Ob Ati Chapters 3, 4

Front 1

CHAPTER THREE

Back 1

(Ignore this card)

Front 2

List presumptive pregnancy signs

Back 2

amenorrhea, fatigue, N/V, Urinary frequency, breast changes, quickening, uterine enlargement, linea nigra, chloasma, striae gravidarum

Front 3

Quickening

Back 3

Slight fluttering movements of the fetus felt by a woman, usually between 16 to 20 weeks of gestation

Front 4

List probable pregnancy signs

Back 4

abdominal enlargement, cervical changes, Hegar's sign, Chadwick's sign, Goodell's sign, Ballottement, Braxton-Hicks contrations, positive pregnancy test, fetal outline felt by examiner

Front 5

List positive signs of pregnancy

Back 5

Fetal heart sound, visualization of fetus by U/S, fetal movement palpated by an experienced examiner

Front 6

McDonald's method

Back 6

Method of determining gestational age: measure uterine fundal height in cm from the symphysis pubis to the top of the uterine fundus (between 18-30 weeks gestation). The gestational age is equal to that of the fundal height.

Front 7

Parity

Back 7

number of pregnancies in which the fetus or fetuses reach viability (approx. 20-24 weeks or fetal wieght of 500g (2 lb))

Front 8

Does lung capacity increase or not during pregnancy?

Back 8

Decreases

Front 9

What happens to the amount of urine produced during pregnancy

Back 9

remains the same

Front 10

What happens to B/P during 1st trimester

Back 10

remains the same

Front 11

What happens to B/P during the 2nd trimester

Back 11

DBP and SBP decrease by 5-10

Front 12

What happens to B/P during the 3rd trimester

Back 12

Returns to prepregnancy baseline

Front 13

What happens to pulse during pregnancy

Back 13

increases 10-15 bpm around 20 weeks gestation

Front 14

What happens to respiration during pregnancy

Back 14

increase by 1-2 bpm

Front 15

When is S3 (heart sound) heard more easily?

Back 15

After 20 weeks gestation

Front 16

Uterine size changes from weight of 50 to 1000g

Back 16

(Please ignore this side of the card)

Front 17

The fundus reaches the xiphoid process by

Back 17

the 36th week

Front 18

CHAPTER FOUR

Back 18

(Ignore this card)

Front 19

A majority of birth defects occur between

Back 19

2 and 8 weeks gestation

Front 20

In an uneventful pregnancy, prenatal visits are scheduled

Back 20

every month for 7 months, every 2 weeks during the 8th month, and every week during the last month

Front 21

FHR can be heard by Doppler at

Back 21

10-12 weeks gestation

Front 22

FHR can be heard with U/S stethascope at

Back 22

16-20 weeks gestation

Front 23

Start measuring fundal height after

Back 23

12 weeks gestation

Front 24

Erythroblastosis fetalis

Back 24

Maternal-fetal blood incompatibility

Front 25

One-hour glucose tolerance test

Back 25

PO ingestion or IV administration of concentrated glucose with venous sample taken 1 hour later (fasting not required)

Front 26

When should the 1-hour GTT be performed?

Back 26

at initial visit for at-risk clients and at 24-28 weeks for all pregnant women

Front 27

Follow-up is required when the 1-hour GTT is above

Back 27

140 mg/dL

Front 28

Three-hour GTT

Back 28

fasting overnight prior to PO or IV intake of concentrated glucose with a venous sample taken 1, 2, and 3 hours later

Front 29

A diagnosis of GDM requires

Back 29

two elevated blood-glucose readings

Front 30

What does a PAP test screen for?

Back 30

cervical cancer, herpes simplex type 2, and/or HPV

Front 31

With a + PPD (purified protein derivative) test, what is the next step?

Back 31

chest screening after 20 weeks gestation

Front 32

VDRL or RPR tests for

Back 32

Syphilis

Front 33

TORCH screening

Back 33

tests for toxoplasmosis, other infections, rubella, cytomegalovirus, and herpes virus

Front 34

ETOH during pregnancy results in

Back 34

birth defects

Front 35

tobacco during pregnancy results in

Back 35

LBW

Front 36

Fetal kick count should be performed

Back 36

2 or 3 times a day for 60 minutes each

Front 37

There should be how many fetal movements per hour?

Back 37

3

Front 38

To prevent N/V during pregnancy, what should the woman do?

Back 38

eat crackers or dry toast 0.5-1 hour before rising in the AM

Front 39

Avoid UTIs by wearing

Back 39

cotton underpants

Front 40

Avoid heartburn by

Back 40

sitting up for 30 minutes after meals

Front 41

Hemorrhoids may occur

Back 41

during the second and third trimesters

Front 42

Hemorrhoids can be treated with

Back 42

a warm sitz bath, witch hazel pads, and topical ointments

Front 43

Backaches can be treated with pelvic tilt exercises. What are these?

Back 43

alternately arching and straightening the back

Front 44

What is one method of treating shortness of breath and dyspnea?

Back 44

sleeping with extra pillows

Front 45

Leg cramps may occur

Back 45

During the third trimester

Front 46

What are the causes of leg cramps?

Back 46

compression of lower extremity nerves and blood vessels by the enlarging uterus, resulting in poor peripheral circulation as well as an imbalance in the calcium/phosphorus ratio

Front 47

What can be done to relieve leg cramps?

Back 47

massaging and applying heat over the affected muscle or a foot massage while the leg is extended

Front 48

Gingivitis, nasal stuffiness, and epistaxis can occur due to

Back 48

elevated estrogen levels causing an increased vascularity and proliferation of connective tissue

Front 49

Braxton Hicks contractions occur

Back 49

from the first trimester onwards

Front 50

Edema of the face and hands is a sign of

Back 50

PIH

Front 51

Epigastric pain is a sign of

Back 51

PIH

Front 52

Dick-Read Method

Back 52

refers to "childbirth without fear;" woman relaxes completely between contractions and keeps all muscles except the uterus relaxed during contractions

Front 53

Lamaze Method

Back 53

advocates a healthy, natural, and safe approach to pregnancy, childbirth, and early parenting

Front 54

Leboyer Method

Back 54

"birth without violence", environmental variables are stressed to ease the transition of the fetus from the uterus to the external environment.

Front 55

Water births are based on which method?

Back 55

Leboyer method

Front 56

Bradley Method

Back 56

stresses the partner's involvement as the birthing coach; woman deals with the stress of labor by tuning into her own body