OB Flashcards

1
Q

when is quickening felt? range

A

16-20 weeks

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2
Q

when is the fetal heart rate audible? range

A

8-12 weeks

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3
Q

What are the positive signs of pregnancy?

A
  1. Xray
  2. ultrasound
  3. FHR audible
  4. examiner palpates fetal movement
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4
Q

What is Chadwick’s sign?

A

cyanotic color to cervix

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5
Q

what is goodall’s sign?

A

softening of cervix

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6
Q

what is Hagar’s sign?

A

uterine softening

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7
Q

normal Hgb for pregnancy?

A
  1. can go as low as 10.5 to 10 in 3rd trimester.
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8
Q

Pattern of office visits:
0-28 weeks:
28-36 weeks:
36 weeks:

A

0-28 weeks: 1x month
28-36 weeks: q 2 weeks
36 weeks: q week

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9
Q

what is the date of viability?

A

22-24 weeks (end of second trimester)

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10
Q

what is most common fetal-uterine positioning?

A

ROA (right occiput anterior)

(back is to the mother’s right. head near pelvis)

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11
Q

Negative station: where
Positive station: where

A
  • Negative station: above ischial spine
    + Positive station: below ischial spine (baby coming soon!)
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12
Q

What to do for morning sickness?

Which trimester is it most common?

A

CHO before get out of bed

1st

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13
Q

What to do for urinary incontinence?

Most common in what trimesters?

A

Void q 2 h

1st and 3rd bc baby sitting on bladder

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14
Q

contractions should never last longer than ____ seconds or occur more frequently than ____ minutes

A

No longer than 90 seconds

No more frequently than q 2 minutes

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15
Q

What to do for boggy uterus?

What to do for displaced uterus? (uterus not midline)

A

Boggy: massage!

Displaced: straight cath!

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16
Q

If the peri pad is 100% saturated in less than ___ minutes, then it is a major problem

A

15 minutes

17
Q

Active phase of labor (phase 2)

Dilation:
Contraction frequency:
Contraction duration:
Intensity:
Nursing actions:

A

Dilation: 5-7cm
Contraction frequency: q 3-5 minutes
Contraction duration: 30-60 seconds
Intensity: moderate
Nursing actions: pain management

18
Q

Nursing actions for prolapsed cord

A
  1. push head up to relieve pressure on cord
  2. knee-chest position
19
Q

What to do for variable decels?

A
  1. push head up to relieve pressure on cord
  2. knee-chest position
20
Q

What is considered a low fetal heart rate?

A

< 110

21
Q

How often should postpartum assessments be done?

A

q 4-8 hr

22
Q

What does misoprostol do?

A

contracts the uterus, combats uterine atony

Can give to HTN patients

23
Q

What does methylergonovine (methergine) do?

Who to not give it to?

A

starts labor/ contracts uterus!

Do NOT give to mothers with HTN, it causes maternal HTN!!!

24
Q

can a pregnant woman take ibuprofen?

A

NO

25
Q

can a pregnant woman take acetaminophen?

A

yes!

26
Q

placenta previa

A
27
Q

placenta accreta

A
28
Q

placental abruption

A