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Antepartum
OB Exam 3
| Question | Answer |
|---|---|
| ___ is a a prenatal ultrasound measurement used to assess the amount of amniotic fluid surrounding a fetus | amniotic fluid index |
| ___ are medications that prevent or control seizures | anticonvulsants |
| ___ findings are open to more than one interpretation and often unclear is known as | equivocal |
| ___ findings requires a follow-up episode of care for the same condition after the initial evaluation | subsequent |
| ____ findings are not unusual, concerning, or abnormal | unremarkable |
| increase in the number of cells in a tissue or organ, causing it to enlarge is known as ____ | hyperplasia |
| ___ prevents organisms from entering the uterus | cervical mucous plug |
| Goodell's sign | softening of the cervix "good and soft" |
| ___ is when then the cervix turns a blueish color | chadwick's sign |
| ___ is the softening of the lower uterine segment | hegar's sign |
| hemoglobin levels during pregnancy drop to ___ | 10-14 |
| a dark vertical line that often appears on the stomach during pregnancy is known as ___ | linea negrea |
| subjective findings that are based of a women's report and could indicate another condition would be considered a ___ sign of pregnancy | presumptive |
| objective findings that can be seen by an examiner but could also be due to other causes would be considered ___ signs of pregnancy | probable |
| diagnostic proof that cannot be confused with other conditions would be considered ___ signs of pregnancy | positive |
| the first day of last menstrual period plus 7 days, minus 3 months to determine the estimated date of delivery is known as ____ | naegele's rule |
| ___ is the total number of pregnancies regardless of outcome | gravida |
| ___ is the total number of births after 20 weeks | para |
| normal weight gain during pregnancy is about ___ | +25-35 lbs |
| prenatal appointments should be ever ___ weeks until 28 weeks gestation, then every ___ weeks until 36 weeks gestation, then every week until ___ | 4, 2, delivery |
| normal BP is ___ | 90/50-140/90 |
| a fetus that doesn't develop kidneys is known as ___ | potter's syndrome |
| ___ is done at 18-22 weeks gestation to confirm viability, fetal anatomy, umbilical cord vessels/insertion site, and amniotic fluid volume | anatomy ultrasound scan |
| the 1-hour glucose tolerance test (gtt) is done at the ____ week visit to determine if the patient has gestational diabetes | 28 |
| ___ is done if patient fails the 1 hour gtt (scores higher than 140) | 3-hour glucose tolerance test |
| GBS and STI testing occurs at the ___ week prenatal visit | 36 |
| there should be ___ movements in 2 hours or ___ movements in 1 hour | 10, 4 |
| fetal movement can be felt at ___ weeks gestation | 15-20 |
| a normal baseline with moderate variability, 2+ accelerations and no decelerations would indicate a ____ | reassuring NST |
| external FHR for 20 min (up to 40 min if abnormal) is known as an ____ | NST |
| auditory stimulation method used to elicit change in fetal behavior, fetal startle movements, and increase FHR variability for a non-reactive NST/fetal sleep cycles is known as ___ | vibroacoustic stimulation |
| the test that assesses fetal movement tone breathing AFI NST is called a ___ test | biophysical profile (BPP) |
| 0/10 or 2/10 BPP indicates ___ | fetal hypoxia and immediate delivery |
| 4/10 BPP is ___ | non-reassuring, probable fetal hypoxia |
| 6/10 BPP is ____ | equivocal, may indicate fetal hypoxia, repeated in 12-24 hours |
| 8/10 BPP is ____ | reassuring |
| the ___ assesses for pockets of amniotic fluid in 4 quadrants via ultrasound | amniotic fluid index (AFI) |
| normal AFI range is ____ | 8-24cm |
| < 5cm AFI would indicate ___ | olgiohydraminos |
| > 24cm AFI would indicate ____ | polyhydraminos |
| severe form of nausea and vomiting during pregnancy that can lead to dehydration, weight loss, and significant distress is known as ____ | hyperemesis gravidum |
| ___ is when the cervix opens, weakens, or shortens too early, before the baby is ready to be born | cervical insufficiency |
| a __ is a surgical procedure to purse-string suture the cervix | cerclage |
| a ___ test is used to diagnose PROM by placing the fluid under a microscope | fern |
