Gyno Final study guide complete

What is preeclampsia? a. A serious blood pressure condition that occurs during pregnancy b. A type of diabetes during pregnancy c. A common cold experienced by pregnant women d. An allergic reaction to pregnancy hormones

A. A serious blood pressure condition that occurs during pregnancy

Preeclampsia is diagnosed when a pregnant woman has high blood pressure after 20 weeks of pregnancy & at least ONE of: a. Fluid in lungs b. Back pain c. High platelet count d. Protein in urine

A. Fluid in lungs

D. Protein in urine

Early delivery of a baby when a mother has preeclampsia is often recommended a. True b. False

A. True

(PATA) What are symptoms of preeclampsia? a. Nausea or vomiting b. Low blood pressure c. Excess potassium in urine d. Severe headaches

a. Nausea or vomiting

d. Severe headaches

What is placenta previa? a. When the placenta blocks all or partial parts of the cervix during pregnancy b. When the placenta is too thick and causes complications c. When the placenta is detached from the uterus d. When the placenta is in the abdominal cavity

A. When the placenta blocks all or partial parts of the cervix during pregnancy

What are the 3 types of placentae previa? (select all that apply or fill in) a. Marginal b. Partial c. Complete

A. Marginal B. Partial C. Complete

What is complete or total placenta previa a. P-A on same side of resistance b. Placenta detaches from uterus before delivery c. Placenta covers part of cervix d. Placenta covers cervix completely

D. Placenta covers cervix completely

What is partial placenta previa? a. Placenta is in the abdominal cavity b. Placenta is too thin and causes issues c. Placenta is completely detached from the uterus d. Placenta covers part of cervix

D. Placenta covers part of cervix

What is marginal placenta previa a. Pregnancy that occurs anywhere else beside the uterus b. Placenta is next to the cervix but not covering it

B. Placenta is next to the cervix but not covering it

What trimester does placenta previa usually show up? a. First trimester b. Second trimester c. Third trimester

C. Third trimester

What is the most complicated placenta previa & why? a. Complete, can cause hemorrhaging & need C section b. Partial, usually resolves without intervention c. Low-lying, can be managed with medication d. Marginal, does not affect delivery

A. Complete, can cause hemorrhaging & need C section

What is a PUPP short for a. An allergic reaction to food b. A prurience urticaria papules & plaques c. A common rash in infants d. A type of skin cancer

B. A prurience urticaria papules & plaques

When does PUPP show up? a. Around 35 weeks b. After delivery c. At the moment of conception d. During the first trimester

A. Around 35 weeks

Around what week does a PUPP rash usually occur? a. 12 weeks b. 23 weeks c. 35 weeks d. 40 weeks

C. 35 weeks

What is a PUPP rash a. A rash that indicates a serious illness b. A contagious skin infection c. A severe allergic reaction d. A hive like rash that is harmless

D. A hive like rash that is harmless

What increases the risk of developing PUPP rash? a. Caucasian b. Carrying a male fetus c. Carrying twins/triples d. 1st pregnancy e. All the above

E. All the above

What are medications for PUPP a. Anti-itch cream b. Antihistamine pills c. Corticosteroids d. All the above

D. All the above

What is an ectopic pregnancy a. Pregnancy with multiple embryos b. Pregnancy that occurs in the uterus only c. Pregnancy that is terminated early d. Pregnancy that occurs anywhere else beside the uterus

D. Pregnancy that occurs anywhere else beside the uterus

Most common ectopic pregnancy? a. Ovaries (aka ovarian pregnancy) b. Abdominal cavity (aka abdominal pregnancy) c. Cervix (aka cervical pregnancy) d. Fallopian tube (aka tubal pregnancy)

D. Fallopian tube (aka tubal pregnancy)

An ectopic pregnancy can proceed normally without any intervention a. True b. False

B. False

The fetus can survive an ectopic pregnancy. a. True b. False

B. False

What are risk factors for an ectopic pregnancy? (select all that apply) a. Fertility treatments b. Tubal surgery c. Use of condoms d. Alcohol use

A. Fertility treatments

B. Tubal surgery

What is group B strep? a. Bacterial infection that babies can get during delivery or 1st couple weeks b. A type of infection that occurs only in the womb c. A viral infection that affects adults only d. A fungal infection that can cause skin rashes

A. Bacterial infection that babies can get during delivery or 1st couple weeks

Where is group B strep found? a. In vaginal or rectal area b. In the bloodstream c. In the stomach d. In the lungs

A. In vaginal or rectal area

How many percent of women have GBS & do not know it? a. 65 b. 50 c. 25 d. 90

C. 25

Late-onset GBS is most common for babies. a. True b. False

b. False

What is the most common antibiotic to treat GBS? a. Penicillin b. Cephalosporin c. Tetracycline d. Amoxicillin

