MCN Flashcards

1
Q

Hormone of pregnancy

A

progesterone

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2
Q

Primary cause of morning sickness

A

Inc HCG

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3
Q

Management for morning sickness

A

crackers

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4
Q

Cause of breast enlargement in pregnant women

A

inc estrogen

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5
Q

Return of menses in breastfeeding mothers?

A

6 mons

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6
Q

Return of menses in non breastfeeding mothers?

A

2-3 mons

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7
Q

Cause of amenorrhea in pregnant mothers

A

inc progesterone (mainly) and inc estrogen

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8
Q

Cause of easy fatigability of the pregnant mother

A

Dec RBC (iron-def anemia)

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9
Q

Iron deposits in the baby’s liver lasts for how long?

A

6 mons

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10
Q

Rationale for the principle of introducing 1 food per week to the infant

A

to assess for allergy

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11
Q

Secondary hormone that causes morning sickness

A

estrogen

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12
Q

Inc HCG is caused by which organ

A

placenta

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13
Q

First food to introduce to the infant

A

cereals

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14
Q

No. 1 sign of food allergy in infants

A

diarrhea

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15
Q

Trimester in which urinary frequency is not normal

A

2nd

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16
Q

exercise to strengthen perineal muscles

A

kegel’s exercise

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17
Q

confirmatory diagnostic test for H. Mole

A

UTZ

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18
Q

Cause of urinary frequency

A

compression of the bladder

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19
Q

onset of quickening in a primi patient

A

5th month

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20
Q

onset of quickening in a multi patient

A

4th month

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21
Q

Quickening felt by the mother: Presumptive, Probable, Positive?

A

presumptive

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22
Q

Quickening at 2nd Tri

A

-upper body -Moro reflex is (+) –> developed hearing: brain

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23
Q

Site of fertilization

A

Ampulla of the fallopian tube

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24
Q

bluish discoloration of the vagina and cervix

A

Chadwick’s sign

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25
Q

site of BTL

A

isthmus of the fallopian tube

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26
Q

softening of the cervix

A

Goodell’s sign

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27
Q

softening of the uterus

A

Hegar’s sign

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28
Q

site of nidation

A

Uterus (upper) Abnormal: Placenta Previa

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29
Q

Layer of uterus, site of implantation

A

Endometrium Abnormal: Placenta Accreta

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30
Q

Confirmatory diagnostic test for pregnancy

A

UTZ

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31
Q

hormone detected by pregnancy test

A

HCG

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32
Q

location of braxton hicks

A

lower abdomen

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33
Q

hormone causing braxton hicks

A

Estrogen

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34
Q

Best position for transabdominal UTZ

A

dorsal recumbent

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35
Q

Transabdominal UTZ: full or empty bladder?

A

Full bladder: -Give water -2 hr preparation -1000 ml, 4 glasses per 30 mins

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36
Q

Best position for transvaginal UTZ

A

Lithotomy

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37
Q

Transvaginal UTZ: full or empty bladder?

A

empty bladder

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38
Q

Early signs of fetal distress

A

-FHT >160 bpm (tachycardia) -Hyperactivity (>12 FM)

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39
Q

Late signs of fetal distress

A

-FHT <120 bpm (Bradycardia) -Hypoactivity (<10 FM)

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40
Q

side of stethoscope used in assessing FHT

A

bell (low-pitched sounds)

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41
Q

Best position to prevent vena cava syndrome

A

Left side lying

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42
Q

other name for amniotic fluid

A

fetal urine

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43
Q

other name for amniotic sac

A

bag of water

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44
Q

Functions of Amniotic Fluid

A
  1. Protection 2. Thermoregulation 3. Musculo-skeletal development 4. Nutrition 5. Fluid wedge
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45
Q

FHT: Doppler. What month

A

3rd

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46
Q

FHT: Fetoscope. What month

A

4th

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47
Q

FHT: Stethoscope. What month

A

5th

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48
Q

Normal L:S ratio

A

2:1

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49
Q

test done to determine fetal lung maturation

A

amniocentesis

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50
Q

Normal color of amniotic fluid

A

clear straw color/pale yellow

51
Q

test done to differentiate acidic or alkaline fluid

A

nitrazine paper test

52
Q

NPT: Blue

A

Alkaline, A. fluid, (+) RBOW

53
Q

NPT: yellow

A

Acidic, Urine, (-) RBOW

54
Q

DOC to promote fetal lung maturity

A

Betamethasone

55
Q

Color of amniotic fluid: Black

A

Fetal death (1 month)

56
Q

Color of amniotic fluid: Green

A

Meconium staining

57
Q

Color of amniotic fluid: Dark yellow

A

Inc bilirubin -Rh incompatibility

58
Q

Color of amniotic fluid: Red

A

Bleeding -A. placenta (Dark) -P. previa (Bright red)

