Test 2 Ob

Front 1

Gravida

Back 1

women who is pregnant

Front 2

gravidity

Back 2

pregnancy

Front 3

multigravida

Back 3

a woman who has completed two or more pregnancies to 20 weeks of gestation or more

Front 4

nulligravida

Back 4

a woman who has never been pregnant and is not currently pregnant

Front 5

nullipara

Back 5

a woman who has not completed a pregnancy with a fetus or fetuses beyond 20 weeks of gestation

Front 6

parity

Back 6

the number of pregnancies in which the fees or fetuses have reached 20 weeks of gestation - not affected if fetus is born alive or is stillborn

Front 7

postdate or postterm

Back 7

pregnancy that goes beyond 42 weeks of gestation

Front 8

preterm

Back 8

pregnancy that has reached 20 weeks of gestation but ends before completion of 37 weeks of gestation

Front 9

primigravida

Back 9

woman who is pregnant for the first time

Front 10

primpara

Back 10

woman who has completed one pregnancy with a fetus or fetuses who have reached 20 weeks of gestation

Front 11

at what age is the fetus considered viable

Back 11

22 - 25 weeks

Front 12

what is the earliest biological marker of pregancy

Back 12

HCG

Front 13

higher than normal levels of HCG is an indicator of what

Back 13

abnormal gestation

Front 14

abnormally slow increase in HCG or lower levels can indicate impending

Back 14

miscarriage or ectopic pregnancy

Front 15

what is the most popular testing of pregnancy

Back 15

ELISA

Front 16

what meds can cause false positive results

Back 16

tranquilizers and anticonvulsants

Front 17

what test can cause false negative results

Back 17

diuretics and promethazine

Front 18

when doing a home pregnancy test what sample of urine should you take

Back 18

first morning

Front 19

presumptive signs of pregnancy are

Back 19

those changes felt by the woman (amenorrhea, fatigue, breast changes)

Front 20

probable

Back 20

those changes observed by an examiner (he gars sign, ballottement, pregnancy test)

Front 21

positive signs you are pregnant are

Back 21

those signs attributed only to the presence of the fetus (hearing fetal heart tones, visualizing the fetus, palpating fetal movements)

Front 22

Goodell sign

Back 22

uterus has softened

Front 23

chadwicks signs is

Back 23

uterus takes on a bluish color

Front 24

fnic souffle is

Back 24

synchronous with the fetal heart rate and is caused by fetal blood coursing through the umbilical cord, may also be heard with the fetal heartbeat

Front 25

what is ballottement

Back 25

technique of palpating a floating structure by bouncing it gently and feeling it rebound, a finger is placed within the vagina and a tap is made gently upward on the cervix, causing the fetus to rise

Front 26

when can you first feel fetal movement

Back 26

at 14 to 16 weeks

Front 27

what is chadwicks sign

Back 27

violet-blish color of the vaginal mucosa and cervix, begins about 6 - 8 weeks of pregnancy

Front 28

what is leukorrhea

Back 28

white or slightly gray mucoid discharge with a faint musty odor - this forms the mucous plug (operculum)

Front 29

what is colostrum

Back 29

creamy, white to yellowish to orange pre milk fluid secreted during the second trimester

Front 30

melasma is a

Back 30

blotchy , brownish hyper pigmentation of the skin over the cheeks , nose and forehead

Front 31

linea nigra is a

Back 31

pigmented line extending from the symphis pubis to the top of the funds in the midline

Front 32

palmar erythema is

Back 32

pinkish red, diffusely mottled or well defined blotches are sen over the palmar surfaces of the hands

Front 33

couvade syndrome

Back 33

when men experience pregnancy like symptoms , such as nausea, wt gain, other physical symptoms

Front 34

three phases in the developmental tasks experienced by the expectant father

Back 34

1. the announcement phase - last for a few hours to a few weeks, feelings of joy or dismay
2. moratorium phase - when he adjusts to the reality of pregnancy
3. focusing phase - begins in the last trimester and is characterized by the fathers active involvement in both the pregnancy and his relationship with his child

Front 35

what is associated with lack of folic acid in the diet

Back 35

neural tube defects

Front 36

WHAT ARE THE RECOMMENDED CALORIE INCREASE DURING PREGNANCY

Back 36

1ST TRIMESTER - SAME AS IF NON-PREGNANT
2ND TRIMESTER - NONPREGNANT NEEDS PLUS 340 CALORIES
3RD TRIMESTER - NONPREGNANT NEEDS + 452 CALORIES

