OB - Enhancement Notes

Question 1

ESTROGEN

Answer 1

• responsible for maturation of ovum
• increases quantity and pH of the cervical mucus
• inhibits secretion of FSH

Question 2

PROGESTERONE

Answer 2

• increases basal body temperature
• inhibits secretion of LH

Question 3

Placenta functions

Answer 3

• Passing nutrients from the mother’s blood to the fetus
• excreting wastes from fetal metabolism into the maternal
  blood
• transmission of oxygen from the maternal to the fetal
  circulation
• production of hormones required for the sustenance of
  pregnancy

Question 4

Placenta is complete at

Answer 4

12 weeks

Question 5

takes charge of nutrients while placenta is not yet formed

Answer 5

Corpus luteum

Question 6

First fetal movement

Answer 6

• Primi: 5 months
• Multi: 4-5 months

Question 7

Position to check fetal kicks:

Answer 7

left side-lying to prevent compression of vena cava

Question 8

Weight gain in pregnancy

Answer 8

1st tri: 1 lb per month
2nd tri: 1 lb per week
3rd tri: 1 lb per week
Average weight: 25-35 lbs

Question 9

Normal changes in 20th week of pregnancy

Answer 9

• pigment changes of skin

Question 10

Visual disturbances in pregnancy is a sign of

Answer 10

Hypertension = PIH, eclampsia

Question 11

Non-stress test

Answer 11

measuring movement of baby; increase of HR in relation to movement; normal increase HR of 15bpm ; no oxytocin

Question 12

Stress test

Answer 12

stimulate uterine contraction; with oxytocin then measure HR

Question 13

VEAL CHOP MINE

Answer 13

V – Variable decelerations
Sudden drops in the baby’s heart rate.
E – Early decelerations
The baby’s heart rate slows down in sync with contractions.
A – Accelerations
The baby’s heart rate goes up briefly.
L – Late decelerations
The baby’s heart rate slows down after a contraction ends.

CHOP (Causes of FHR Patterns)
C – Cord compression
The umbilical cord is squeezed, reducing blood flow to the baby.
H – Head compression
The baby’s head is pressed, usually during labor (normal response).
O – Okay (or Oxygenation)
Accelerations mean the baby is getting enough oxygen.
P – Placental insufficiency
The placenta isn’t delivering enough oxygen to the baby.

MINE (Actions to Take)
M – Move the mother
Change position to relieve cord pressure.
I – Inspect (or identify labor progress)
Check if the baby’s head is descending.
N – No action needed
Accelerations are normal and healthy.
E – Execute interventions
Provide oxygen, fluids, or prepare for delivery if necessary.

Question 14

stops labor

Answer 14

Tocolytic

Question 15

True Labor

Answer 15

cervix is dilated and 90% effaced

Question 16

Criteria to allow mother to walk during labor

Answer 16

• fetal station

Question 17

Administering RhoGAM

Answer 17

1st Pregnancy: 28 weeks; within 72 hrs after delivery

Question 18

Abruptio Placenta

Answer 18

• Separation of Placenta
• PAINFUL Bleeding

Question 19

Causes of Abruptio Placenta

Answer 19

• History of AP
• PROM
• Trauma
• Hypertension
• Anything that causes vasoconstriction

Question 20

Schultze AP

Answer 20

• central separation; bleeding in the uterus

Question 21

Duncan AP

Answer 21

• marginal separation; bleeding outside the uterus

Question 22

Placenta Previa

Answer 22

• can be diagnosed as early as 2nd trimester (16-20wks)
• PAINLESS Bleeding

Question 23

Common Site in Ectopic Pregnancy

Answer 23

Ampullar
Most Fatal: Interstitial (Inside the uterus but within the walls of the uterus)

Question 24

What to expect in laboratory in ectopic pregnancy

Answer 24

• Low hcg, low progesterone

Question 25

of Prenatal visits

Answer 25

- DOH: 4 - 1;1;2 - WHO: 8

Question 26

Missed Abortion

Answer 26

(-) FHT

Question 27

Threatened Abortion

Answer 27

- (+) FHT + Bleeding without cervical dilation

Question 28

Habitual Abortion (Recurrent Pregnancy Loss)

Answer 28

3 consecutive abortions

Question 29

Magnesium Antidote

Answer 29

Calcium Gluconate

Question 30

Frequent Urination in Pregnancy:

Answer 30

1st and 3rd tri

Question 31

CONTRAINDICATED in pregnancy because it crosses placenta

Answer 31

Oral hypoglycemic agents (OHA)

Question 32

Urine Pregnancy Test: Serum Blood Test:

Answer 32

20 days after missed period 10 days after missed period

Question 33

Average Amount of Amniotic fluid:

Answer 33

800-1000ml

Question 34

Umbilical Cord Average Length:

Answer 34

same or twice as the length of the baby

Question 35

Betamethasone

Answer 35

Stimulation of lung surfactant

Question 36

A mother should breastfeed immediately because

Answer 36

- sucking creates a strong bond between mother and baby - sucking reflex is strong after delivery

Question 37

rooting reflex

Answer 37

If you stroke the cheek, the baby's mouth will follow:

Question 38

sucking reflex

Answer 38

If you put pressure on the lip, the baby will suck

Question 39

Types of Lochia

Answer 39

- Rubra 0-3; dark red and brown - Serosa 4-10; pinkish to brownish - Alba 10 days onwards; whitish