OBGYN

Question 1

Women’s Cardiac Output increases by ______ when pregnant

Answer 1

2L/min

Question 2

Plasma Volume increases by ______% in pregnant woman

Answer 2

20

Question 3

FRC decreases by ___ % when pregnant

Functional Residual Capacity

Answer 3

20

Question 4

Place pregnant pt on L side to prevent ________

Answer 4

Supine hypotensive syndrome

Question 5

Dilation

Answer 5

Refers to the extent of cervical dilation

Question 6

Effacement

Answer 6

Relates to the thickness of the cervixs and is expressed in %.

Question 7

The cervix is normally _____ cm thick

Answer 7

2

Question 8

Lie

Answer 8

Refers to the longitudinal and orientation of the fetus in relation to the longitudinal orientation of the mother

Question 9

Station

Answer 9

Refers to the fetal head in relation to the mother’s pubic bone

Question 10

Baseline FHT’s is _____ to _____ bpm

Answer 10

120 to 160

Question 11

________ is the single most important predictor of fetal well-being

Answer 11

Variability

Should 10-15 bpm

Question 12

Poor variability caused by _______

Answer 12

1. Fetal Hypoxia
2. Admin of Meds
3. Smoking
4. Extreme Prematurity
5. Fetal Sleep

Question 13

Accelerations are usually _______

Answer 13

Good

Question 14

Early Decels (OK) and are caused by _______

Answer 14

vagal response to squeezing head of the head by contractions

Question 15

Late Decels (Bad) and indicate _________

Answer 15

Uteroplacental Insufficiency

Question 16

Late Decels are associated with ________

Answer 16

1. PIH
2. DM
3. Smoking
4. Late Deliveries

Question 17

Variable Decels are (Not Good, But correctable) and are ___ and ___ shaped

Answer 17

V W

Question 18

Variable Decels are common ______

Answer 18

During contractions

Question 19

Variable Decels = ________

Answer 19

cord problem

Question 20

Sinusoidal (Very Bad)=

Answer 20

Brain not functioning

Question 21

Sinusoidal typical of ______

Answer 21

Fetal Hypovolemia or anemia

Question 22

Fetal Bradycardia =

Answer 22

< 120 for 5-10 min

Question 23

Fetal Tachycardia =

Answer 23

> 160 for 10 min

Question 24

Hypertonic or tetanic contraction discontinue ________

Answer 24

Oxytocin Infusion

Question 25

For preterm labor admin _________

Answer 25

Tocoloytic (Mag, Terbutaline)

Question 26

Mag Sulfate Toxicity Rx ________

Answer 26

Calcium Chloride

Question 27

Terbutaline Dose

Answer 27

0.25 mg sq q 15 min

Question 28

Who is at risk for PIH for purposes of the exam

Answer 28

African American Females

Question 29

Pre-elcampsia is characterized by ______

Answer 29

HTN Proteiuria Edema

Question 30

Mag dose for PIH/Preeclampsia

Answer 30

4-6gm bolus over 20 min followed by 1-2 gm/hr

Question 31

_______ trimester is the period of maximal hemodynamic disterss

Answer 31

3rd

Question 32

Placental Previa S/S

Answer 32

Painless bright red vaginal bleeding

Question 33

Placental Previa is common with _____-

Answer 33

Uterine scaring, multiple c-sections, post D/C

Question 34

Placenta Aburtio S/S

Answer 34

Ripping or tearing pain with dark or no evident blood loss.

Question 35

Blood is ______ to the uterus, thus it will initiate _________

Answer 35

Irritating | Contractions

Question 36

With placental aburtio continuously monitor _______

Answer 36

Fundal Height

Question 37

Cord Prolapse Female Position _________

Answer 37

Trendelenburg or knee to position

Question 38

With breech presentation the fetus should not be touched until the ______ has delivered

Answer 38

Umbilicus

Question 39

________ maneuver for breech position

Answer 39

Mauriceau's

Question 40

Postpartum Hemorrhage treatment

Answer 40

``` Vigorous Fundal Massage Oxytocin Methergine Fluids, Blood Bimanual Uterine Compression ```

Question 41

Preeclampsia = ________ decels

Answer 41

Late

Question 42

Normal mag level ____ to _____

Answer 42

1.5 to 2.5

Question 43

A platelet level of less than _____ is characteristic of HELLP syndrome

Answer 43

100,000

Question 44

Frequency of a contraction is defined as

Answer 44

Beginning of contraction to the beginning of the next contraction

Question 45

Duration of a contraction is defines as

Answer 45

Beginning of contraction to the end of the contraction

Question 46

Fundal height at umbilical

Answer 46

20-24 wks

Question 47

The admin of ______ will help decrease the chance the fetus will have resp distress syndrome

Answer 47

Betamethasone

Question 48

Regular rhythmic contractions that produce progressive cervical changes after 20th week and before 37th week

Answer 48

Premature Labor

Question 49

Nitrazine wil turn _____ in the presence of amniotic fluid

Answer 49

Blue

Question 50

_____ and _____ are contraindications for use of Mag Sulfate

Answer 50

Myasthenia Gravis | Renal Failure

Question 51

Macrosomia refers to ______

Answer 51

A fetus that is large for gestational age, with increased fat deposition and enlarged spleen and liver

Question 52

_______ has been identified as the primary cause of premature labor

Answer 52

Infection

Question 53

Preeclampsia most commonly occurs during _____

Answer 53

end of seconds trimester, beginning of third

Question 54

The DBP goal when treating PIH is ____

Answer 54

90-100 mmHg

Question 55

_______ is the major cause of postpartum hemorrhage

Answer 55

Uterine Atony

Question 56

________ are a common and systematic way to determine position of the fetus

Answer 56

Leopold