Final

Question 1

probable signs of PG (8)

Answer 1

•abd enlargement
•Goodell- soft cervix
•Ballotmement- fetus rebound
•Chadwick- blue cervix
•braxton hick ctx
•positive PG test
•fetal outline felt 
•Hegar's sign- soft uterus 
*objective

Question 2

presumptive signs of PG (6)

Answer 2

•amenorrhea
•fatigue
•N/V
•urinary freq. 
•breast/uterine changes
•quickening
*subjective

Question 3

positive signs of PG (3)

Answer 3

• FHT
• U/S view of fetus
• fetal movement palpated

Question 4

most accurate PG test

Answer 4

• first AM voiding

* 7-10 days after conception

Question 5

what does BPP measure (4)

Answer 5

• FHR
• FHT
• breathing/body movement
• AFI

Question 6

indications for CST (4)

Answer 6

• dec. fetal movement
• IUGR
• post-maturity
• AMA

Question 7

risk factors associated w/ abruptio placenta (4)

Answer 7

• pre-eclamp/HTN
• abd trauma
• cocaine
• nicotine

Question 8

priority medication admin for preterm labor or placenta previa

Answer 8

•steroid

Question 9

s/sx TORCH infection (4)

Answer 9

• joint pain
• malaise
• rash
• tender lymph nodes

Question 10

risk factors associated with hyperemesis gravidarum

Answer 10

• obesity
• multifetal PG
• migraine

Question 11

abnormal labs associated w/ hyperemesis gravid arum (2)

Answer 11

• urine ketones

* low blood glucose

Question 12

latent 1st stage labor

Answer 12

• 0-3 cm dilation

* ctx 30-45 sec

Question 13

active 1st stage labor

Answer 13

• 4-7 cm dilation

* ctx 40-70 sec

Question 14

transition 1st stage labor

Answer 14

• 8-10 cm dilation

* ctx 45-90 sec

Question 15

2nd stage labor

Answer 15

•expulsion of fetus

Question 16

3rd stage labor

Answer 16

•delivery of placenta

Question 17

4th stage labor

Answer 17

•stabilization of VS

Question 18

indications of placental separation (3)

Answer 18

• umbilical cord lengthening
• gush of dark blood
• firm uterus ctx

Question 19

indications for amnioinfusion (2)

Answer 19

• oligohydramnios

* cord compression

Question 20

postpartum shaking causes (2)

Answer 20

• change in body fluids

* metabolic effort

Question 21

s/sx DVT (4)

Answer 21

• calf tenderness
• swelling
• elevated temp.
• area of warmth

Question 22

conduction

Answer 22

•body to TOUCHING surface

Question 23

convection

Answer 23

•body to cool air

Question 24

radiation

Answer 24

•body to NOT TOUCHING surface

Question 25

when RhoGam

Answer 25

* 28 wks if - * after version * after invasive procedure * after delivery of + baby

Question 26

IUDs contraindicated for..

Answer 26

•woman w/ multiple sex partners d/t r/o STD or infection

Question 27

risk of doing epidural anesthesia too early

Answer 27

•prolonged labor

Question 28

possible neonate condition d/t steroid admin in utero...

Answer 28

•hypoglycemia

Question 29

anatomical estimate of GA

Answer 29

•b/t symphysis pubis and top of fundus

Question 30

tamoxifen side effects

Answer 30

* nausea * hot flashes * vaginal bleeding * menstrual irregularities * rash

Question 31

period of fetal heart development

Answer 31

•3rd and 5th week

Question 32

length of PG

Answer 32

* 280 days * 9 calendar months * 40 weeks

Question 33

primipara

Answer 33

•completed one PG w/ viable fetus

Question 34

primigravida

Answer 34

•pregnant for the first time

Question 35

primary powers are responsible for...

Answer 35

•dilation and effacement

Question 36

secondary powers are responsible for...

Answer 36

•expulsion of the fetus

Question 37

energy level preceding labor

Answer 37

•increased

Question 38

fetal bradycardia is most common during...

Answer 38

•viral infection