Other Stuff Test 1

Question 1

Fetal well being is assessed how?

Answer 1

Heart tones and fundal height

Question 2

Quickening starts when

Answer 2

16-20 weeks

Question 3

Regular movement of fetus is noted when

Non-stress yest starts

Answer 3

28th week

3rd trimester

Question 4

Why we do non stress tests?

How often?

For who?

Answer 4

To determine fetal response to periods of rest and activity

Determines complications to fetus and mom

Tracks baby’s movement, heartbeat, and contractions. Makes sure they are getting enough oxygen.

Monitor for 90 minutes- Press response button every time baby moves

Weekly for high risk pregnancy patients

Question 5

Proper weight gain is how much the first trimester? And after?

Answer 5

2 lbs

1lbs per week until delivery after that

Question 6

Pregnancy begins with what?

Answer 6

Fusion of the egg and sperm that takes place in the ample of Fallopian tube

Small amount of blood excretes (spotting)

Question 7

Most important organ for growth of fetus

Answer 7

Placenta

Question 8

What ensures gas exchange to fetus

Answer 8

Placenta through the chronic villi

o2, nutrients carbon dioxide and waste products

Question 9

Mothers Blood does not come into contact with fetus

Answer 9

True

Question 10

The placenta relationally on what?

Answer 10

Perfusion, everything the mother eats, and just, or in the Hills has the potential to cross the placenta and affect the baby and the baby can be adversely affected such as decreased growth or malformations

Question 11

Always Listen to patient and assess first

Answer 11

True

Question 12

Depression with pregnancy

Answer 12

Observe patient and have open discussion with her with progress in pregnancy

Question 13

Type 1 DM is insulin dependent

What issues may occur with insulin and fetus?

Answer 13

Cardiac , CNS, and skeletal anomalies

Question 14

If only sugar is passing to the baby what may happen?

Answer 14

Large baby (microsomal) large in truncal area

May cause birth injuries and resp issues

Question 15

What to always monitor in fetus

Answer 15

Growth and movement

Question 16

Ovary is controlled by what hormones ?

What may mess with the system and may change mensural cycle?

Answer 16

Hypothalamus and pituitary gland

Stress, nutrition, meds, drugs

Question 17

Redness on palms of hands

Answer 17

Palmar erythema

Question 18

Line on belly button dark

Answer 18

Linea nigra

Question 19

Chloasma

Answer 19

Dark pigmentation on face

Question 20

Stretch March on belly scars

Answer 20

Striae gravidarium

Question 21

Who to call if mother is apprehensive about baby

Answer 21

Social services

Question 22

Bad edema and swelling in pregnancy

Answer 22

Ankles
Face
Neck

Wt loss of 10% or more is dangerous

Question 23

If 37 weeks preg or less for preterm labor so what?

Answer 23

Drink fluids
Lay on left side
Rest

If cramps go away in an hour your ok

If not go to hosp

Question 24

If fundus is not changing what may it indicate?

Answer 24

Baby is not changing correctly

Question 25

If absence of fetal movement do what

Answer 25

Eat something sugary , cold water , nutrition , for stimulation , lay down and rest

Question 26

OP - baby is posterior faced Do what?

Answer 26

Women sit on hands and knees when pushing

Question 27

What to do for baby if unresponsive at birth? What may mean more mucus in infant ?

Answer 27

Give oxygen Stimulate - tap chest Suction via NG C-section

Question 28

Omega 3 does what

Answer 28

Prevent preterm birth prevent heart disease and lower bp

Question 29

What can abdominal pain indicate in pregnancy?

Answer 29

Threatened abortion/miscarriage (spotting) Ectopic pregnancy outside uterus Abrupto placenta

Question 30

What does incompetent cervix mean and how is it corrected

Answer 30

Spontaneous abortion Performing McDonald’s cerclage it shirodkar procedure to close the cervix

Question 31

Complications of diabetes in pregnancy

Answer 31

CHD Polyhydramnios (excess amniotic fluid) Premature Respiratory distress Low BS

Question 32

Preeclampsia s/s How to treat?

Answer 32

Protein in urine Facial edema High bp High sodium Epigastric pain Blurred vision Bed rest with low sodium diet Give Magnesium sulfate

Question 33

Preterm labor is treated with? Decrease contractions

Answer 33

Hypnotics or sedatives such as Brethine (terulrataline sulfate) Magnesium sulfate

Question 34

Stages of labor

Answer 34

Stage one - closed cervix - 10 cm Stage 2- complete dilation to delivery Stage 3- delivery of baby to delivery of placenta Stage 4-delivery of placenta until completion of recovery period

Question 35

APGAR score

Answer 35

0-2 score in each category (0 is absent) done at 1 and 5 min Appearance-pink torso and extremities Pulse (normal 110-160) Grimace-vigorously crying or limited Activity- actively moving Respiratory- strong loud cry

Question 36

Normal newborn measurements

Answer 36

6-10pounds 18-22inches length Chest and head 33

Question 37

Medication that prevents hemorrhage

Answer 37

Vitamin k

Question 38

Prevents newborn eye infections

Answer 38

Erythromycin

Question 39

Infant immunization at birth

Answer 39

Hep b

Question 40

PKU level should what

Answer 40

Less than 24 following first feeding

Question 41

Discharge of blood on female genitalia at birth is normal

Answer 41

True

Question 42

Hypoxia s/s in. Newborn

Answer 42

Fines ``` Feeding difficulty Inpiratory strider Nare flares Expiratory grunting Sternal reactions ```

Question 43

WBC Hgb Hct PLT

Answer 43

9-30 14-21 35-63% 150-300k

Question 44

Preeclampsia Help syndrome

Answer 44

Hemolysis Elevated Liver enzymes Low Platelet count

Question 45

What to do for preterm labor

Answer 45

Bed rest Monitor FHR and uterine activity Give toxolytics: Terbuterline, nifedipine, magnesium sulfate Give corticosteroids:betamethasone or dexamethasone

Question 46

Calcium range

Answer 46

7-11

Question 47

AST- ALT

Answer 47

20-160 5-10

Question 48

Alb

Answer 48

2.8-5.4

Question 49

Alk-

Answer 49

40-300

Question 50

T billi-

Answer 50

1-12

Question 51

Number of times a female as given birth to a baby

Answer 51

Parity

Question 52

Dark green poop first poop of newborn

Answer 52

Meconium

Question 53

Common rash on infant

Answer 53

Erythema toxicum

Question 54

Braxton Hicks and flu like symptoms start at this time

Answer 54

38 weeks

Question 55

Wha stimulates uttering growth

Answer 55

Estrogen