Term
| Hypertension diagnosed before the 20th week of pregnancy? |
|
Definition
|
|
Term
| HTN diagnosed after the 20th week of pregnancy with no proteinuria? |
|
Definition
|
|
Term
| HTN with proteinuria after 20 wks. |
|
Definition
|
|
Term
| HTN during pregnancy with seizures. |
|
Definition
|
|
Term
| What does HELLP stand for? |
|
Definition
| Hemolysis, Elevated Liver enzymes, Low Platelet count |
|
|
Term
| What is considered HTN in prego? |
|
Definition
|
|
Term
| When can a baseline BP be taken? |
|
Definition
| Before prego or in 1st trimester |
|
|
Term
| How long apart do BP readings need to be to be able to dx HTN? |
|
Definition
|
|
Term
| What is the Tx for mild preeclampsia? |
|
Definition
|
|
Term
| What is the Tx for severe preeclampsia? (4) |
|
Definition
Admittance
Mag sulfate
AntiHTN meds
Monitoring |
|
|
Term
| What is the most common cause of Preeclampsia? |
|
Definition
|
|
Term
| Above what age is a risk factor for Preeclampsia? |
|
Definition
|
|
Term
| What 3 things increase risk for preeclampsia? |
|
Definition
1. extremes of age
2. multifetal gestation
3. preexisting vascular dz/DM |
|
|
Term
| Sx: HA, blurry vision, RUQ pain, non-dependent edema, hyperreflexia. |
|
Definition
|
|
Term
| What are the two diagnostic factors for Preeclampsia? |
|
Definition
1. increased BP
2. Proteinuria |
|
|
Term
| If this lab is elevated, it is predictive for a preeclamptic event. |
|
Definition
|
|
Term
| What is the cure for preeclampsia? |
|
Definition
|
|
Term
| Giving antiHTN medications in preeclampsia is to protect the baby or the mother? |
|
Definition
|
|
Term
| What is the goal BP in preeclamptics? |
|
Definition
|
|
Term
| What med do you give for seizure prophylaxis in preeclamptic pts? |
|
Definition
|
|
Term
| At what gest. age would you deliver a preeclamptic pt? |
|
Definition
|
|
Term
| What is the tx for a preeclamptic pt at 30 weeks gest. age? |
|
Definition
|
|
Term
| What is the treatment for HELLP? |
|
Definition
|
|
Term
| Do pregnant pts bodies compromise for blood loss/hemorrhage? |
|
Definition
| Yes, by the time they show sx, blood volume is severely compromised |
|
|
Term
| What are the 2 most common causes of bleeding in pregos? |
|
Definition
| Placenta abruption and abnormal placentation |
|
|
Term
| What is the term for the placenta over the cervical os? |
|
Definition
|
|
Term
| What is the best diagnostic method of placenta previa? |
|
Definition
|
|
Term
| Sx: painless bleeding in the 3rd trimester. |
|
Definition
|
|
Term
| What type of placenta previa is just over the edge of the cervical os? |
|
Definition
|
|
Term
| What type of placental implantation lies low but not over the cervical os? |
|
Definition
|
|
Term
| What is passage of fetal blood vessels over the cervical os or below the presenting part? |
|
Definition
|
|
Term
| When the placenta villi go into the superficial layer of the myometrium? |
|
Definition
|
|
Term
| When the placenta villi go into the myometrium? |
|
Definition
|
|
Term
| When the placenta villi goes thru the serosa of the uterus? |
|
Definition
|
|
Term
| How do you diagnose Placenta abruption? |
|
Definition
|
|
Term
| Sx: bleeding with severe contractions, dark thin blood in vagina, pain. |
|
Definition
|
|
Term
| What will you see on the FHR monitor with placenta abruption? |
|
Definition
|
|
Term
| What is the tx for placental abruption? |
|
Definition
|
|
Term
| What is the most common part of the uterus to rupture? |
|
Definition
|
|
Term
| What is the most common type of c section cut to cause uterine rupture? |
|
Definition
|
|
Term
| What is the least common type of C section cut that will cause uterine rupture? |
|
Definition
|
|
Term
| what type of C section cut can a pt undergo a trial of vaginal labor for their next birth? |
|
Definition
|
|
Term
| You see a presenting part in the cervical os, you feel it and it is pulsating. Dx? |
|
Definition
|
|
Term
| What is the tx for cord prolapse? (2) |
|
Definition
1. Elevate fetal head
2. C section |
|
|
Term
| What is the normal blood loss during SVD? |
|
Definition
|
|
Term