| a __ test is used to diagnose PROM by using a pH paper to see if it turns blue | nitrazine |
| bearing down and seeing fluid leak from the cervix to vagina is known as ___ and indicates PROM | pooling |
| PROM patients are most at risk for ____ | infection |
| ____ enhances fetal lung maturity | betamethazone |
| labor that starts at 20-37 weeks gestation is known as ___ | preterm labor |
| mag sulfate in preterm babies is used for ____ | fetal neuroprotection |
| ___ decrease uterine contractions | tocolytics |
| ___ vasodilate smooth muscle and decreases BP | nifedipine/procardia |
| dichorionic-diamniotic indicates ____ | 2 placentas, 2 sacs |
| monochorionic-diamniotic indicates ____ | 1 placenta, 2 sacs |
| monochorionic-monoamniotic indicates ___ | 1 placenta, 1 sac |
| bacterial STIs are ____ | curable |
| viral STIs can be ____ but not ____ | treated, cured |
| ___ is the expulsion of the fetus before 20 weeks gestation | abortion |
| a ___ abortion is when there is vaginal bleeding but the cervix is closed | threatened |
| a ___ abortion is when there is vaginal bleeding and an open cervix | inevitable/incomplete |
| a ___ abortion is when all products of pregnancy are expelled on their own | complete |
| an implantation of a fertilized ovum outside of the uterus is known as an ____ | ectopic pregnancy |
| sharp unilateral pain syncope referred shoulder pain lower abdominal pain vaginal bleeding are signs of ____ | ectopic pregnancy |
| ___ is used to induce an abortion for an ectopic pregnancy | methotrexate |
| ___ is a a genetic mutation where the uterus grows a tumor instead of a fetus | molar pregnancy (gestational trophoblastic disease) |
| uterine enlargement greater than gestational age vaginal bleeding increased HCG levels are signs of a ____ | molar pregnancy |
| low implantation of the placenta that causes painless vaginal bleeding is known as ___ | placenta previa |
| fetal blood vessels from the placenta or umbilical cord that cross the entrance of the birth canal beneath the baby is known as a ___ | vasa previa |
| ___ is when the placenta pulls away from the uterus while the fetus is still inside | placental abruption |
| sudden onset of severe uterine pain with or without bleeding could indicate ____ | placental abruption |
| ___ use during pregnancy could increase the risk for fetal alcohol spectrum disorder malnutrition in mother | alcohol |
| ___ use during pregnancy could increase the risk for placental vasoconstriction HTN increased risk for spontaneous abortion placental abruption preterm birth stillbirth | cocaine and crack |
| ___ use during pregnancy could increase the risk for SGA LBW decreased mental/physical skills | meth |
| ___ use during pregnancy could increase the risk for poor nutrition anemia preE preterm birth IUGR meconium aspiration withdrawal symptoms after birth | heroin |
| BP 140/90 or higher with headache or visual changes would be considered ___ | mild preE |
| BP 160/110 or higher with CNS involvement would be considered ____ | severe preE |
| seizures are prevented in patients with preE by administering ___ | mag sulfate |
| ___ is given at 28 weeks and 72 hours after delivery to Rh- mom with Rh+ baby | rhogam |
| ___ is due to pressure on the vena cava due to the enlarged uterus and causes dizziness ad decreased BP | vena cava syndrome |
| amenorrhea nausea/vomiting quickening breast changes n/v urinary frequency fatigue are ___ signs of pregnancy | presumptive |
| cervical changes (goodwell's sign, chadwick's sign, hegar's sign) abdominal enlargement pregnancy tests are a ____ sign of pregnancy | probable |
| FHR fetal movement fetus on US would be considered ___ signs of pregnancy | positive |
| GBS testing GC/chlamydia growth scans NSTs are done at the ___ week prenatal visit | 36 |
| ___ is the spontaneous rupture of membranes before labor | PROM |
| monochorionic-monoamniotic gestations increase risk for ____ | cord knots |
| acyclovir is an antiviral used to prevent an ___ outbreak | HSV |
| changes in the levels of hormones (due to the placenta) creating insulin resistance is known as ___ | gestational diabetes |
| HELLP syndrome (hemolysis, elevated liver enzymes, and low platelet count) is seen in patients with ____ | preE |
| ___ is an anticonvulsant high-risk medication used to suppress the CNA | mag sulfate |
Created by:
gnitti