3195621
| Question | Answer |
| What are the two goals in regards to mothers and babies in Healthy People 2010? | Reduced infant and fetal deaths and increased prenatal care |
| What is one of the biggest contraindications for oral contraceptives? | History of thromboembolic disorders. Others are stroke, CAD, breast cancer, gallbladder disease, estrogen-dependent tumors, pregnancy, impaired liver fxn, surgery, HTN, and headaches |
| What is a major side effect of Depo Provera? | decreased bone mineral density |
| What is maternal serum screening? | A blood test used to see if a pregnant woman is at risk for carrying a fetus with a neural tube defect or chromosomal abnormalities such as Down syndrome, trisomy 18, and trisomy 13. It only identifies the risk; does not diagnose. |
| What is the "concept of probability?" | Refers to the likelihood of something occurring. All women are at risk for carrying a baby with a defect. Prenatal testing can detect how much of a risk. |
| What would a preconception screening include? | Patient history, lab tests, exam, and DNA analysis |
| When does ovulation occur and how long is an ovum fertile for? | Ovulation occurs around days 13-14 of a 28 day cycle. An ovum is fertile for 24 hours. |
| In OB, how long is the statute of limitations? | 21 years |
| What is always performed prior to amniocentesis? | Ultrasound |
| What is your priority intervention for placenta previa? | EFM |
| Brethine is the other drug name for | Terbutaline |
| Name some common skin changes associated with pregnancy. | Hyperpigmentation of moles, areola, vulva, perianal, linea nigra, chloasma, and striae gravidarum (stretch marks) |
| If the fetus presents in the fundus with a round movable part, what position is the fetus in? | Breech |
| While performing a NST, you find that the fetus has been non-reactive for the past 30 minutes. What do you do next? | Vibroacoustic stimulation |
| When does implantation occur? | 6-10 days after fertilization |
| What are the 3 main things you are assessing while doing Leopold's maneuver? | fetal position, determining if there is multiple fetuses, and if the fetus is engaged |
| If a fetus is large for gestational age, what lab test might you want to do? | CBC to look for polycythemia. |
| True or False: Congenital anomalies are a larger concern for mothers with gestational diabetes versus mothers with pre-existing diabetes. | False. Mothers with pre-existing diabetes are at higher risk for babies with congenital anomalies. |
| Name the 5 aspects of the BPP. | Fetal breathing movements Fetal movements of body or limbs Fetal tone Amniotic fluid volume Reactive nonstress test |
| Cocaine use is associated with which vaginal bleeding complication? | Placental abruption |
| What lab values are associated with Trisomy 21 (Down syndrome)? | Low MSAFP, estriol, and Inhibin A High hCG |
| What lab values are associated with Trisomy 18? | Low MSAFP, hCG, and estriol |
| What lab value will be elevated in a fetus with neural tube defects? | MSAFP |
| What are the 3 main signs you assess for in magnesium sulfate toxicity? | Decreased respirations, oliguira, and absent deep tendon reflexes |
| What are the signs of severe preeclampsia? | Epigastric pain, BP of >160/110, proteinuria, blurred vision, frontal HA (not healed by Tylenol), hyperreflexive, and presence of clonus |
| What are the main signs of BV? | Fishy scent, grayish-colored discharge, and itching |
| An amniocentesis done at GA 34 weeks is done to | check maturity of fetal lungs |
| What does TPAL stand for? | Term deliveries Pre-term deliveries Abortions Living children |
| Why shouldn't you give indomethacin after 32 weeks gestation? | This medication will close the ductus arteriosis after 32 weeks gestation. |
| The screening test done to determine if a pregnant woman has been sensitized to the Rh factor is the | Indirect Coombs' test |
| Early deceleration cause and intervention: | Cause: head compression due to fetal descent Intervention: Vaginal exam |
| Variable deceleration cause, finding, treatment, and potential complication: | Cause: cord compression or oligohydramnios Finding: carrot-shaped Treatment: Change position, vaginal exam after SROM, amnioinfusion Complication: prolapsed cord/ finders keepers |
| Late deceleration cause, finding, and treatment: | Cause: uteroplacental insufficiency Finding: returns to baseline AFTER the end of a contraction Treatment: place on left side, IV fluid, O2, Check BP, turn off Pitocin |
| What is the criteria for a reactive nonstress test? | 2 accelerations within 20 minutes |
| What does a positive CST mean? | There were late decelerations with more than 50% of uterine contractions... that's bad! |
Want to create your own Flashcards for free with GoConqr? Learn more.