| What is the nl blood loss for a C section? |
|
Definition
|
|
Term
| How much of a decrease must a Hct have to do a transfusion in postpartum hemorrhage? |
|
Definition
|
|
Term
| What is the most common cause of postpartum hemorrhage? |
|
Definition
|
|
Term
| What is the first line tx for postpartum hemorrhage? |
|
Definition
| Check the uterus - Massage |
|
|
Term
| If the uterus is boggy and massage isn't working, then what do you do? |
|
Definition
|
|
Term
|
Definition
|
|
Term
| What type of maneuver is for shoulder dystocia that presses on the suprapubic area? |
|
Definition
|
|
Term
| What is the type of move that you push the head back in the vaginal canal to relieve shoulder dystocia? |
|
Definition
|
|
Term
| Which type of presentation is where a foot presents first? |
|
Definition
|
|
Term
| If the baby is sitting indian style in the canal, what presentation is this? |
|
Definition
|
|
Term
| What presenting position is where the baby's legs are straight up towards the face? |
|
Definition
|
|
Term
| What manuevers determine the position of the baby? |
|
Definition
|
|
Term
| What maneuvers use pressure to move the baby around? |
|
Definition
| External Cephalic Version |
|
|
Term
| What presentation is where the baby is lying diagonal? |
|
Definition
|
|
Term
| Fraternal twins are dizygotic or monozygotic? |
|
Definition
|
|
Term
| Maternal twins are dizygotic or monozygotic? |
|
Definition
|
|
Term
| What type of twins occur when two seperate ova are fertilized by 2 seperate sperm? |
|
Definition
|
|
Term
| What type of twins represent division of the fertilized ovum at various times after conception? |
|
Definition
|
|
Term
| Is increasing age and parity a risk factor for mono or dizygotic twinning? |
|
Definition
|
|
Term
| Does twinning occur on the maternal or paternal lineage? |
|
Definition
|
|
Term
| What is the avg expected duration of a twin pregnancy? |
|
Definition
|
|
Term
| What is the avg expected duration of a triplet pregnancy? |
|
Definition
|
|
Term
| In Monozygotic twins, if division occurs at 3 days after fertilization, what type is it? |
|
Definition
|
|
Term
| In Monozygotic twins, if division occurs btwn 4-8 days after fertilization, what type is it? |
|
Definition
| Diamniotic, monochorionic |
|
|
Term
| In Monozygotic twins, if division occurs btwn 9-12 days after fertilization, what type is it? |
|
Definition
| Monoamniotic, monochorionic |
|
|
Term
| In Monozygotic twins, if division occurs beyond 12 days after fertilization, what will occur? |
|
Definition
|
|
Term
| What is the term for twins with 2 placentas, 2 sacs and 2 cords? |
|
Definition
|
|
Term
| What is the term for 1 placenta, 2 sacs and 2 cords in twins? |
|
Definition
|
|
Term
| What is the term for 1 placenta, 2 sacs and 1 cord in twins? |
|
Definition
| Monochorionic, diamniotic |
|
|
Term
| What is the term for 1 placenta, 1 sac and 1 cord in twins? |
|
Definition
| Monoamniotic, monochorionic |
|
|
Term
| What is the term for vascular anastomoses btwn the fetuses? |
|
Definition
| Twin-twin transfusion syndrome |
|
|
Term
| If you have twins, one has impaired growth, anemia and hypovolemia, what should be suspected? |
|
Definition
| Twin-twin transfusion syndrome |
|
|
Term
| If there is an absence of an umbilical artery what is the baby at risk for? |
|
Definition
| congenital anomalies - esp renal agenesis |
|
|
Term
| What should you suspsect an abnormality in if there is vanishing twin syndrome? |
|
Definition
|
|
Term
| What is it called when there is death of a twin really early in the 1st trimester? |
|
Definition
|
|
Term
| What are the the major causes of perinatal morbidity of the baby? |
|
Definition
Preterm labor and delivery
Intrauterine growth restriction |
|
|
Term
| At what gest. age should twinning mothers be advised to begin increasing rest? |
|
Definition
|
|
Term
| At what gest. age should you instruct a twinning mother to start counting kicks? |
|
Definition
|
|
Term
| At what gest. age should periodic US be started for twinning mothers? |
|
Definition
|
|
Term
