OB

Question 1

gestational period

Answer 1

time it takes for the fetus to develop in utero. usually 38 weeks
add 2 weeks from conception to birth (40 weeks)

Question 2

Gravid (Gravidity)

Para (Parity)

Answer 2

gravid- total of number of times pregnant (including current) no matter the outcome

Para- number of live births

Question 3

amount of blood loss during pregnancy (and C-section)

Answer 3

up to 500 ml

C- section 1,000 ml

Question 4

why woman need supplemental iron

Answer 4

with increase RBCs, you need more iron for them, if not getting enough the baby will take all of it and mother will become anemic
can lead to preterm labor and spontaneous abortion

Question 5

HR changes during pregancy

Answer 5

workload on heart increases.

heart rate gradually increases by an average of 15-20 beats by term.

Question 6

ECG changes in pregnancy

Answer 6

may include ectopic beasts and SVT (often considered normal)

may have left asix deviation

Lead III may have low-voltage QRS, T-wave inversion or flatten, or even occasional Q waves.

Question 7

supine hypotension syndrome

Answer 7

lying supine can cause uterus to copress the inferior vena cava, decreasing venous return to the heart

if not relieved cardiac output is decreased, B/P drops and lower extremity edema will result

Question 8

lithotomy postion

Answer 8

standard positon giving birth

Question 9

postpartum

Answer 9

after delivery

Question 10

questions to ask (not in active labor)

Answer 10

Get Gravid and Para
any complications with previous?
Due date?
vaginal bleeding, spotting or discharge?
(how much, color, smell, has it stopped?)

Question 11

Questions to aks (in active labor)

Answer 11

water broken?
urge to move bowels?
contractions?
(true labor pains are regularly spaced and increase in intensity and analgesics do not abolish pain)
more than 5 mins- can transport
less than 2 mins- impending delivery, especially in a multipara

Question 12

Chronic Hypertenstion

Answer 12

B/P greater that 140/90 prior to pregnancy, before the 20th week or postpartum

Question 13

Pregnancy-incuded hypertenstion

Answer 13

after the 20th week
resolves spontaneously in postpartum period
most common in obese and glucose intolerant women

maybe an early sign of preeclampsia

Question 14

preeclampsia

Answer 14

occurs in 8% of all pregnancies
manifest after the 20th week

triad of- edema (usually face, ankles and hands) gradual onset of hypertension, and protein in the urine

other symptoms- severe headache, N/V, rapid weight gain, and visual disturbances

Question 15

Eclampsia

Answer 15

seizures as the result of hypertension.

can lead to immediate delivery of baby to save mothers life

systolic over 160-180 and diastolic over 105 may need emergency hypertensive meds (labetalol)

Question 16

Seizures

Answer 16

two patients

caused by- hypertension, toxemia, preexisting disorder

MgSulfate is recommended Tx- especially with pt with preeclampsia

Diazepam can harm fetus

potential complications- abruptio placenta, hemorrhage, disseminated intravascular coagulation, and death

Question 17

Gestaional Diabetes Mellitus (GDM)

Answer 17

inability to process carbs during pregnancy

always check BGL

Question 18

Hyperemesis Gravidarum

Answer 18

vomiting more than 3-4 times per day.
usually projectile w/ possible bile or blood

not your normal ‘morning sickness’ common in the first several weeks of pregnancy

leads to dehydration and malnutrition

cause is unknown

TX- 
O2
saline
Benadryl 10-50 mg IV or deep IM
(sedative and antiemetic effect)
contra if pt is taking MAO inhibitors
check BGL
transport

Question 19

RH sensitization

Answer 19

Rh factor- protein found on the RBC of most ppl

woman is Rh negative, male is Rh positive and baby become Rh positive

the mothers antibodies cross the placental barrier and will attack baby’s RBC

normally not a problem in first pregnancy but subsequent pregnancies antibodies will aggressively cross the placental barrier

Question 20

Group B streptococcus (GBS)

Answer 20

leading cause of life threatening infections in newborns

from UTI’s?
p1933

Question 21

Cholestasis

Answer 21

disease of lever during pregnancy

main sign is profuse, painful itching or the hands and feet

pt may also be fatigue, depressed, Nauseas, and have RUQ pain, and change in stool color

benign for woman but can have fatal effect on fetus

Question 22

Bacterial Baginosis

Answer 22

one of the most common conditions to afflict women

normal bateria is replaced by other and there is an overgrowth

S?S itching, burning, pain, may have fishy smell

untreeat can lead to premature birth or low birth weight

Question 23

Candidiasis

Answer 23

aka thrush aka yeast infection
STI
most common in pregnant women

fetus is not affected

Question 24

HPV

Answer 24

a