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PNLE OB
| Question | Answer |
|---|---|
| Normal FHR | 110=160 |
| Variability reflects fetal oxygenation | moderate (6-25 bpm) is ideal |
| enhances uterine growth and breast development | estrogen |
| maintains pregnancy, prevents uterine contraction | progesterone |
| maintains corpus luteum early in pregnancy | HCG |
| quickening occurs at | 16-20 weeks |
| fundus at umbilicus | 20 |
| FHR heard via doppler | 10-12 week (3 months) |
| FHR heard vis fetoscope | 16 weeks |
| FHR heard vis stethoscope | 20 weeks |
| softening of cervix | Goodell's Sign |
| softening of uterine isthmus | Hegar's Sign |
| bluish discoloration | Chadwick's Sign |
| Common in pregnancy due to venous pooling | Orthostatic hypotension |
| supine hypotension can be prevented by what position | left lateral |
| Total Iron intake | 800mg (500 mother, 300 baby) |
| Total folic acid | 400 mg |
| Rh- mother requires rhogam at | 28 weeks and postpartum |
| Normal amniotic fluid | 800-1200 |
| oligohydramnios | <500 ml |
| polyhydramnios | >2000 ml |
| normal weight gain | 23-35 lbs |
| Irregular contraction and relieved by rest | Braxton Hicks |
| most common and ideal fetal position | LOA |
| determines fetal position | Leopold maneuver |
| normal sign of onset of labor | bloody show |
| fetal lung maturity indicated by | L\S 2:1 |
| GBS Screening at | 35-37 weeks |
| Infections harmful in pregnancy | Toxo, Other, Rubella. CMV, HSV |
| Vaccine contraindicated in pregnancy | Rubella |
| Variable deceleration | Cord compression |
| Early Deceleration | Head compression |
| Late Deceleration | Uteroplacental Insufficiency |
| Normal biophysical Profile | 8-10 |
| Strengthen pelvic floor | Kegel Exercise |
| Hyperthermia risk | avoid hot tubs |
| Ensure TDAP vaccine between | 27-36 weeks |
| leg cramps relieved by | dorsiflexion |
| Varicosities | elevate legs, avoid crossing legs |
| Kick count goals | 10 movements in 2 hours |
| Non stress test reactive | 2 accelerations in 20 mins |
| late deceleration > fetal distress | positive contraction stress test |
| amniocentesis | empty bladder, monitor fhr |
| Chorionic Villi Sampling | 10-12 weeks |
| GDM Screening | 24-28 weeks |
| Insulin in pregnancy | Dec. in 1st trimester; Inc. in 2nd and 3rd trimester |
| BP 140\90 after 20 weeks | PIH |
| +3 proteinuria, epigastric pain, visual changes | Severe pre eclampsia |
| Magnesium toxicity | loss of reflexes, rr<12 |
| Triad of missed period, unilateral pain, bleeding | Ectopic pregnancy |
| Meds used for unruptured ectopic | Methotrexate |
| high HCG, prune juice bleeding | Hydatidiform mole |
| no pregnancy for how long after molar pregnancy | 1 year |
| incompetent cervix treated with | cerclage |
| rupture > 1 hour before labor | PROM |
| rupture before 37 weeks | PPROM |
| Determine RH Incompatibility | Co-ombs test |
| Avoid fetal scalp electrode in | HIV Pregnancy |
| Monitor FHR in every 30 mins in what stage | Active |
| Epidural anesthesia can cause | hypotension |
| preload with how many iv fluids before epidural | 500-1000 ml |
| prolapsed cord position | knee chest |
| meconium stained fluid > monitor for | aspiration |
| Increases contraction frequency | oxytocin |
| Stop oxytocin for late deceleration or tachysystole | >5 in 10 mins |
| Meds stops contraction | Terbutaline |
| Meds that keep the PDA open | Prostaglandins |
| Meds that causes closure of PDA | Indomethacin (NSAIDs) |
| Assesses cervical readiness; >8 = good induction | Bishop Score |
| Vacuum extraction risk | Caput and cephalohematoma |
| A puffy, fluid-filled bump on the part of the head that came out first. NORMAL, NO NEEDS MEDS, FLUID GOES AWAY ON ITS OWN WITHIN 2-3 DAYS | Caput succedaneum |
