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Antepartum
Antepartum
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Test 8
Flashcards
53 cards
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Practice quiz
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Questions
53
Answers
1
tx-ceftriaxone and azithromycin, treat all sex partners, erythromycin on all infants,report, decrease birth cont. effect
Syphilis
Hepatitis
gonorrhea
HIV/AIDS
2
prophylaxsis treatment to depress the CNS to prevent seizures in eclampsia, severe preeclampsia
calcium gluconate
hydralazine
magnesium citrate
Magnesium sulfate
3
(activity limitations 💔) class__=moderate compromised,discomfort <ordinary activity,extreme fatigue,activity restricted
Class I
Class III
Class IV
Class II
4
? level of Alpha-fetoprotein is associated with chomosomal disorders, down syndrome or gestational trophoblastic disease
Scant
High
Moderate
Low
5
most severe PIH, headaches,severe epigastric pain, seizure or coma occurs, hyperreflexia, poor fetal prognosis-hypoxia
Pregncancy induced hypertension (PIH)
severe preeclampsia
eclampsia
gestational hypertension
6
serious condition when FHR lowers below baseline after peak of contraction signifing impaired O
2
& blood flow to placenta
periodic deceleration
late deceleration
variable deceleration
early deceleration
7
(activity limitations 💔) class___= unable to perform any physical activity without discomfort, symptoms occur at rest
Class I
Class IV
Class III
Class II
8
hypertension >160/110 on 2 ocassions 6hr apart on bedrest, >3+ proteinuria, oligura,edema,abd.pain,blury vision,hedaches
severe preeclampsia
mild preeclampsia
gestational hypertension
eclampsia
9
hypertension on 2 ocassions six hrs apart, +1,+2 protein in urine,2lb weight gain in week,headaches,edema may be present
severe preclampsia
eclampsia
Gestational hypertension
mild preeclampsia
10
What is not a part of HELLP syndrome
Elevated Liver Enzymes
Hypertension
Hemolysis
Low Platelets
11
what level of alpha-fetoprotein is associated with neural tube defects, spina bifida, or multifetal pregnancies
moderate
scant
High
Low
12
what is the best position for the pregnant mother
Sims
Prone
Supine
Lateral
13
tx-Anitretrovial therapy, tested routinely in prego,C-sect recommended dont breastfeed,wear gloves/bath baby ASAP,report
syphilis
gonorrhea
Hepatitis
HIV/AIDs
14
abrupt increase in FHR from baseline, occur at anytime in labor, reassuring sign of fetal well being
acceleration
late deceleration
variable deceleration
early deceleration
15
tx=salfonamides or combo of pyrimethamine & sulfadiazine,caused by eating raw or undercooked meat or handaling cat feces
varicella
toxoplasmosis
cytomegalovirus
hepatitits
16
which variable is not a abnormal finding of BPP
Gross body movements=less than 3 episodes
Qualative amniotic fluid volume= pockets absent of less than 2cm
Fetal tone= low extension and flexion,lack of flexion, absent movement
Variables FHR= Reactive non stress test
17
HELLP=
Hemolysis
-anemia/jaundice,
EL
- ⬆️ALT, epigastric pain, N/V
,LP
-<100,000, abnormal bleeding/clotting times,DIC
False
True
18
associated w/h chronic lung disease in infant,retinopathy,low birth weight,impaired brain devlopment, tx=3antiretroviral
HIV
chorioamnionititis
toxoplasmosis
syphillis
19
spontaneous miscarriage and therapeutic abortions are increased in women with heart disease?
