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NUR 332 OB > Sprint review > Flashcards

Sprint review Flashcards

1
Q

When would edema be concerning?

A

Generalized or doesn’t resolve with rest

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2
Q

Exercises you can do to strength the pelvic floor muscles?

A

Kegel Exercises

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3
Q

Comfort strategies for heartburn?

A

Don’t lie down after eating
Small frequent meals
Avoid trigger foods

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4
Q

When would urinary frequency be worrisome?

A

If accompanied by pain, burning, urgency

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5
Q

What period of development would be most concerning for exposure to substances?

A

1st trimester

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6
Q

Is SOB expected in the third trimester?

A

Yes, but not OK if persistent or have cough, chest pain, heart palpitations

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7
Q

What is guidance you would give to help a patient avoid round ligament pain?

A

Slow transitions from lying-sitting-standing

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8
Q

What are some dangers/ warning signs in pregnancy that would be important to report for a patient <37 weeks gestation?

A

Vaginal bleeding
>4-6 CTXs/hr
Leaking of fluid
Decreased FM

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9
Q

When would be you concerned about fetal movement?

A

<10 movements in 2 hours after FM regular

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10
Q

Should you/could you do the following during pregnancy?
Exercise?
Drink Alcohol?
Have sex?
Smoke?
Caffeine?

A

Exercise- Yes
Drink alcohol- No, FAS, increased risk of miscarriage, IUFD, LBW
Sex- Yes
Wear a seat belt- Yes, lap belt under abdomen
Smoke- No, preterm birth, IUGR/LBW, premature rupture of membranes, placental problems, SIDS
Caffeine- Yes limit to 200mg/day

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11
Q

What is a craving for nonnutritive substances called?

A

Pica

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12
Q

What is the phenomenon whereby expectant partners experiences symptoms of pregnancy?

A

Couvade

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13
Q

At what age (at delivery) is a woman considered Advanced Maternal Age (AMA)?

A

35

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14
Q

Risk of AMA?

A

Chromosomal abnormalities
Infertility
Miscarriage
GDM
Preeclampsia
Preterm delivery
LBW
Cesarean delivery
Multiple gestation

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15
Q

Risk of adolescent pregnancy?

A

Preterm birth
LBW
Preeclampsia
Anemia
CPD
STI
Effects of drugs/alcohol

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16
Q

Carrier screening
Screening or diagnosis?
When done?
What is assessed

A

Screening
Anytime
Blood or cells from cheeck

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17
Q

MSAFP (Quad screening)
Screening or diagnosis?
When done?
What is assessed

A

Screening
15-22 weeks
Maternal blood

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18
Q

NIPT (cell free DNA)
Screening or diagnosis?
When done?
What is assessed

A

Screening
Starting at 10 weeks
Maternal Blood

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19
Q

Nuchal Translucency
Screening or diagnosis?
When done?
What is assessed

A

Screening
11-14 weeks
Back of fetal neck (+ maternal blood)

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20
Q

Chorionic Villis Sampling (CVS)
Screening or diagnosis?
When done?
What is assessed

A

Diagnostic
10-13 weeks
Sample of chorionic Villi

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21
Q

Amniocentesis
Screening or diagnosis?
When done?
What is assessed

A

Diagnostic
Typically 15-20 weeks for genetics
Amniotic fluid

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22
Q

L/S ratio indicating fetal lung maturity

A

2:1 (Done amniocenesis)

23
Q

CST with contractions in 10 minutes and late decelerations of the FHR would be noted as?

24
Q

NST on patient at 35 weeks with 2 accelerations (15 beats by 15 seconds) but no decelerations noted as?

25
Components of BPP
Fetal breathing Fetal gross body movements Fetal Tone Amniotic fluid volume NST (if indicated)
26
Normal or abnormal? 6/8
Abnormal likely send for NST
27
When would a transvaginal ultrasound be done?
Early pregnancy or measure cervical length/ assess for preterm labor
28
Recommended daily folic acid intake prior to and during pregnancy?
400mcg
29
Why is folic acid recommended?
Prevent neural tube defects/ promote closure of neural tube
30
How much folic acid recommended if mother has hx of having a baby with neural tube defect?
4mg
31
IPV tends to go in what direction during pregnancy?
Increases
32
Uterine/ cervical changes: Softening of cervix?
Goodell's sign
33
Softening of uterus?
Hegar's sign
34
Bluish discoloration of the cervix?
Chadwick's sign
35
Which hormone is primarily responsible for relaxing body structures?
Progesterone
36
Nutrient-dense milk substance produced by breasts?
ColostrumWh
37
What type of breathing do expectant mothers usually use in 3rd trimester?
Thoracic
38
Condition caused by gravid uterus compressing vena cava resulting in a drop in maternal blood pressure?
Supine hypotension
39
Normal or Abnormal? Hematocrit slightly lower than non-pregnancy levels?
Normal
40
Normal or Abnormal? SOB at rest in 1st trimester?
Abnormal
41
Normal or Abnormal? Increase in clotting factors?
Normal
42
Normal or Abnormal? Hyperpigmentation across cheeks and forehead?
Normal
43
Normal or Abnormal? Separation of rectus abdominus muscles
Normal
44
Total amount of recommended weight gain in woman with normal BMI?
25-35 lbsP
45
Presumptive signs of pregnancy?
Amenorrhea N/V Excessive fatigue Urinary frequency Breast changes Quickening
46
Probable signs of pregnancy?
Change in pelvic organs Enlargement of abdomen Braxton hicks contractions Abdominal striae Other hyperpigmentation Uterine souffle Positive pregnancy test Palpation of fetal outline
47
Positive Signs of pregnancy?
Auscultation of fetal heart beat with doppler Fetal movement felt by hands or seen on US Visualization of fetus on US
48
Using Naegele's rule, calculate a patients EDC with an LMP of January 30th.
Nov. 6th
49
At how many weeks do you begin measuring fundal height?
20 weeks
50
You want fundal height and gestational age to be how close?
+/- 2cm
51
What method should be used to calculate a due date if LMP is undertain?
U/S
52
Why should rubella vaccine not be given in pregnancy
Live vaccine
53
At what gestational age do we test for Group B strep?
36 weeks

NUR 332 OB (6 decks)

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