Front 37

- DURING LACTATION WHAT ARE THE CALORIC NEEDS

Back 37

FOR THE FIRST 6 MONTHS NONPREGNANT NEEDS + 330 CALORIES, SECOND 6 MONTHS NONPREGNANT NEEDS + 400 CALORIES

Front 38

IF YOU HAVE AN INADEQUATE WEIGHT GAIN WHAT ARE YOU INCREASED RISK FOR

Back 38

GIVING BIRTH TO AN INFANT WITH INTRAUTERINE GROWTH RESTRICTION

Front 39

WHEN OBESTITY IS PRESENT IT INCREASES LIKELIHOOD OF

Back 39

MACROSOMIA AND FETOPELVIC DISPROPORTION, C SECTION, BIRTH TRAUMA AND LATE FETAL DEATH, UTI, POSTPARTUM HEMORRHAGE

Front 40

OBESE WOMEN ARE MORE LIKELY TO HAVE

Back 40

PREECLAMPSIA AND GESTATIONAL DIABETES

Front 41

WHAT IS THE RECOMMENDED WT GAIN DURING PREGNANCY

Back 41

UNDERWEIGHT - 12.5 TO 18KG (25 - 35 LBS
NORMAL WT - 7 - 11.5 KG (15 TO 25 LBS)
OBESE 5 - 9 LG (11 TO 20 LBS)

Front 42

WHATI S ANTEPARTUM TESTING TWO MAJOR GOALS

Back 42

FIRST TO IDENTIFY FETUSES AT RISK FOR INJURY CAUSED BY ACUTE OR CHRONIC INTERRUPTION OF OXYGENATION SO PERMANENT INJURY OR DEATH MAY BE PREVENTED

SECOND TO IDENTIFY APPROPRIATELY OXYGENATED FETUSES SO UNNECESSARY INTERVENTION CAN BE AVOIDED

Front 43

A COUNT OF FEWER THAN ____ FETAL MOVEMENTS WITHIN AND HOUR WARRANTS FURTHER EVALUATION BY A NONSTRESS TEST OR A CONTRACTION TEST

Back 43

3

Front 44

what are some biophysical factors for high risk pregnancies

Back 44

genetic considerations, nutritional status, OB disorders

Front 45

what are some psychosocial factors for high risk pregancies

Back 45

smoking, caffeine, alcohol, drugs psychologic status

Front 46

what are some socidemographic factors

Back 46

low income , lack of prenatal acreage, adolescents mature mothers, parity marital status, residence, ethnicity

Front 47

antepartum testing is begins at

Back 47

32 to 34 weeks pregnant

Front 48

transvaginal ultrasonography is used in the first trimester to detect

Back 48

ectopic pregnancies, monitor the developing embryo, identify abnormalities, help establish gestational age

Front 49

transvaginal ultrasound is used in the second and third trimester for

Back 49

preterm labor

Front 50

when can fetal heart activity be detected

Back 50

6 weeks of gestation using transvaginal ultrsound

Front 51

what is nuchal translucency

Back 51

screening uses ultrasound measurement of fluid in the nape of the fetal neck between 10-14 weeks of gestation to identify possible fetal abnormalities

Front 52

a fluid collection that greater than 3 mm is considered

Back 52

abnormal

Front 53

an elevated NT alone indicate an increased risk of

Back 53

fetal cardiac disease

Front 54

a normal amniocentisis fluid is

Back 54

10cm - 25 cm

Front 55

amniotic fluid of 5 - 10 cm is considered

Back 55

low

Front 56

amniotic fluid less than 5 cm indicates

Back 56

oligohydramnios

Front 57

amniotic fluid above 25 cm indicates

Back 57

polyhydramnios

Front 58

oligohydramnios is associated with

Back 58

congenital anomalies, growth restriction, and abnormal fetal heart rate pattern during labor

Front 59

polyhydramnios is associated with

Back 59

neural tube defects, obstruction of the fetal GI tract, multiple fetuses and fetal hydrops

Front 60

when is amniocentesis possible

Back 60

14 weeks of pregnancy

Front 61

indirect coombs test is a screening tool for

Back 61

TH incompatibility

Front 62

poor glycemic control later in pregnancy increases the rate of

Back 62

fetal macrosomia - lg babies

Front 63

the key to an optimal pregnancy outcome is

Back 63

strict maternal glucose control before conception and throughout the gestational period

Front 64

maternal insulin requirements gradually increase from approx

Back 64

18 - 24 weeks of gestation to approx 36 weeks

Front 65

what are the changing insulin needs during pregnancy

Back 65

first trimester - insulin need is reduced
second trimester - insulin needs increase
third trimester - insulin needs may double or even quadruple
breastfeeding mother maintains lower insulin requirements

Front 66

poor glycemic control associated with an increased incidence

Back 66

miscarriage

Front 67

poor glycemic control later in pregnancy increases the rate of

Back 67

fetal macrosomia

Front 68

the most important cause of perinatal loss in diabetic pregnancy is

Back 68

congenital malformations

Front 69

when does the fetal pancreas begin to secrete insulin

Back 69

10 -14 weeks

Front 70

common birth injuries associated with diabetic pregnancies include

Back 70

brachial plexus palsy, facial nerve inujury, humerus or clavical fracture and cephalhematoma

Front 71

what is the preferred insulin during pregnancy

Back 71

lispro (humalog) and aspart (NovoLog)

Front 72

what are the acceptable fasting levels

Back 72

65 - 95 one hour
130 -140 1 hour post meal levels
120 two hour post meal levels or less

Front 73

in GDM if a 2 hour post meal levels are greater than _____ insulin therapy is begun

Back 73

95

Front 74

what oral agent most frequently prescribed

Back 74

glyburide

Front 75

glyburide should be taken at least _____ before a meal so its peak effect covers the 2 hour post meal blood glucose level