| What is considered discordant growth in twins? |
|
Definition
|
|
Term
| What does the delivery mode depend on in twins? |
|
Definition
| the presentation of baby A |
|
|
Term
| If twin A is in the non-vertex presentation, what type of delivery must be done? |
|
Definition
|
|
Term
| What is the formation of maternal antibodies? |
|
Definition
|
|
Term
| Development of a significant titer to specific antibody as a result of antigenis stimulation w/ material contained on or in the RBCs of another individual. |
|
Definition
|
|
Term
| What is the long term consequence of isoimmunization of a mother? |
|
Definition
| Hemolytic disease of the fetus |
|
|
Term
| What is the most common antigen in pregnancies? |
|
Definition
|
|
Term
| Isoimmunization occurs with an Rh ________ woman with an Rh _________ fetus. |
|
Definition
Negative woman
Positive fetus |
|
|
Term
| Less than ____mL of blood is sufficient to cause isoimmunization. |
|
Definition
|
|
Term
| What is the Ab to the D Ag of the Rh system? |
|
Definition
|
|
Term
| What is the standard dose of Rhogam? |
|
Definition
|
|
Term
| If a woman is RH- and father is Rh+, should she get Rhogam? |
|
Definition
|
|
Term
| If the woman is Rh- and the father is Rh- should she get Rhogam? |
|
Definition
|
|
Term
| At what gest age should you give Prophylactic Rhogam? |
|
Definition
|
|
Term
| If you are giving Rhogam postpartum for a Rh- mother who just gave birth to a Rh+ baby, up to how many hours can it be given? |
|
Definition
|
|
Term
| Which immunoglobulin does not cross the placenta and can cause an Ab-mediated immune response? |
|
Definition
|
|
Term
| Which immunoglobulin crosses the placenta and can cause hemolysis of fetal cells, bilirubin release, anemia and hydrops fetalis? |
|
Definition
|
|
Term
| Is ABO incompatability an emergent disease? |
|
Definition
| No, does not cause a severe dz |
|
|
Term
| Which pregnancy is usually affected by isoimmunization? |
|
Definition
|
|
Term
| A titer of what would show sensitization of an immunoglobulin and could cause fetal jeopardy? |
|
Definition
|
|
Term
| If a mother is susptected to be sensitized to immunoglobulins what should be done to test for it? |
|
Definition
|
|
Term
| What test can show hemolysis in the fetus? |
|
Definition
|
|
Term
| PPROM is before what gest. age? |
|
Definition
|
|
Term
| Amniotic fluid is more acidic or more alkaline than vaginal secretions? |
|
Definition
more alkaline
pH >7.1
Vaginal secretions - 4.5 |
|
|
Term
| How many hours after delivery is considered prolonged ROM? |
|
Definition
|
|
Term
| What is the risk for Prolonged ROM? |
|
Definition
| chorioamionitis - infection |
|
|
Term
| What tx should be done for Prolonged ROM? |
|
Definition
|
|
Term
| A positive Nitrazine test will show up what color? |
|
Definition
|
|
Term
| Which test is more indicative of amniotic fluid, Nitrazine or Fern? |
|
Definition
|
|
Term
| What should you test the amniotic fluid for in PPROM? |
|
Definition
| FLM - fetal lung maturity |
|
|
Term
| What test can be done for PPROM that includes injecting indigo carmine into the amniotic fluid and seeing if it leaks out? |
|
Definition
|
|
Term
| What can be given to hasten fetal lung maturity? |
|
Definition
|
|
Term
| Which drugs stop contractions long enough to give steroids for fetal lung maturity? |
|
Definition
|
|
Term
| With PPROM, most pts will go into labor in how long? |
|
Definition
|
|
Term
| What should be given for PPROM to prevent complications? |
|
Definition
| Abx - ampicillin and azithromycin |
|
|
Term
| After what gest age would you deliver the baby if the pt has PPROM? |
|
Definition
| after 34 weeks just deliver - too big of risk for infxn |
|
|
Term
| What and how much steroid do you give for FLM? |
|
Definition
| betamethasone - 12 mg q24H apart |
|
|
Term
| Contractions resulting in cervical dilation and effacement. |
|
Definition
|
|
Term
| % of thinnes and shortening of the cervix. |
|
Definition
|
|
Term
| What happens to the upper uterus during labor? |
|
Definition
|
|
Term
| What happens to the lower uterus during labor? |
|
