OBGYN

Question 1

first trimester

Answer 1

first 3 months

Question 2

second trimester

Answer 2

middle 3 months

Question 3

third trimester

Answer 3

last 3 months

Question 4

effects of pregnancy on the body

Answer 4

• uterus requires much larger blood supply
• respiratory rate increases slightly but oxygen demand increases significantly
• increases urinary frequency

Question 5

placenta previa

Answer 5

• placenta attaches to the uterus over the cervix \
• 3rd trimester
• painless vaginal bleeding

Question 6

abruptio placenta

Answer 6

• premature separation of the placenta from the uterine wall
• painfull vaginal bleeding
• third trimester

Question 7

ectopic pregnancy

Answer 7

• egg is implanted outside the uterus usually in the Fallopian tube
• 1st trimester
• severe abdominal pain with or without vaginal bleeding

Question 8

uterine rupture

Answer 8

abdominal pain and vaginal bleeding

Question 9

spontaneous abortion

Answer 9

delivery of the fetus before 20 or 22 weeks

Question 10

signs of spontaneous abortion

Answer 10

cramping, lower abdominal pain, passage of tissue or clots

Question 11

what do you do to a pregnant women experiencing a seizure

Answer 11

place on left side and minimize noise and light exposure

Question 12

preeclampsia

Answer 12

sudden weight gain, visual disturbances, swelling of face, hands,feet, hypertension in 3rd trimester

Question 13

eclampsia

Answer 13

pregnancy induced seizure

Question 14

PIH

Answer 14

BP above 140/90 at least twice 6 hours apart

Question 15

supine hypertensive syndrome

Answer 15

fetus compresses the inferior vena cava causing drop in BP

Question 16

signs of supine hypertensive syndrome

Answer 16

dizzy, hypotension, pale skin, place in seated portion and place on right or left side

Question 17

pregnant patients are at increased risk of what

Answer 17

fall injuries

Question 18

first stage of labor

Answer 18

begins with onset of contractions and finishes with full cervical dilation

Question 19

second stage of labor

Answer 19

begins with full cervical dilation and ends with delivery of baby

Question 20

third stage of labor

Answer 20

begins once the baby has been delivered and ends once the placenta is delivered

Question 21

how long after birth does the placenta deliver

Answer 21

30 mins and there’s an increase in vaginal bleeding right before it delivers

Question 22

indications of imminent delivery

Answer 22

contractions of 2 mins apart, abdomen is rigid, mother feels urge to push, crowning, passage of mucos plug

Question 23

how are contractions timed

Answer 23

from the beginning of one contraction to the beginning of the next

Question 24

delivery of the baby

Answer 24

• prepare OB kit
• postion mom semi reclined, knees drawn, feet planted
• asses for crowning
• tear sac if hasn’t
• gentle pressure ,
• check for nuchal chord
• suction mouth, then nose
• guide shoulder up then down
• clamp and cut cord once it stops pulsating

Question 25

after delivery of baby

Answer 25

dry, place on mothers abdomen, suction mouth then nose,tacticle stimulation

Question 26

if baby is not breathing

Answer 26

ventilate at 40- 60 a min

Question 27

if baby heart rate is below 60

Answer 27

begin chest compressions

Question 28

if heart rate is above 60

Answer 28

provide ventilations

Question 29

if central cyanosis is present in the baby

Answer 29

blow by 02 at 4 to 6 lpm

Question 30

APGAR Score A

Answer 30

Appearance- 0 if cyanotic, 1 if extremities are cyanotic,2 if pink

Question 31

APGAR Score P

Answer 31

Pulse-0 if no pulse ,1 if under 100,2 if over 100

Question 32

APGAR Score G

Answer 32

Grimace- 0 if no response to stimulation,1 minimal response ,2 crying vigorously

Question 33

APGAR Score second A

Answer 33

Activity- 0 if limp,1 if limited movement, 2 actively crying

Question 34

APGAR Score R

Answer 34

Respirations- 0 if not breathing,1 if slow and irregular, 2 if adequate breathing

Question 35

Meconium

Answer 35

presence of the fetal stool in amniotic fluid that turns it yellow, green ,or brown

Question 36

how long after the first baby should you wait for delivery of a second before transporting immediately

Answer 36

10 minuetes

Question 37

Prolapsed cord

Answer 37

Cord is partly presenting in birth canal, place mother in knee chest position

Question 38

Breech presentation

Answer 38

baby butt or legs are presenting first, create V with fingers along vaginal wall to create space allowing baby to breath

Question 39

Limb Presentation

Answer 39

Single arm or leg is present first, place mother in Knee chest position

Question 40

Post Partum Hemmorage

Answer 40

- Blood loss following delivery - anything less than 500 ML is abnormal - massage uterus for controlled bleeding

Question 41

Pediatrics airway

Answer 41

tongue is bigger,lopwer airway is smaller and more easily obstructed, nose breathers and abdominal breathers,bradycardia indicates hypoxia

Question 42

Pediatrics Head

Answer 42

head is proportionally larger than adults, significant source of heat loss, sunken fontanelles indicate hypovelmia

Question 43

SIDS

Answer 43

unexplained death of an infant