Back 75

30 min (preferably 1 hour)

Front 76

what are the most common cardiac decompensation during pregnancy

Back 76

fever and infection

Front 77

what is the most common congenital defects seen during pregnancy

Back 77

atrial septal defect

Front 78

marfan syndrome is

Back 78

autosomal dominant disorder characterized by generalized weakness of the connective tissue, aortic root dilation

Front 79

signs and symptoms of Marfan Syndrome is

Back 79

dislocation of the optic lens, deformity of the anterior thorax, scoliosis, long limbs, joint laxity and arachnodactyly

Front 80

the majority of deaths from mar fan syndrome are caused by

Back 80

aoritic dissection and rupture- excruciating chest pain is the most common symptom of aortic dissection

Front 81

what is the management of mar fan syndrome during pregnancy

Back 81

restricted activity and beta blockers

Front 82

what is thalassemia

Back 82

relatively common anemia in which an insufficient amount of hemoglobin is produced to fill the RBC - hereditary disorders

Front 83

what is the most common potentially serious medical condition to complicate pregnancy

Back 83

asthma

Front 84

most severe symptoms usually occur between

Back 84

17 to 24 weeks of gestation

Front 85

what is intrahepatic cholestasis of pregnancy

Back 85

liver disorder unique to pregnancy

Front 86

ICP is characterized by

Back 86

generalized pruritus

Front 87

the itching severely affects the

Back 87

palms and soles and is worse at night

Front 88

women with ICP have

Back 88

elevated serum bile acids and liver function tests

Front 89

thalassemia major (cooleys anemia) usually have

Back 89

hepatosplenomegaly and bone deformities caused by massive marrow tissue expansion

Front 90

if women with cooleys disorder become pregnant what happens

Back 90

they usually have severe anemia and congestive heart failure

Front 91

accutane prescribed for cystic acne is highly teratogenic what is the fetus at risk for

Back 91

craniofacial, cardiac and CNS malformations

Front 92

women with intrahepatic cholestasis of pregnancy develop

Back 92

dark urine and light colored stools

Front 93

what is the major neurologic disorder accompanying pregnancy

Back 93

epilepsy

Front 94

infants born to women taking anticonvulsant meds have an increased incidence of

Back 94

congenital anomalies, including cleft lip and palate , congenital hear disease and neural tube defects

Front 95

what meds should be avoided in pregnancy for women with seizures do to NTDs

Back 95

tegretol and depakote

Front 96

pregnant women with epilepsy are advised to take a ______ supplement and ______ vitamin

Back 96

folic 4mg and Vitamin D daily

Front 97

what med reduces the effectiveness of oral contraceptives (anticonvulsant meds)

Back 97

tegretol and dilantin

Front 98

hypertensive disorders are a major cause of maternal and perinatal

Back 98

morbidity and mortality worldwide

Front 99

gestational hypertension is

Back 99

development of hypertension after week 20 of pregnancy in previously normotensive woman without proteinuria

Front 100

preeclampsia

Back 100

development of hypertension and proteinuria in previously normotensive woman after 20 weeks of gestation or in early postpartum period

Front 101

eclampsia

Back 101

development of convulsions or coma not attributable to other causes in preeclamptic woman

Front 102

common risk factors associated with the development of preeclampsia is

Back 102

first pregnancy , women who are 19 or younger or over 40, first pregnancy with a new partner and the history of severe preeclampsia

Front 103

preexisting medical or genetic conditions

Back 103

chronic hypertension
renal disease
pregestational diabetes mellitus
connective tissue disease
thrombophilia
obesity

Front 104

what is the HELLP syndrome

Back 104

lab diagnosis for a variant of severe preeclampsia
H - hemolysis

EL - elevated liver enzymes

LP- low platelet count

Front 105

HELLP syndrome usually develops during the

Back 105

antepartum period

Front 106

s/s of the HELLP syndorme

Back 106

malaise, influenza like symptoms and epigastric or RUQ abdominal pain
Symptoms worsen at night and improve in the daytime

Front 107

what are some of the s/s of severe preeclampsia such as

Back 107

severe headaches (frontal), epigastric pain (heartburn), right upper quadrant abdominal pain or visual disturbances such as scotoma, photophobia, or double vision

Front 108

what is the drug of choice in the prevention and treatment of seizure activity ( eclampsia)

Back 108

magnesium sulfate

Front 109

common side effects of magnesium sulfate are

Back 109

feeling of warmth, flushing, diaphoresis and burning at the IV site

Front 110

symptoms of mild toxicity include

Back 110

lethargy, muscle weakness, decreased or absent DTR, double vision and slurred speech

Front 111

hyperemesis gravidarum

Back 111

vomiting durging pregnancy that is excessive enough to cause wt loss, electrolyte imbalance, nutritional deficiencies and keo=tonuria

Front 112

what are the three most classic symptoms of ectopic (tubal) pregnancy

Back 112

1 abdominal pain
delayed emeses
abnormal vaginal bleeding that occurs approx 6 to 8 weeks after the last normal menstrual period