Definition
|
|
Term
| How is cervical dilation evaluated? |
|
Definition
|
|
Term
| What type of contractions are associated with lower abdominal pain and resolve with ambulation, hydration or analgesia? |
|
Definition
| Braxton Hicks - false labor |
|
|
Term
| What type of contractions are associated with pain over the fundus that radiates to the lower back. |
|
Definition
|
|
Term
| Which leopold maneuver assesses for what occupies the fundus? |
|
Definition
|
|
Term
| Which leopold maneuver assesses for small parts? |
|
Definition
|
|
Term
| Which leopold maneuver assesses for the presenting part? |
|
Definition
|
|
Term
| Which leopold maneuver assesses for cephalic prominence? |
|
Definition
|
|
Term
| What is the most common pelvis shape that is best for birthing? |
|
Definition
|
|
Term
| What shape of pelvis is wedge-shaped and more common in AA? |
|
Definition
|
|
Term
| What stage of labor is the onset of labor to 10 cm dilation? |
|
Definition
|
|
Term
| What stage of labor is from complete dilation to delivery of infant? |
|
Definition
|
|
Term
| What stage of labor is after delivery to placental delivery? |
|
Definition
|
|
Term
| What stage of labor is 2 hrs immediate pospartum? |
|
Definition
|
|
Term
| Which phase of the first stage of labor is from cervical effacement to 4 cm dilation? |
|
Definition
|
|
Term
| Which phase of the first stage of labor is from 4-10 cm dilated and is rapid? |
|
Definition
|
|
Term
| What station is at the ischial spines? |
|
Definition
|
|
Term
| What is the most common cause of overstimulation of amount of descent? |
|
Definition
|
|
Term
| where do lacs usually occur from labor? |
|
Definition
|
|
Term
| Which degree of lac is through the vaginal mucosa and NOT the underlying tissue? |
|
Definition
|
|
Term
| What lac involves the underlyign subQ tissue but not the rectal sphincter? |
|
Definition
|
|
Term
| Which lac from labor goes thru the rectal sphincter but NOT into rectal mucosa? |
|
Definition
|
|
Term
| What lac from labor goes into the rectal mucosa? |
|
Definition
|
|
Term
| What are the 3 P's of labor? |
|
Definition
| Power, passenger, Passage |
|
|
Term
| Abnormal labor in nulliparous women in the latent phase would be > how many hrs? |
|
Definition
|
|
Term
| Abnormal labor in multiparous women in the latent phase would be > how many hrs? |
|
Definition
|
|
Term
| Abnormal labor in nulliparous women in the fist phase of labor would be what cervical dilation rate? |
|
Definition
|
|
Term
| Abnormal labor in multiparous women in the fist phase of labor would be what cervical dilation rate? |
|
Definition
|
|
Term
| Arrest disorder is considered no cervical dilation for more than how many hrs in both multi and nulliparous women? |
|
Definition
|
|
Term
| Arrest disorder in multi and nulliparous women in the second phase of labor would be no descent after how many hours? |
|
Definition
|
|
Term
| Labor that is slow to progress is called what? |
|
Definition
|
|
Term
| Labor that ceases to progress is called what? |
|
Definition
|
|
Term
| Augmentation or labor induction is done when cxns are < what? |
|
Definition
| <3 in 10min or <25 mm Hg above baseline |
|
|
Term
| What type of labor device can cause shoulder dystocia? |
|
Definition
|
|
Term
| What is considered bradycardia in an infant? |
|
Definition
|
|
Term
| What is tachycardia in an infant? |
|
Definition
|
|
Term
| What is the most common cause of tachycardia in a fetus? |
|
Definition
|
|
Term
| How long do you need a strip to be to figure out baseline FHR? |
|
Definition
|
|
Term
| What type of variability shows beat to beat changes? |
|
Definition
|
|
Term
| What type of variability shows overall undulating pattern? |
|
Definition
|
|
Term
| Is moderate variability good or bad? |
|
Definition
|
|
Term
| Decreased variability is caused by what? |
|
Definition
|
|
Term
| Accelerations should peak in < how many secs? |
|
Definition
|
|
Term
| How long of a strip do you need to check for reactivity? |
|
Definition
|
|
Term
| To be a positive reactive strip how many accelerations must be present? |
