st stage of labor

Answer 36

dilate and efface cervix

Question 37

2nd stage of labor

Answer 37

push bby out

Question 38

3rd stage of labor

Answer 38

push placenta out

Question 39

4th stage of labor

Answer 39

stop bleeding

Question 40

postpartum technically starts

Answer 40

2hrs q placenta

Question 41

contractions should not be longer than __ sec and closer than every __ min

Answer 41

90 sec, 2 min

Question 42

contractions longer than 90sec and closer than every 2 min are signs of

Answer 42

uterine tetany and hyperstim

Question 43

contraction frequency

Answer 43

beginning of one contraction to the beg of next

Question 44

contraction duration

Answer 44

length of one contraction

Question 45

contraction intensity

Answer 45

strength of contraction

Question 46

painful back labor is __ priority

Answer 46

low priority

Question 47

painful back labor Ix

Answer 47

position mom in knee chest on all fours, push into moms sacrum to relieve pain

Question 48

prolapsed cord is __ prioriy

Answer 48

high

Question 49

prolapsed cord Ix

Answer 49

push head back in, position knees to chest until csec

Question 50

Ix for all other pregnancy/labor complications LION

Answer 50

Left side Increase iv Oxygen Notify dr

Question 51

do not administer pain meds to a mom in labor if the baby is likely to be born when

Answer 51

the med peaks