OB

Question 1

What part of the female reproductive system is responsible for the production of you estrogen and progesterone in non-pregnant women?

Answer 1

OVARY/OVARIES

Question 2

What is the only immunoglobulin/antibody that can pass through the placenta

Answer 2

IgG ( immunoglobulin G)

Question 3

In pregnancy, what will happen to the antibodies? Increase or Decrease?

Answer 3

Decrease ( to prevent fetal rejection )

Question 4

Normal Physiologic Changes in Pregnancy.

Increase or Decrease: GFR, Creatinine Clearance, Urine Output?

Why?

Answer 4

Increase ( to eliminate the fetal waste products )

Question 5

Normal Physiologic Changes in Pregnancy.

Increase or Decrease: BUN and plasma creatinine?

Why?

Answer 5

Decrease ( to eliminate waste products )

Question 6

During pregnancy, vagina is acidic or alkalinic?

follow up ques: Did the pH level increase or decrease?

Answer 6

Acidic

decrease ( to maintain normal aciditiy of 3.8 - 4.5 in order to prevent infection )

Question 7

Normal Physiologic Changes in Pregnancy

Increase or Decrease: Blood Volume, Cardiac Output, Heart rate?

Answer 7

Increase ( to support fetus )

Question 8

Normal Physiologic Changes in Pregnancy.

Normal or Abnormal: increase pseudoanemia?

Answer 8

Yes

R: increase plasma = increase pseudoanemia ( to support fetus )

Question 9

Normal Physiologic Changes in Pregnancy.

Increase or Decrease: Platelets, WBC, clotting factors, Lipids and Serum Cholesterol?

Answer 9

Increase

increased Platelets and clotting factors - to prevent bleeding

increased WBC - to prevent infection

increased Lipids and Serum Cholesterol - for source of energy

Question 10

Normal Physiologic Changes in Pregnancy.

What is normal mild hypoventilation or mild hyperventilation?

Answer 10

mild hyperventilation (to support baby)

Question 11

What maneuver is used to monitor the fetal heart rate?

Answer 11

Umbilical Grip

Question 12

The nurse noted episodic fetal heart accelerations.

A. Notify Physician
B. Document and continue monitoring

Answer 12

B. Document and continue monitoring

R: it is normal (FHR = FM)

Question 13

The nurse noted a decrease in the fetal heart rate that happens on the end of contraction. What will be the appropriate action of the nurse?

Answer 13

1. STOP OXYTOCIN
2. REPOSITION TO left side-lying postion (to prevent compression of the inferior vena cava - ensure oxygenation)
3. GIVE O2
4. NOTIFY MD

Question 14

According to the Sandovsky method, which is the best time to monitor Fetal Movement Count?

Answer 14

Early Morning and After meals

Question 15

In Sandovsky Method, what is the max. number of attempts to monitor Fetal Movement Count?

Answer 15

2 attempts

Question 16

In Sandovsky Method. What is the normal fetal movement count?

Answer 16

10 - 12 movements/hour

Question 17

In Cardiff method, what is the normal fetal movement count?

Answer 17

10 movements in 12 hours

Question 18

Probable, Presumptive or Positive:

Fetal movement felt by the mother

Answer 18

Presumptive

Question 19

Probable, Presumptive or Positive:

Fetal movement felt by the nurse

Answer 19

Positive

Question 20

2 hours after delivery, the nurse palpated the fundus 2 inches above the umbilicus. What will be the appropriate action of the nurse?

A. Document and Continue monitoring
B. Notify MD
C. Encourage the mother to void

Answer 20

C. Encourage the mother to void

Question 21

When is the earliest time to monitor for FHR?

Answer 21

8 weeks

Question 22

Age of viability

Answer 22

20 weeks

Question 23

Onset of Menarche

Answer 23

9 - 17 years old

average: 11-13

Question 24

Interval of Menses

Answer 24

23 - 35 days

average: 28 days

Question 25

Duration of bleeding

Answer 25

2-9 days

Question 26

Menstrual Cycle: Amount

Answer 26

30 - 80 ml / 1/3 of a cup / 240 ml

Question 27

Menstrual Cycle: Odor

Answer 27

Marigold

Question 28

Which hormone is responsibke for pregnancy?

Answer 28

Progesterone

Question 29

What do you call the inner lining of the uterus?

Answer 29

Endometrium

Question 30

What is the follicle that surrounds the ovum?

Answer 30

Grafien follicle

Question 31

1st Phase of Menstrual Cycle

Answer 31

Follicular, Estrogenic

Question 32

Second Phase of Menstrual Cycle

Answer 32

Luteal, Progestational phase

Question 33

3rd Phase of the Menstrual Cycle

Answer 33

Ischemic

Question 34

4th phase if Menstrual Cycle

Answer 34

Menstrual Bleeding

Question 35

Fertile period

Answer 35

3 - 4 days before and after ovulation

Question 36

What are the two hormones did the Anterior Pituitary Gland release?

Answer 36

FSH and LH

Question 37

What are the purpose of FSH?

Answer 37

- to thicken the endometrium by increased estrogen | - increase follicular fluid for ovulation (rupture grafien follicles)

Question 38

Where is the site of fertilization?

Answer 38

Ampulla

Question 39

Where is the site of implantation?

Answer 39

Endometrium

Question 40

What to do you call the fluid inside the grafien follicle?

Answer 40

Follicular fluid

Question 41

Who is responsible for the release if ovum?

Answer 41

Ovary/Ovaries

Question 42

How does the Female Reproduction start?

Answer 42

Decrease in Estrogen

Question 43

What maintains the thickness of the endometrium?

Answer 43

Progesterone

Question 44

A patient came into the prenatal clinic, she asks the nurse why she is not menstruating/first menstrual cycle yet? She is 16 y/o. Is this normal?

Answer 44

Yes ( average : 9-17 y/o)

Question 45

What is the expected date of ovulation of a woman woth 34 days cycle?

Answer 45

34 - 14 = 20th day

Question 46

How do you characterize a fertile cervical mucus?

Answer 46

Clear, Elastic, Thin. Slippery / Eggwhite