| 30-60 seconds improves newborn perfusion | cord clumping |
| excessive uterine atony postpartum | massage fundus |
| indicates imminent birth | crowning |
| full bladder displaces uterus to the | right |
| perineal care; ice for first | 24 hours |
| common after c-section (fever + foul lochia) | endometritis |
| stimulates oxytocin (uterine involution) | breastfeeding |
| postpartum blues common: depression lasts | >2 weeks |
| rhogam within how many hours postpartum for rh- mother with rh+ infant | 72 hours |
| first void after delivery within how many hours | 6 hours |
| do not perform what sign if DVT suspected | Homan's Sign |
| sudden chest pain or dyspnea on pulmonary embolism priority | give 02 |
| Uterine inversion -> emergency: do NOT remove the | placenta |
| Fourth Stage lasts first how many hours postpartum | 1-4 hours |
| Normal WBC postpartum | 20,000-25,000 |
| how many hands used for fundal massage | 2 hands |
| what meds contraindicated in hypertension | methergine |
| what route for hemorrhage using misoprostol | rectal route |
| contraindicated in asthma | carboprost (hemabate) |
| jittery newborn = | hypoglycemia |
| scoring evaluates breastfeeding | LATCH |
| placenta with extra lobe | placenta succentunata |
| encircled placenta | placenta circumuallata |
| cord at edge of the placenta | battledore placenta |
| placenta with scattered vessel | valamentous insertion |
| MgSO4 therapeutic level | 4-7 |
| risk for cord prolapse | polyhydramnios |
| risk of fetal distress | oligohydramnios |
| meds for lung maturity | betamethasone |
| meds for neuroprotection (<32 weeks) | Magnesium Sulfate |
| meds contraindicated after 32 weeks due to ductus arteriosus closure | Indomethacin |
| Severe itching palms\soles | intrahepatic cholestasis |
| anemia in pregnancy | hb<11 |
| jittery + ruddy skin | polycythemia newborn |
| risk of kernicterus | hyperbilirubinemia |
| cerclage removed at what week | 36-37 weeks |
| effects: microcephaly, hearing loss | cytomegalovirus |
| effects: microcephaly | zika virus |
| effects: fetal hydrops | parvovirus b19 |
| normal newborn weight | 2500-4000g |
| eye prophylaxis prevents what STI | gonorrhea |
| what crosses the suture lines | caput |
| what does not crosses suture lines | cephalohematoma |
| moro reflex disappears by what months | 4-6 months |
| fontanelle closure anterior posterior | anterior: 12-18 months posterior: 2-3 months |
| rooting reflex disappears by | 4 month |
| babinski is normal until what year or age | 2 |
| tiny white spots that is normal | milia |
| common in dark skinned infants | mongolian spots |
| meconium passed within how many hours | 24 hours |
| normal weight loss in first days | 5-10% and regain in 10-14 days |
| car seat less than 2 years old | rear facing |
| PKU screening after how many hours of feeding | 24 hours |
| Give surfactant via | ET Tube |
| tests screen for hip click | barlow or ortolani |
| simian crease + hypotonia | down syndrome |
| cyanosis relieved by crying | choanal atresia |
| bag mask ventilation is contraindicated in | congenital diaphragmatic hernia |
| infants weight double and triple in what months | doubles at 6, triples at 12 |
| first tooth at what month | 6 month |
| introduce 1 new food every | 3-5 days |
| no honey before 1 year > | botulism |
| parallel play | toddlers |
| associative play | preschoolers |
| cooperative play | school age |
| Contraindicated in immunocompromised | Rotavirus |
| drooling + tripod | Epiglottitis |
| Earliest sign of asthma | Coughing |
| salty skin | Cystic fibrosis |
| pathognomonic sign of rheumatic fever | aschoff bodies |
| scoliosis screening | adams test |
Created by:
lessuy