OB/Peds exam 1 TQ’s

Infertility:

___ months = < 35 years old

__ months = > 35 years old

12

6

(1/8 women)

T/f: most causes of infertility are unknown

F (85% known)

TQ: what are examples of medical interventions to help with conception?

Intrauterine insemina?on (IUI) and In vitro fer?liza?on (IVF)

TQ: Patients with a history of ________ may have an increased risk for scarring and potential for fertility issues.

Chlamydia (STI)

TQ: What incisions are typically involved in a C-Section?

incisions in the abdomen and uterus (@pubic hair line)

TQ: Cervical Dilation occurs during what stage of labor

Stage 1

TQ: Early labor during stage 1 ends when the cervix is dilated to what diameter?

6 cm

TQ: the most ideal birth position is what?

Vertex Occiput Anterior

What are the typical (vertex/cephalic/head down)

positions for the baby?

Occiput posterior

Transverse lie

What breech position is when the baby's butt point downward, and both its hips and knees are flexed (the fetus is sitting on its folded legs)?

Complete

What breech position is when the baby's butt aim towards the vagina, and its legs are sticking straight up in front of its body (its feet are near its face)?

Frank

What breech positions in when The baby's butt points downward, and one leg extends towards the birth canal, and one foot below the butt?

Incomplete

TQ: What is the position in which the baby's butt or feet present first?

Breech

TQ: Pre-Labor, irregular contractions are known as what?

Braxton-Hicks

TQ what 3 test are done at EVERY routine visit during pregnancy?

Fetal Heartbeat

Material weight

Material BP

100% TQ be able to give a APGAR score

110 pulse

Grimace on stim

Flexed extrem

Weak breathing

What is the score?

7

TQ: What reflex checks how the baby responds to stimuli?

Grimace reflex

TQ: research shows that the cord should be clamped after how long?

30-60 secs

TQ: Blood loss greater or equal to 500 mL (vaginal) or greater or equal to 1000 mL (c-section) is called what?

Postpartum hemorrhage (May lead to shock; requires prompt treatment.)

TQ: Fever is a clinical red flag that needs urgent evaluation in a postpartum patient what should you do?

patient should go to emergency room or call obstetrician immediately.

TQ: What is the recommended dosing for Iron during pregnancy?

27mg

TQ: What is a natural remedy for morning sickness?

Ginger and B6

TQ: Breastmilk with the highest levels of lactose is known as what?

Mature milk

What is breast milk called right after birth?

Colostrum

What milk is between 7-14 days and has an increases levels of lactose?

Transitional

What milk is highest level of lactose and is after day 14?

Mature milk

What stimulates tissue growth and milk production?

What can inhibit this hormone?

Prolactin

Stress

What is released when infant starts sucking and stmulates "let down"?

Oxytocin

TQ: Normal HcG hormone progression should be?

double every 72 hours for about 10 weeks (not normal can indicate preg vs miscarriage)

What is the loss of a preg before 20 weeks?

Miscarriage (1/5 women have one)

TQ: what are the 2 things that indicate pre-eclampsia?

High BP

Proteinuria

After 20 weeks

IV fluids, antiemetics (e.g., ondansetron, vitamin B6 + doxylamine) is the best tx for what?

Hyperemesis gravidarum

TQ: What is a common surgical procedure to remove abnormal trophoblastic tissue in a molar pregnancy?

Dilation and curettage (D&C)

TQ: What is severe nausea and vomiting during pregnancy that can lead to dehydration and wight loss?

hyperemesis gravidarum

TQ: What is a placenta covering the cervical opening called?

placental previa

TQ: What can painful vaginal bleeding with a tender rigid uterus indicate?

Placenta abruption

TQ: What is an 1 hour glucose challenge test used to screen for?

Gestational diabetes

TQ: Polyhydramnios would be diagnosed in the first trimester if amniotic fluid were measured at what level?

750ml

Know this chart:

How much amniotic fluid by wk 16?

What about wk 24?

What about 32?

250 ml

500ml

750 ml

TQ: The most common location for an ectopic pregnancy is where?

Fallopian tubes (tubal)

TQ: preeclampsia becomes eclampsia when what symptoms emerge?

neurological symptoms (seizures)

TQ: Miscarriage can occur at a rate of up to: ___ out of ____ pregnancies

1/5 pregs

TQ: What type of miscarriage is where The cervix has dilated, but the products of conception have not been expelled?

Inevitable

TQ: Which trimester is considered the "honeymoon" phase of pregnancy?

2nd

TQ: Blood volume increases ___-____%

40-50%

TQ: what is the aka for mask of pregnancy?

Melasma

TQ: ____ minutes/week of moderate-intensity aerobic exercise

150

TQ: a pateint with vana cava syndrome should lay on what side?

LEFT SIDE

TQ: VCS is an important considera?on ajer about how many weeks gestion?

20 wks

TQ: Why should pregnant women generally avoid lying flat on their backs in later trimesters?

to prevent Vena Cava Syndrome

TQ: Calculate the due date: Date of the first day of the last cycle: Jan. 21 2024?

October 28

What is the equation to calculate a due date?

Add 9 months + 7 days

TQ: a term pregnancy lasts how long?

40 weeks

What is considered premature?

< 37 weeks

TQ: 20-22 weeks is considered viable because what is produced at this time?

Surfactant

TQ: Most pregnancies will be induced at or before ____ weeks- post term.

42

T/f: medication is the first step for a breastfeeding mother with postpartum depression

F

What prevents neural tube defects?

What is the recommend dose?

Folic acid (B9)

400-800 mg