Week 5

Question 0

Pprom

Answer 0

Occurs before 37 weeks

Question 1

Prom

Answer 1

Spontaneous rom before onset Of labor

Question 2

Amniotic fluid is ______ with a ph of _____

Answer 2

alkaline 7.15

Question 3

Midwifery management if term prom is

Answer 3

Watchful waiting until 24 hrs

Question 4

Pulmonary hypoplasia can occur if pprom bc ____

Answer 4

Not enough fluid to cushion the cord

Question 5

Preterm labor

Answer 5

Start of 20 weeks till the completion of 37th week

Question 6

Early preterm

Answer 6

< 32 wks

Question 7

Late preterm

Answer 7

> 32-< 37

Question 9

Increased risk of ptb with cerv length of_____

Answer 9

< 20 mm

Question 10

No risk for PTB if cervical length _____

Answer 10

> 30mm

Question 11

fibronectin is what?

Answer 11

protein that acts like glue that attaches fetal membranes to the uterine decidua

Question 12

fetalfibronectin is not normallly found in cervical fluid between ___ weeks to ___weeks

Answer 12

22-37

Question 13

WHat are the four predictors of PTB?

Answer 13

positive fibronectin
cervical length
previous PTB
presence of BV

Question 14

there is NO evidence that ____and ____ change outcomes for those at increased risk for PTB

Answer 14

bedrest and sexual activity

Question 15

bishop score zero ratings

Answer 15

closed, 0-30% effaced, -3station, firm, posterior

Question 16

bishop score ONE ratings

Answer 16

1-2cm, 40-50%, -2, medium, midposition

Question 17

bishop score TWO ratings

Answer 17

3-4cm, 60-70%, -1-0station, soft, anterior

Question 18

biship score THREE ratings

Answer 18

5 or more cm, 80% or greater, +1-+2

Question 19

what does a bishop score of >8 tell you?

Answer 19

likely sucess

Question 20

what does a bishop score of <3 tell you?

Answer 20

unlikely sucess

Question 21

laminaria is considered a ____method of induction

Answer 21

mechanical

Question 22

what is the error in thirs trimester u/s?

Answer 22

3-4 weeks…yikes!

Question 23

When should BPP be initated when managing woman approaching post dates?

Answer 23

at end of 40th or beginning of 41st week if NST reactive and AFI>5

Question 24

How often should BPP be done after 41 weeks?

Answer 24

twice weekly

Question 25

Asymtometric IUGR is _____

Answer 25

brainsparing

Question 26

Desribe type 1 BPD

Answer 26

late flattening head growth lags behind in late pregnancy ASYMETRIC= brain sparing infants of moms with preeclampsia

Question 27

describe type 2 BPD

Answer 27

low profile symmetric=everything is little head growth lags much earlier then type 1 commonly have chromosomal anomalies

Question 28

diagnosis of IUGR before u/s

Answer 28

lag of 4cm

Question 29

u/s should be every_____with IUGR

Answer 29

serial u/s for growth patterns every 3 weeks

Question 30

Oligo can be cuased by ________

Answer 30

decreased perfusion of fetal kidneys and reduced urine production

Question 31

thickness in placenta correlates to _____

Answer 31

gestation age

Question 32

doppler velocimetry not useful as ________

Answer 32

screening technique

Question 33

what is hypermelanosis

Answer 33

darkening of the skin

Question 34

what is chloasma?

Answer 34

facial hypermelanosis

Question 35

what is melanocyte

Answer 35

mole changes, tend to grow larger in pregnancy

Question 36

What is the most common dermatosisof pregnancy?

Answer 36

PUPPS

Question 37

trophoblastic tissue could lead to ______

Answer 37

worse pupps

Question 38

itchy rash that breaks out in blisters

Answer 38

impetigo herpetiformis

Question 39

MOA of clomid

Answer 39

induces ovulation by stimulating the release of pituitary gonadotropins

Question 40

monozygotic

Answer 40

1egg and 1 sperm

Question 41

dichorionic/diamniotic

Answer 41

2 sacs, 2 placentas

Question 42

monochorionic/diamniotic

Answer 42

2sacs, 1 placenta

Question 43

monochorionic/monoamniotic

Answer 43

1 sac, 1 placenta

Question 44

which twins have the highest risk of twin twin trasfusion?

Answer 44

mono/mono

Question 45

what are the four measures of antepartum surveillance with twins?

Answer 45

1. daily fetal kick counts begininning at 28wks 2. serial u/s beginning around 24-28 wks 3. weekly or biweekly NST's arounf 32 wks 4. BPP's and doppler studies as indicated