59
Q

Normal volume of amniotic fluid

A

800-1200 ml

60
Q

Polyhydramnios cause

A

>1,200 ml -Fetus (GI problem) -Ex. Cleft lip/palate

61
Q

Oligohydramnios cause

A

<800 ml -Fetus (Renal problem)

62
Q

Another name for umbilical cord

A

Funis

63
Q

normal length of the cord

A

50-60 cm

64
Q

Bypasses the liver

A

Ductus venosus

65
Q

Bypasses the lungs

A

Ductus arteriosis

66
Q

Drugs that promotes closure of the ductus arteriosus

A

Indomethacin

67
Q

Problem occurring if the fetus has long umbilical cord

A

>60 cm -Cord coil/loop/nuchal cord

68
Q

Problem occurring if the fetus has short umbilical cord

A

Abruptio placenta

69
Q

normal drying of umbilical cord?

A

7-10 days

70
Q

Common cause of wet umbilicus >10 days

A

Omphalitis (cord infection)

71
Q

special element in the umbilical cord that prevents obstruction and acts as lubrication

A

wharton’s jelly

72
Q

Infections that can cross the plancetal barrier

A

TORCH -Toxoplasmosis -Others: Syphilis -Rubella -Cytomegalo virus -Herpes simplex

73
Q

normal amount of cotyledons

A

20-25

74
Q

test done to assess protein in the urine of the pregnant mother

A

Acetic Acid test

75
Q

Early onset of hypertension (1st tri) is suggestive of what disease?

A

H-mole

76
Q

(+) acetic acid test

A

cloudy = proteinuria

77
Q

(-) acetic acid test

A

clear - no proteinuria

78
Q

Triad manifestations of PIH

A

Hypertension Proteinuria Edema

79
Q

Hypertension in pregnancy is considered how much increase from their non-pregnant BP?

A

+30 systolic +15 diastolic

80
Q

Drug of choice for pre-eclampsia

A

Hydralazine

81
Q

Drug of choice for eclampsia

A

Magnesium sulfate

82
Q

Earliest sign of Mg SO4 toxicity

A

Hyporeflexia

83
Q

antidote for magnesium sulfate toxicity

A

calcium gluconate

84
Q

test done to determine presence of glucose in the pregnant mother’s urine

A

benedict’s test

85
Q

Benedict’s test screens risk for what disease?

A

GDM

86
Q

color of benedict’s solution

A

blue

87
Q

+4 Benedict’s

A

Red

88
Q

+2 Benedict’s

A

yellow

89
Q

+3 Benedict’s

A

orange

90
Q

+1 Benedict’s

A

Green

91
Q

Negative Benedict’s

A

Blue

92
Q

Alpha feto protein test is done when?

A

2nd tri: 4-5 months (16-20 wks)

93
Q

Normal range of alpha feto protein

A

38-42 mg/dl

94
Q

<38 AFP

A

Down syndrome

95
Q

>42 AFP

A

neural tube defect

96
Q

Duncan

A

Dirty: maternal Corner to center RF: retained placental fragments

97
Q

Schultz

A

Shiny: fetal Center to corner

98
Q

Fourth stage of labor

A

Recovery/post partum

99
Q

Rubra

A

Red 1-3 days

100
Q

Serosa

A

pink (dec bleeding) 4-7 days

101
Q

Alba

A

white 8-10/14 days

102
Q

Normal blood loss of NSD

A

500 ml -save perineal pads: weigh

103
Q

Normal blood loss of CS

A

1000 ml

104
Q

Immune globulin present in breastmilk

A

IgA! (alaska)

105
Q

Milk code of the Philippines

A

EO 51

106
Q

Exclusive breastfeeding is until?

A

6 months

107
Q

most painful fetal position

A

LOP

108
Q

most common fetal position

A

LOA

109
Q

Normal blood glucose level of neonates

A

40-60 mg/dl

110
Q

Ideal number of children

A

2-3

111
Q

Ideal child spacing

A

3-5 years

112
Q

Lifespan of a sperm

A

72 hours (3-5 days)

113
Q
A
114
Q

pH of semen

A

7-8 (alkaline)

115
Q

Normal Sperm count analysis:

  • Per ejaculation
  • Per mL
A
  • Per ejaculation = 400 million
  • Per mL = 20-150 million
116
Q

How many mL of sperm per ejaculation

A

3-5 mL (1 tsp)

117
Q

Minimum number of prenatal check-ups?

When?

A

< 4 mos

6 mos

8 mos

9 mos

118
Q

1 cause of male infertility

A

Oligospermia (low sperm count)

119
Q

Drug the increases sperm production

A

Clomid (clomiphene citrate)

120
Q

Length of urethra in males

A

6-9 inches

121
Q

1 cause of female infertility

A

Aging (anovulation)

122
Q

Part of the testes where sperm is produced

A

Seminiferous tubules

123
Q
A