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36 Cards in this Set
- Front
- Back
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What is the Bishop scoring system?
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It assesses favorability to induce birth; a score of 6+ is favorable
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What are the pelvic "rule of three's"
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Three diameters
Three planes Three components of the three planes |
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What are the three planes of the pelvis?
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Inlet
Midplane (mid-pelvis) Outlet |
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What is the most common pelvic type?
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Gynecoid
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when does the posterior fontanelle close?
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6-8 weeks
Anterior: 18 months |
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what are the different types of presentation?
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cephalic
Breech |
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Chart Marias Pregnancies:
Maria is pregnant for the fifth time She terminated her first pregnancy at 8 weeks. Her second pregnancy ended in a miscarriage at 12 weeks. Her third baby was born at 40 weeks and is still living Her fourth baby was born by emergency cesarean at 34 weeks and is still living How do you chart her pregnancy? |
G: 5 (pregnant for the fifth time)
P: 1 Fullterm, 1 Premature, 2 Abortions and 2 Living children Written: G: 5, P: 1-1-2-2 |
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Calculate the Due date of the LMP April 14 with:
A.28 day cycle B.35 day cycle C 21 day cycle |
28 day cycle: subtract 3 months and add 7 days
Due date January 21 For 35 day cycle: subtract 3 months and add 14 days LMP April 14 - Due date Jan 28 For 21 day cycle: subtract 3 months and add 0 days LMP April 14 - Due date January 14 |
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What is “spinbarkeitt” mucus
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vaginal discharge seen during ovulation
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What does lower than normal hCG levels for WGA indicate?
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ectopic or fetal demise
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What does higher than normal hCG levels for WGA indicate?
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NTDs or multiple gestation
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Where should the fundus of the uterine be at 20 weeks?
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At unbillicus
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What types of measurements can ultrasound make to determine gestational age?
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Head circumference
Abdominal circumference Crown-rump length Femur length Estimated fetal weight Most accurate at 20 wks |
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what is the normal fetal heart rate?
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120-160
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What group is at higher risk of Tay-Sach's disease?
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Ashkenazi Jews
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Who's a high risk group for thalassemia?
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Mediterranean descent
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What are some physiological changes in first trimester
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Morning sickness
Aversions to certain foods and odors Fatigue Frequent urination Breast enlargement Food cravings Changes in libido |
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When should you start iron and B-12 supplements?
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first trimester; as preventive measure even with a good hgb
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What is the pre-quickening phase of pregnancy?
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Happens during the second trimester when the woman examines her relationship with her own mother
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What is the post-quickening phase of pregnancy?
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When the woman changes her social interests and activities to pregnancy
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What are some physiological changes in third trimester
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Can’t get comfortable
Edema Backache SOB Urinary frequency Insomnia Colostrum |
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What causes constipation during pregnancy?
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Increase in progesterone: slows down peristaltic action
exacerbated with synthetic iron |
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How often should you have prenatal care visits?
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Every 4 weeks until 28 WGA
Every 2 weeks until 36 WGA Every week until birth |
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when should you screen for diabetes screen
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At 24-28 wks
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when should you screen for
neural tube defects and Down’s syndrome |
At 15-18 weeks
MSAFP (Triple screen testing) |
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pregnancy normally lowers H/H, when would you see an increase in H/H?
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smoking
altitude > 3000 ft severe dehydration pre-eclampsia |
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In a GTT, what are the normal values for whole blood
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fasting = 90 mg gluc/100 mL
1 hour = 165 mg 2 hour = 145 mg 3 hour = 125 mg |
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In a GTT, what are the normal values for plasma?
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15% higher than whole blood
fasting = 105 mg 1 hour = 190 mg 2 hour = 165 mg 3 hour = 145 mg |
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What is the normal weight gain during pregnancy?
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normal ~ 25 to 35 pounds
Twins ~ 35 to 45 pounds Overweight ~ 15 - 25 pounds |
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what are the risks of dieting and fasting during pregnancy?
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hypoglycemia and ketosis
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What are causes of inadequate weight gain in the second and third trimesters?
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smoking
caffeine alcohol recreational drugs |
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What nutrient is particularly important in the last few weeks of pregnancy?
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protein
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How many calories should you add to daily intake before 20 weeks?
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300 calories
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How many calories and protein should you add to daily intake after 20 weeks?
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500 calories and
25 grams of protein |
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what is the daily recommendations for carbohydrates
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200 grams per day
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What do Leopold’s Maneuvers determine?
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Estimate fetal weight
Estimate amount of amniotic fluid Determine whether baby is engaged Determine baby’s presentation Determine position of baby |