A. Penicillin

Placenta accreta occurs when a placenta grows too deeply into the uterine wall is possibly due to abnormalities in the lining of the uterus. a. True b. False

A. True

What is placenta abruption? a. Placenta detaches from uterus before delivery b. Placenta is too thick and causes complications c. Placenta grows outside the uterus d. Placenta remains attached until after birth

A. Placenta detaches from uterus before delivery

How many types of placenta abruption is there? a. 2 b. 3 c. 4 d. 5

c. 4

If there is pain during palpation of the cervix, what could that be? a. Endometriosis b. Pelvic inflammatory disease c. Rectocele

B. Pelvic inflammatory disease

What are possible complications for the birthing parent with placental abruption? a. Nausea b. Kidney failure c. Low back pain d. Hemorrhage

D. Hemorrhage

What happens in a partial molar pregnancy? a. Fertilized eggs that has too many chromosomes & abnormal placenta b. A fertilized egg that implants in the uterus c. Fertilization that occurs without an egg d. Normal fertilization with healthy chromosomes

A. Fertilized eggs that has too many chromosomes & abnormal placenta

A partial molar pregnancy will usually cause no fetal development. a. True b. False

b. False

(PATA) Fertilized egg in the uterus that does not become a healthy baby? a. Hydatidiform mole b. Placenta previa c. What is preeclampsia d. Molar pregnancy

a. Hydatidiform mole

d. Molar pregnancy

Does a fetus form in a molar pregnancy? a. Yes b. No

B. No

What year was the first spinal anesthesia used during labor? a. 1819 b. 1867 c. 1990 d. 1900

d. 1900

What drug used in the 1950's would cause multiple deformities or death when given to pregnant women? a. Stadol b. Demerol c. Nubain d. Thalidomide

D. Thalidomide

Why did thalidomide babies occur? a. Due to thalidomide b. Marginal partial complete c. When sperm meets egg d. Postpartum depression

A. Due to thalidomide

What are babies born with birth defects called? a. Retarded b. Mongoloids c. Thalidomide babies d. Organ donors

C. Thalidomide babies

What is gestational diabetes? a. Diabetes that occurs after childbirth b. A type of diabetes that affects only men c. Diabetes that is hereditary and not related to pregnancy d. Diabetes occurring during first time pregnancy

D. Diabetes occurring during first time pregnancy

What are risk factors for gestational diabetes? (select all that apply) a. Being physically active b. Being overweight/obese c. Having hypertension d. Having polycystic ovarian syndrome

B. Being overweight/obese

D. Having polycystic ovarian syndrome

What are baby complications during gestational diabetes? (select all that apply) a. Excessive birth weight b. Preterm birth c. Low blood sugar d. Breathing difficulties

A. Excessive birth weight

B. Preterm birth

C. Low blood sugar

D. Breathing difficulties

What are preventions of gestational diabetes? a. Be at a healthy weight before pregnancy b. Eat healthy c. Stay active during pregnancy d. Do not gain more than recommended weight e. All the above

E. All the above

What vitamins are important during pregnancy? (select all that apply) a. Folic acid b. Calcium c. Vitamin D d. Protein e. Iron f. Omega 3 fatty acids

A. Folic acid, B. Calcium, C. Vitamin D, D. Protein, E. Iron, F. Omega 3 fatty acids

What is the most important B Vitamin for a developing fetus a. Thiamin b. Folate c. Niacin d. Biotin

B. Folate

What is Folic Acid (B9) for? a. Boosts the immune system against infection b. Increases energy levels during pregnancy c. Prevents brain & spinal cord issues d. Aid in digestion & prevents constipation

C. Prevents brain & spinal cord issues

What deficiency causes neural tube defects? a. Calcium b. Vitamin C c. Folate d. Vitamin B12

C. Folate

Blueberries, raspberries, & goji berries are a good source of what? a. Fiber b. Antioxidants c. Calcium d. Vitamin C

B. Antioxidants

Yogurt or milk are good food sources for what nutrients? a. Vitamin C b. Vitamin D c. Magnesium d. Calcium

D. Calcium

What is calcium for? a. Prevent brain & spinal cord issue b. Promote growth during pregnancy c. Prevent anemia d. Help strengthen bone

D. Help strengthen bone

What is vitamin D for? a. Postpartum depression b. Promote growth during pregnancy c. Prevent anemia d. Promotes bone strength

D. Promotes bone strength

What is protein for? a. Prevent anemia b. Prevent brain & spinal cord issue c. Help strengthen bone d. Promote growth during pregnancy

