OB Flashcards

1
Q

A condition in which the mothers’ pelvis is too small for the
baby to pass through.

A

CPD (contracted pelvis)

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2
Q

Hormone of pregnancy

A

Progesterone

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3
Q

Hormone for breast growth and other female characteristics

A

Estrogen

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4
Q

Follicular phase (number of days) in a menstrual cycle

A

1-14 days

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5
Q

Level of fundus at 12 weeks

A

Symphysis pubis

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6
Q

Level of fundus at 20 weeks

A

Umbilicus

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7
Q

Number of weeks to accurately determine age of gestation

A

22 weeks

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8
Q

Amount of normal amniotic fluid

A

500 ml-1, 000ml

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9
Q

Oligohydramios

A

Amniotic fluid less than 0.5 L between 32-36 weeks
Related to fetal problems such as obstruction in the
urinary tract, IUGR, any condition that prevents the
formation of urine or the entry of urine in to amniotic
sac results in oligohydramios.

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10
Q

Polyhydramios

A

Amniotic fluid greater 2,000 ml between 32-36
weeks. It is associated with maternal diabetes (Type
or Type II, multiple gestation, CNS anomalies and
iso-immunization.

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11
Q

Purpose of amniotic fluid

A
  1. Protects the fetus from a direct blow.
  2. Provides an environment so that fetus could
    move and promoting grown and development.
  3. Maintaining constant body temperature and
    prevents heat loss.
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12
Q

Normal fetal heart rate (FHT)

A

120-160 beats per minute

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13
Q

Fetal heart tones heard thru fetoscope

A

By 20 weeks of gestation

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14
Q

Fetal heart tone that is bradycardic is

A

Less than110 beats per minute

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15
Q

Fetal heart tones that is tachycardic is

A

Greater than 160 beats per minute

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16
Q

Polyhydramios

A

Amniotic fluid exceeds 2,000 ml between 32-36
weeks. It is associated with maternal diabetes (Type
or Type II, multiple gestation, CNS anomalies and
iso-immunization

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17
Q

Normal characteristics of Amniotic fluid

A

Clear to stra0colored and no foul odor

PH ranges from neutral to slightly alkaline

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18
Q

Fetal stool is called

A

Meconium

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19
Q

Uterine infections are caused by.

A

HIV, Hepatitis A and B, Syphilis

not due to bacterial infection

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20
Q

Are decreases in the FHR baseline, can be abrupt or gradual.

A

Decelerations

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21
Q

Drug used to manage eclamptic seizure

A

Magnesium Sulfate

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22
Q

Frequency of Magnesium level monitoring

A

Every 4-6 hours

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23
Q

Used as anticonvulsant by reducing muscle excitability, and hyperreflexia

A

Magnesium Sulfate

24
Q

Nurse alert prior to administering magnesium Sulfate

A

Patellar reflex, urine output, and respiratory rate

25
Antidote of Magnesium overdose
Calcium Gluconate 1 gram over 3 minutes IVP, may be repeated every 4 hours as needed up to 8 injections in 24 hours.
26
Drug of choice of hypertension near term or during labor
Hydralazine(Apresoline)
27
Ferning pattern
Positive test result for ruptured membranes
28
Nitrazine test result would reveal (color and pH)?
Blue-green color, a pH Of 6.5 (not definitive)
29
Nitrazine paper will change to yellow color
Negative for amniotic fluid
30
Maybe indicative of infected amniotic fluid
Foul-smelling
31
If RhoGam is not given to a mother with Rh-, it may cause
Erythroblastosis Fetalis
32
RhoGam is administered within 72 hours after delivery
To protect the next pregnancy or miscarriage.
33
Purpose of RhoGam
To prevent maternal production of blood antibodies.
34
Pitocin drip should be stopped when contractions lasting for?
Over 90 seconds or a resting phase of less than 30 seconds or 60 seconds is acceptable between contractions.
35
SIADH effective treatment
Decrease specific gravity of urine
36
PH of urine of 6.5
Probably membranes are ruptured
37
Severity of hyperemesis gravidarum what to assess
Check for glucose level
38
Insulin requirement of patient with infection
Increased insulin need
39
Magnesium Sulfate should never be administered in the | absence of?
Patellar reflex
40
Reverses the effect of opiods
Narcan (Naloxone), administer slowly to prevent | seizures and severe pain
41
Effect of epidural anesthesia to mother.
Maternal hypotension and urinary retention.
42
Intake should be monitored and limit to prevent
Pulmonary edema
43
Major cause of uterine atony
Due to a full bladder
44
Nursing responsibility bore administering Methylergonovine
TO check blood pressure before giving to client.
45
Use of Methylergonovine
Use to prevent or control post partum hemorrhage.
46
Hemolysis, Elevated Liver enzymes, Low Platelet count | HELLP
Platelet count is less than 100,000/mm3 | Hypoglycemia may be present in client with HELLP.
47
An outcome of Rh incompatibility
Erythroblastosis fetalis
48
Hydroxyzine (Vistaril) is limitedly administered via
2-3 days | Intramuscular injection using -track technique
49
First fetal movement felt by number of weeks of gestation by | multiparas
Quickening by 16-18 weeks of gestation
50
First fetal movement felt by number of weeks of gestation by | primigravidas
Quickening by 18-20 weeks of gestation
51
Reduces neural defects such as spina bifida.
Folic acid
52
Foods to avoid by mother while breastfeeding.
Gas forming such as cabbage, broccoli, and onions
53
Assessment technique to look for the fetal lie, position, and presentation
Leopoid's maneuver
54
Iron is best taken
After meals daily, treatment usually for 2nd-3rd trimestral of pregnancy. SE: Constipation or diarrhea to others, abdominal discomforts.
55
Being experienced by mother and it is due to a rapid hormonal shift about 2-7 days after delivery.
Post partum blues
56
Iron can be administered orally, intramuscularly, and I.V. | iron supplements are:
Monitor hypotension for IV administration. | Feosol, Slow Fe, Feratab, Slow FE, Fer-In-Sol
57
Oral contraceptives predisposes to? | Prone
Candidiasis