Review

Question 1

What does the med Clomiphene Citrate (clomid) do

Answer 1

help ovulate by triggering release of FSH and LH

Question 2

what does the med Progesterone do

Answer 2

promotes implantation/pregnancy support

Question 3

How does a GIFT procedure work

Answer 3

must have 1 good fallopian tube, 3-5 oocytes harvested from ovary, put in catheter with sperm and put in fallopian tube

Question 4

How does a ZIFT procedure work

Answer 4

oocytes fertilized outside body and zygotes put in fallopian tube

Question 5

How does a FET procedure work

Answer 5

oocyte fertilized outside of the body and embryos placed in uterus

Question 6

How does IVF procedure work

Answer 6

retrieval of oocyte combined with sperm in a lab and fertilized then put in uterus

Question 7

what are the stages of a contraction

Answer 7

increment (building up), acme (peak), decrement (relax)

Question 8

where does a contraction start

Answer 8

at the fundus then spreads down pushing the fetus down

Question 9

what are the 3 segments of the pelvis

Answer 9

inlet, midpelvis, outlet

Question 10

where is the anterior fontanelle and when does it close

Answer 10

diamond shape in the top of the head closes 18 months

Question 11

where is the posterior fontanelle and when does it close

Answer 11

triangle shape on the back of the head closes 6-8weeks

Question 12

what is fetal attitude

Answer 12

babys body parts to one another

Question 13

what is fetal presentation

Answer 13

part that enters the pelvis first

Question 14

what happens in the 1st latent phase

Answer 14

begins with regular contraction
dilation 0-3
frequency 5min
duration 30-45 sec
intensity mild

Question 15

what happens in the 1st active phase

Answer 15

dilation 4-7
frequency 3-5
duration 60+
intensity - moderate to strong

Question 16

what happens in the 1st transition phase

Answer 16

dilation 8-10
frequency 2-3
duration 60-90
intensity strong

Question 17

what happens in the 2nd stage of labor

Answer 17

starts at 10 cm dilated ends with birth of baby

Question 18

what happens in the 3rd stage of labor

Answer 18

begins with birth of baby ends with delivery of placenta
length 5-10 upto 30 min

Question 19

what are some meds you can give during the delivery of placenta for blood loss

Answer 19

oxytocin, hemabate, methergine

Question 20

when would you give a pudendal block

Answer 20

for 2nd and 3rd stage of labor for laceration repair

Question 21

what meds aide in sleep

Answer 21

barbituates - seccobarbitol

Question 22

what meds treat anxiety

Answer 22

benzos - lam and pam

Question 23

what treats nausea

Answer 23

antiemetic - H1 receptors end in zine

Question 24

what is the difference in anlagesia and anthesia

Answer 24

analgesia - some pain relief
anesthesia - complete pain relief

Question 25

how do you know epidural is the in the right place

Answer 25

test does, numbness of the face = in the vein instead

Question 26

what are the cons of an epidural

Answer 26

decreased BP (worried about systolic less then 100 or drop in 20 in hypertensive patients)

Question 27

what should you know about oxytocin

Answer 27

stimulates contractions, needs 1:1 ratio, doesnt exceed 20mu, monitor for uterine tachysytole

Question 28

what is uterine tachysytole

Answer 28

lasting over 90secs every 2 min

Question 29

what are some cervical ripening agents

Answer 29

prostaglandins E1 and E2, cytotec, and -dil

Question 30

what happens for anaphylactoid syndrome

Answer 30

happens 30min after delivery - cough decreased O2

Question 31

what are the cons of delayed cord clamping

Answer 31

jaundice bc of increase erythrocytes, or polycythemia

Question 32

what is normal Hgb

Answer 32

12-16

Question 33

what is normal Hct and when does it get back to pre pregnancy state

Answer 33

36-48% by 4-6 weeks

Question 34

what are some ss of chlamydia

Answer 34

abnormal bleeding, dysuria, peeing alot, postcoital bleeding

Question 35

how do you diagnose chalmydia and Gonnorrhea

Answer 35

NAAT

Question 36

how do you treat chalmydia

Answer 36

zinthromyocin for 1 does or doxycyline for 7 doses

Question 37

what are some ss of gonorrhea

Answer 37

vaginal d/c or bleeding, irregular menses, low backache, urinary frequency

Question 38

how do you treat gonorrhea

Answer 38

cefriaxone, -cin or doxycyline

Question 39

what are some side effects of PID

Answer 39

infertility, tubal pregnancy,

Question 40

what are some ss of syphilis

Answer 40

rash on trunk, hair loss, gential warts

Question 41

how do you diagnose syphilis

Answer 41

RPR, VDRL

Question 42

what is the treatment for syphilis

Answer 42

penicillin

Question 43

how do you diagnose trichomnas/bacerial vaginalis

Answer 43

wet prep, wiff test for bacterial

Question 44

what are some ss of trichomnas vaginalis

Answer 44

green-gray frothy discharge, strawberry cervix

Question 45

what is the treatment for trichomnas vaginalis

Answer 45

flagyl

Question 46

what is the teaching for taking flagyl

Answer 46

avoid drinking until 24 hours after treatments, avoid in seizures, breast feeding

Question 47

what are the ss of bacterial vaginalis

Answer 47

thin white d/c with fish smell (worse with sex), itching, burning

Question 48

what is the treatment of bacterial vaginalis

Answer 48

-azole, flagyl

Question 49

what can bacterial vaginalis cause

Answer 49

PTL, LBW

Question 50

what are the ss of HPV

Answer 50

warty, cauilflower like growth in vagina, mouth, tongue

Question 51

how do you prevent HPV

Answer 51

gardasil vaccine given 9-26 yrs old

Question 52

what is the treatments for HPV

Answer 52

ointments, cryrotherapy, laser to burn the warts off