|
Definition
|
|
Term
| How high and long much accelerations be? |
|
Definition
| 15 secs and 15 over baseline |
|
|
Term
| How long are fetal sleep cycles usually? |
|
Definition
|
|
Term
| If you have a reactive non-stress test the baby can be thought to stay alive for the next how many hrs? |
|
Definition
|
|
Term
| What are the units contractions are measured in? |
|
Definition
|
|
Term
| What type of decelerations are bad? |
|
Definition
|
|
Term
| What type of decelerations have the nadir after the apex of the contraction and are slow to return to baseline? |
|
Definition
|
|
Term
| Can late decelerations be reactive? |
|
Definition
|
|
Term
| What is the first thing to do if late decels are seen? |
|
Definition
|
|
Term
| What is the most common FHR pattern? |
|
Definition
|
|
Term
| What type of decelerations are nl in a fetus? |
|
Definition
|
|
Term
| If these type of decelerations are repetitive and deep they are bad. |
|
Definition
|
|
Term
| What do variable decels usually mean? |
|
Definition
| Cord compression or oligohydramnios |
|
|
Term
| This FHR pattern rapidly goes down and comes back up and last about 10 secs. |
|
Definition
|
|
Term
| What type of decelerations are early decels? |
|
Definition
|
|
Term
| What type of FHR abnormalities are seen with the baby moving down the canal? |
|
Definition
|
|
Term
| Early decelerarions - quick or slow to return to baseline? |
|
Definition
| quick - recover as cxns recover |
|
|
Term
| What type of FHR abnormalities are an indicator that the baby is in the complete station? |
|
Definition
|
|
Term
| At what times are APGAR scores taken? |
|
Definition
1 and 5 min
10 min again if there is a problem |
|
|
Term
| How often do you take the newborns vital signs after birth? |
|
Definition
| Q30 min until stable for 2 hrs |
|
|
Term
| What 2 medications are given to the newborn right after birth? |
|
Definition
1. Vit K - IM
2. Erythromycin ointment on eyes - for gonococcal infxn |
|
|
Term
| What assessment sheet can be used to test the neuromuscular maturity of a newborn? |
|
Definition
|
|
Term
| If a narcotic addicted mother has a baby should you give them naloxone? |
|
Definition
| No, the baby will go thru w/drawls - only give for ODs |
|
|
Term
| What is the normal arterial blood pH from an umbilical cord? |
|
Definition
|
|
Term
| At what HR do you start neonatal resuscitation? |
|
Definition
|
|
Term
| Immediately after birth where should you feel the uterus? |
|
Definition
|
|
Term
| At 6 wks postpartum, what size should the uterus be? |
|
Definition
|
|
Term
| What is the vagina bleeding after birth called? |
|
Definition
|
|
Term
| What is the shape of a muliparous woman's cervical os? |
|
Definition
|
|
Term
| When should Kegel's be started? |
|
Definition
|
|
Term
| When does ovulation return to a postpoartum woman who is NOT breastfeeding? |
|
Definition
|
|
Term
| When does ovulation tend to occur in a breastfeeding postpartum woman? |
|
Definition
|
|
Term
| How long does a woman usually stay in the hospital for a NSVD? |
|
Definition
|
|
Term
| What type of Birth control should a woman have postpartum? |
|
Definition
| Progestin only for 2-3 wks |
|
|
Term
| When can a pt switch from progestin only birth control to combination? |
|
Definition
| 6 wks postpartum if breast feeding |
|
|
Term
| Can a pregnant woman get the Rubella vaccine? |
|
Definition
|
|
Term
| Can a pregnant woman get a tetanus shot? |
|
Definition
|
|
Term
| How long do women usually stay in the hospital for a C section delivery? |
|
Definition
|
|
Term
| At what age should iron supplementation be started in baby? |
|
Definition
|
|
Term
| Can a infant with galactosemia be breastfed? |
|
Definition
|
|
Term
| What cream can be given for nipple care? |
|
Definition
|
|
Term
| Sx: reddened, hardened area on one breast with fever, chills, malaise. |
|
Definition
|
|
Term
| WHat is the tx for mastitis? |
|
Definition
|
|
Term
| What is the most common organism of Mastitis? |
|
Definition
|
|
Term
| Postpartum depression last longer than how long? |
|
Definition
|
|