D. Promote growth during pregnancy

What is the dose of iron for a normal woman a. 15mg b. 10mg c. 50mg d. 27mg

A. 15mg

At least how many milligrams of iron are needed by a pregnant woman? a. 10 mg b. 27 mg c. 32 mg d. 49 mg

B. 27 mg

What is iron for? a. Overcome anorexia b. Prevent anemia c. Reduce the risk of infection d. Suppress GVHD

B. Prevent anemia

What can anemia cause? a. Postpartum depression b. Postpartum psychosis c. Bipolar disorder

A. Postpartum depression

What are foods that should be avoided during pregnancy? (select all that apply) a. Egg salad sandwiches b. Soft cheeses c. Luncheon meats d. Deep fried sushi

B. Soft cheeses

C. Luncheon meats

A pregnant woman needs at least how much Omega fatty 3 acids? a. 50mg b. 300mg c. 700mg d. 1000mg

B. 300mg

(PATA) Omega 3s may lead to better what in babies? a. GI absorption b. Vision c. Sleep d. Language comprehension

b. Visiond

d. Language comprehension

What is Omega 3 Fatty Acid for? (select all that apply) a. Babies brain development b. Decrease postpartum depression c. Promote growth during pregnancy d. Help strengthen bone

a. Babies brain development

b. Decrease postpartum depression

This helps decrease the risk of postpartum depression a. Protein b. Omega 3 fatty acids c. Calcium d. Folic acid

B. Omega 3 fatty acids

How many days does the sperm have to join the egg before it dies? a. 1 day b. 3 days c. 6 days d. 9 days

C. 6 days

When does pregnancy occur? a. Placenta detaches from uterus before delivery b. When sperm enters body c. Fertilized egg in the uterus that does not become a healthy baby d. When sperm meets egg

D. When sperm meets egg

During what week is the neural tube formed? a. 1-4 b. 5-8 c. 9-12 d. 13-18

A. 1-4

What forms during week 1-4? a. Brain & spinal cord only b. Amniotic sac, placenta, umbilical cord, neural tube c. Skin & hair follicles d. Heart & lungs only

B. Amniotic sac, placenta, umbilical cord, neural tube

During weeks 5-8, what organs begin to develop? a. Heart b. Lungs c. Limbs d. All the above

D. All the above

What forms during week 5-8 a. Only the brain & spine b. Major organs .. lungs, heart, eyes, arms, & legs c. Muscles & bones only d. Digestive system & kidneys

B. Major organs .. lungs, heart, eyes, arms, & legs

What forms during week 9-12? a. Fingers, nails, toes b. Urinary tract c. Beating heart d. All the above

D. All the above

What are signs of early pregnancy? (select all that apply) a. Bloating b. Missed period c. Weight loss d. Constipation

A. Bloating

B. Missed period

D. Constipation

Missed period, swollen breasts, nausea/vomiting, fatigue, constipation, & increased urination indicate: a. Early signs of pregnancy b. Signs & symptoms of 2nd trimester c. Signs & symptoms of 3rd trimester

A. Early signs of pregnancy

Pregnancy complications for the mother: a. High blood pressure/preeclampsia b. Surgical delivery c. Future diabetes d. All the above

D. All the above

What is the dark vertical line that appears on the abdomen during pregnancy called? a. Linea alba b. Linea nigra c. Striae gravidarum d. Striae abicans

B. Linea nigra

During pregnancy, pulse increases about how much percent? a. 5-15% b. 10-20% c. 30-50% d. 60-80%

B. 10-20%

What week do parents typically find out the sex of their baby? a. 9 weeks b. 12 weeks c. 16 weeks d. 20 weeks

D. 20 weeks

What tests may an OB perform during the 2nd trimester? a. GBS screening b. Gestational Diabetes c. Rh factor d. All the above

b. Gestational Diabetes

c. Rh factor

Braxton hiccup, back aches, shortness of breath, heartburn, frequent urination, varicose veins & hemorrhoids are S&S of: a. A digestive disorder b. Common symptoms of a cold c. Signs & symptoms of 3rd trimester d. Indicators of early pregnancy

c. Signs & symptoms of 3rd trimester

At what week do OB visits become more frequent a. 18 weeks b. 23 weeks c. 32 weeks d. 40 weeks

C. 32 weeks

What is the ideal position for the baby during labor & delivery? a. Longitudinal (headfirst)—should not come out breached (feet first) b. Transverse c. Oblique

A. Longitudinal (headfirst)—should not come out breached (feet first)

What position can a woman be in during labor? a. Standing b. Laying down c. On a squat bar d. Walking around e. In the shower f. Birthing stool g. Bathtub h. Birthing ball i. All the above

