Prenatal and Antepartum

Question 1

DFMC

Answer 1

daily fetal movement count

Question 2

AF

Answer 2

amniotic fluid

Question 3

AFV

Answer 3

amnitoic fluid volume

Question 4

AFI

Answer 4

amniotic fluid index

Question 5

LBW

Answer 5

low birth weight

Question 6

PUBS

Answer 6

percutaneous umbilical blood sampling

Question 7

CVS

Answer 7

chorionic villus sampling

Question 8

NTD

Answer 8

neural tube defect

Question 9

FHR

Answer 9

fetal heart rate

Question 10

IUGR

Answer 10

intrauterine growth retardation

Question 11

AFP

Answer 11

alpha-fetoprotein

Question 12

EFM

Answer 12

external fetal monitoring

Question 13

NST

Answer 13

nonstress test

Question 14

CST

Answer 14

contraction stress testing

Question 15

ROM

Answer 15

rupture of membranes

Question 16

PROM

Answer 16

premature rupture of membranes

Question 17

Kick count

Answer 17

mother counts fetal movements for 2 hr 2-3 times/day or until 10 movements

Question 18

Ultrasound

Answer 18

used to estimate amount of AF; AFI < 5 cm-oligohydramnios, 5-19 cm- normal, >20 cm-polyhydramnios

Question 19

Biophysical profile

Answer 19

ust to evaluate pregnancy; consists of monitoring fetal tone, AFI, nonstress test, and fetal breathing movements
Normal 8-10
Suspicious-6,
Abnormal-less than 6

Question 20

Amniocentesis

Answer 20

check for congenital abnormalities, lung development, dx of fetal, hemolytic dx

Question 21

PUBS

Answer 21

used for genetic analysis, infection, intrauterine transfusion, need 1-4 mL blood

Question 22

CVS

Answer 22

done at 10-12 wks, can do transabdominal or transcervical

Question 23

AFP

Answer 23

blood test dra1n at 15-22 wks, check for neural tube defects and down syndrome screening

Question 24

Non-stress test

Answer 24

non invasive high rate of false positives due to fetal sleep cycle. done in semi-flower’s

Question 25

Contractions stress test

Answer 25

used to detect fetal compromise w/ stress. provides early warning than NST w/ fewer false positives. more time consuming

Question 26

Nipple stimulation

Answer 26

warm moist wash clothes to both breast, massage one nipple for 10 min. if no contractions, ty stimulating both

Question 27

Oxytocin stimulation

Answer 27

pitocin infused IV to achieve 3 contractions in 10 min (mix 10 units in 1000 mL of IV fluid via pump at 0.5 milliunits/minute)

Question 28

Cardiovascular

Answer 28

pulse increase, increase blood volume by 1500 mL, decrease in BP, physiologic anemia b/c of pregnancy

Question 29

Respiratory

Answer 29

inc O2 requirement,diaphragm displaced by 4 cm (SOB), sinus trouble-stuffiness, epistaxis, sinus pressure, respiratory rate increase

Question 30

Renal

Answer 30

urinary frequency, inc risk of UTI, glycosuria (glucose in urine), proteinuria (protein in urine)

Question 31

Integumentary

Answer 31

pigmentation mask of pregnancy-chloasma linea nigra - dark line goes up belly striae gravidarum-stretch marks

Question 32

Muscoloskeletal

Answer 32

pelvis tilts forward waddles umbilicus flattens or pops out

Question 33

Neuro

Answer 33

``` sensory changes in legs lightheadness cramps in legs headaches carpal tunnel syndrome ```

Question 34

GI

Answer 34

N/V constipation hemorrhoids gums bleed easily indigestion development of gallstones

Question 35

Chadwick's sign

Answer 35

cervix takes on bluish color

Question 36

Goodell's sign

Answer 36

cervical softening

Question 37

McDonald's sign

Answer 37

easy flexion of fundus on cervix

Question 38

Heger's sign

Answer 38

7-8 wks isthmic softening

Question 39

Braun von Fernwald's sign

Answer 39

softening & slight fullness of fundus near area of implantation

Question 40

Braxton Hicks

Answer 40

practice run of contractions that are irregular and start after 4th month

Question 41

Presumptive signs of pregnancy

Answer 41

``` Amenorrhea N/V Breast changes & tenderness Urinary frequency Fatigue (observations of client) ```

Question 42

Probable Signs of Pregnancy

Answer 42

``` Ballottement Quickening + home pregnancy test Goodell's Chadwick's Hegar's Braxton Hicks (finding of health provider) ```

Question 43

Positive signs of pregnancy

Answer 43

FHR: Doppler 8-12 wks; Fetoscope 16-20 wks Ultrasound Palpated fetal movement

Question 44

Danger signs to report

Answer 44

``` fever visual disturbances leakage of fluid swelling face, fingers, sacrum severe headache epigastric pain persistent vomiting abdominal cramping change infetal movemnt vaginal spotting/bleeding painful urination ```

Question 45

Symptoms of preterm labor

Answer 45

backache pelvic pressure cramps