maternal exam 1 review Flashcards

(32 cards)

1
Q

Nagele’s Rule is used to determine what?

A

estimated delivery date

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

How do you calculate estimated delivery date

A

LMP - 3 months + 7 days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What does Coomb’s test identify

A

Rh incompatibility

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what does a direct coomb’s test look for?

A

maternal Rh antibodies in fetal cord (goes directly to the source)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What does an indirect coomb’s test look for?

A

Rh antibodies in maternal blood

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what is given to prevent Rh incompatibility?

A

Rhogam

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what is RhoGAM

A

ready made immunoglobulin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Rh(0) is?

A

RhoGAM

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

condition in which large amounts of fluid build up in a baby’s tissues and organs, causing extensive swelling is called

A

hydrops fetalis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what causes hydrops fetalis

A

Rh incompatability

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what gloves should be used on pt w/ placenta previa

A

sterile gloves

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what lab should be obtained for any pt w/ bleeding issue

A

CBC

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what measures amount of surfacant in baby

A

l/s ratio

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

non painful vaginal bleeding can be an indication of what preg complication

A

placenta previa

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

painful vaginal bleeding can be an indication of what preg complication

A

abruptio placentae

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

how many times should fetus move in 12 hrs

17
Q

what preg complication increases risk of type 2 dm after pregnancy

A

gestational dm

18
Q

frequent yeast infections can cause what preg complication

A

gestational dm

19
Q

what oral hypoglycemic is given for preg pts with headaches

20
Q

why is glyburide given to preg pts instead of other oral hypoglycemics?

A

other hypoglycemics are teratogenic

21
Q

if oral glucose test is over 130 what should you do

A

redo test after pt has a 3 hr fast

22
Q

what do 2 abnormal oral glucose tests indicate

A

gestational dm

23
Q

HbA1c results over 10% indicate a high risk of what

A

congenital anomalies

24
Q

what effect does insulin have on potassium

A

it lowers potassium

25
what should you monitor when giving insulin to pt
potassium lvls
26
when does gestational dm appear during preg
by 20 weeks
27
is a primigravida pt that is 27 y/o at risk for gestational htn?
no only pts with age extremes
28
what are age extremes?
younger than 18 and older than 40
29
is protein deficiency a risk for gestational htn
yes
30
what happens to eclampsia pt if they go into a coma
hemolysis of blood cells elevated liver enzymes low platelets syndrome
31
what is the last resort treatment for eclampsia pt
deliver baby
32
surgery to remove fallopian tubes is called
salpingectomy