I. All the above

Why have an enema? (select all that apply) a. Help with constipation during labor b. Provide hydration during delivery c. Induce labor immediately d. Prevent nausea during pregnancy e. Reduce chance of pooping during pushing stage f. Just because g. Decrease labor pain

A. Help with constipation during labor

E. Reduce chance of pooping during pushing stage

What can be utilized for pain relief during labor? (select all that apply) a. Breathing techniques b. Massage c. Acupressure d. Demerol

A. Breathing techniques

B. Massage

C. Acupressure

D. Demerol

Why have a birth plan? a. To ensure a quick delivery b. To understand the mothers wishes & communicate that to her health provider or birth team c. To plan for a home birth only d. To avoid any medical assistance

B. To understand the mothers wishes & communicate that to her health provider or birth team

What are home remedies? (select all that apply) a. Hot therapy b. Cold therapy c. TENS unit d. Acupuncture e. Breathing technique f. Walking epidural g. Massage h. Oatmeal bath i. Cool shower/bath j. Wear light clothing k. Use cold compression l. Be at a healthy weight before pregnancy m. Eat healthy n. Stay active during pregnancy o. Do not gain more then recommended weight

H. Oatmeal bath

I. Cool shower/bath

J. Wear light clothing

K. Use cold compression

What are some pain relief options that can be requested (MIGHT BE FILL IN) a. Hot therapy b. Cold therapy c. TENS unit d. Acupuncture e. Breathing technique f. Walking epidural g. Massage

A. Hot therapy, B. Cold therapy, C. TENS unit, D. Acupuncture, E. Breathing technique, F. Walking epidural, G. Massage

What are fetal monitoring options? a. Continuous b. Intermediate c. Internal d. External e. Performed only if baby is distressed f. Performed only with dropper (small US)

a. Continuous b. Intermediate c. Internal d. External e. Performed only if baby is distressed f. Performed only with dropper (small US)

What is the order for webster? (Possibly Fill In)

A. Bone -> muscle -> ligament

What does a (+) Webster indicate a. Bone -> muscle -> ligament b. Sacral notch c. Sacral rotation (BP)

C. Sacral rotation (BP)

How do u find the prone (+) Webster? a. Inferior & lateral 45 degrees from umbilical's b. Inferior & medial 45 degrees from ASIS c. Leg with more resistance d. Leg with less resistance

C. Leg with more resistance

What is the contact for a (+) Webster? a. Ischial tuberosity b. PSIS c. Sacral notch d. S2 tubercle

C. Sacral notch

Prone work for Webster: a. Bone: sacrum, Muscle: piriformis, Ligament: sacrotuberous b. Bone: pubic, Muscle: psoas, Ligament: round ligament

A. Bone: sacrum, Muscle: piriformis, Ligament: sacrotuberous

How long can you hold the round ligament release for? a. 15 seconds b. 30 seconds c. 1 minute d. 3 minutes

d. 3 minutes

What is a miscarriage v. still birth? a. Loss of fetus before 20 weeks v. loss of fetus after 20 weeks b. Loss of fetus during labor vs after delivery c. Loss of fetus due to genetic disorders d. Loss of fetus before 12 weeks vs after 12 weeks

A. Loss of fetus before 20 weeks v. loss of fetus after 20 weeks

What is a miscarriage caused by? (select all that apply) a. A prurience urticaria papules and plaques b. A serious blood pressure condition that occurs during pregnancy c. Placenta is next to the cervix but not covering it d. Molar pregnancy e. Partial molar pregnancy

D. Molar pregnancy

E. Partial molar pregnancy

A risk factor for miscarriage is getting pregnant at the age of 35 or older. a. True b. False

A. True

What are high risk factors? a. Occurs in 1st pregnancy b. Chronic blood pressure c. Pregnant with twins d. All the above

D. All the above

First pregnancy, obesity, family hx, & over the age of 35 are: a. Minimal risk factors b. Moderate risk factors c. Severe risk factors d. Biggest risk factor for breast cancer

B. Moderate risk factors

What does NOT cause a miscarriage? (select all that apply) a. Thyroid disease b. Exercise c. Cervix problems d. Sexual intercourse e. Working

B. Exercise

D. Sexual intercourse

E. Working

What are signs & symptoms of a miscarriage? (select all that apply) a. Vaginal spotting b. Neck pain c. Nausea d. Tissue passing through the vagina

A. Vaginal spotting

D. Tissue passing through the vagina

If a pregnant woman is bleeding but their cervix is not dilated, it is called: a. Threatened miscarriage b. Incomplete miscarriage c. Inevitable miscarriage d. Missed miscarriage

A. Threatened miscarriage