True
False
20
assess fetal well being my measuring 5 variables with score of 2 for each normal and 0 for abnormal finding
FHR
BPP
NST
IDK
21
virologist, avoid crowds ,vaccine postpartum,avoid pregnancy for 3months after vaccine,deafness most common birth defect
herpes simplex
cytomegalovirus
Rubella
syphillis
22
Patients with gestational diabetes should replace simple sugars with complex carbohydrates, lean protein and vegetables
False
True
23
fetal medicine specialist, dx by amniocentesis, may need 2 terminate fetus, droplet infection,latent virus, no tx exist
rubella
cytomegalovirus
syphillis
herpes simplex
24
which variable is not a normal finding for BPP
Gross body movements= less than 3 episodes
Fetal tone= 1 episode of extension with return to flexion
Variables FHR= reactive non stress test
Fetal Breathing = 1 episode > than 30sec in 30min
25
during a transvaginal ultrasound the patient needs to void
True
False
26
?___ umbilical blood sampling uses a fine gauge fetoscope into amniotic sac and advanced on into umblicial cord
Sterile (SUBS)
percutaneous (PUBS)
Chronic (CUBS)
Positive (PUBS)
27
uses a real time ultrasound to visualize physical&physiological characteristeics of fetus,observe fetal response stimuli
x-ray
ultrasound
Non stress test (NST)
Biophysical profile (BPP)
28
test fetal well-being before onset of labor, reactive if FHR⬆️15beats above baseline, nonreactive=steady FHR in 4omin
Fetal Heart Rate (FHR)
Non-stress test (NST)
Ultrasound
Fetal heart monitor
29
screen test 2 assess ability of fetus 2 maintain normal FHR in response to contractions in women who had nonreactive NST
ultrasound
contraction stress test (CST)
non stress test
med induced test
30
report to health department,series vaccination,spcialist referall post delivery,cause blood infection in baby,cirrhosis
hepatitis b
cytomegalovirus
syphillis
varicella
31
gradual symmetrical decrease FHR, returns to baseline after contraction ends, occurs peak of contraction, fetal distress
variable deceleration
acceleration
early deceleration
late deceleration
32
assessment of a portion of developing placenta, alternative to amniocentesis, chromosomal abnormality detected
amniocentesis
ultrasound
percutaneous umblical blood sampling (PUBS)
Chorionic villus sampling (CVS)
33
blisters/tender lymph nodes,spread by direct contact w/h lesions,C-sect recommended,tx=antivirals,safe sex,loose clothes
Herpes simplex
Varicella
Group B strep
Rubella
34
Insulin crosses the placental barrier and can cause a risk of fetal hypoglycemia
True
False
35
early decelerations are benign and do not requrie intervention from a medical profession
False
True
36
abrupt decrease in FHR from baseline, varies with contractions, extremly common in 83% of labors
acceleration
variable deceleration
early deceleration
late deceleration
37
group of infections that negatively affect a person pregnant, can cross placenta and have teratogenic effect aka= TORCH
True
False
38
amniocentesis done to measure___.Usualy performed 15-20weeks,this assess neural tube defects and chromosomal disorders
Blood
Alpha-fetoprotein (AFP)
Beta-fetoprotein (BFP)
Amniotic fluid protein
39
symmetrical decrease&return of fetal heart rate assoicated-uterine contractions,fetal head compressed during contraction
variable deceleration
early deceleration
late deceleratoin
periodic deceleration
40
What is NOT a s/s of magnesium toxcity
Respirations <12
Urine output of <30cc/hr
Increase in LOC
Absence of patellar deep tendon reflexes
41
during an abdominal ultrasound the patient needs to void before the procedure starts
False
True
42
obtain UA, use proper hygiene, ⬆️risk do to age,hx,illness,diabetes,htn,preeclampsia, s/s=fever,n/v,tenderness,dysuria
ART
LTCRN
UTI
HIV
43
tx=Penicillin G IM, doxycycline/tetracycline if allergy to penicilin, abstinence until sores healed, reportable disease
Varicella
Syphilis
Herpes simplex
Rubella
44
antidote for magnesium sulfate toxcicity
protamine sulfate
folic acid
calcium chloride
calcium gluconate
45
(activity limitations 💔) class___=slightly compromised comfortable@rest,discomfort/physical activity, fatigue,dyspnea
Class II
Class I
Class III
Class IV
46
(activity limitations 💔) class___= uncomprimised,no limitations of physical activity,asymptomatic with ordinary actvity
Class I
Class IV
Class II
Class III
47
what is a normal score for BPP
<2
4 to 6
8 to 10
<4
48
type of disorder when the mother develops hypertension after 20th week but has no proteinuria or edema
eclampsia
preclampsia
HELLP
gestational hypertension
49
condition when vasospasm occur in pregnancy-both small& large arteries,hinder blood to liver,kidney,brain,placenta (PIH)
placental induced hypoxia
pregnancy induced hypertension
gestational hypertension
premature induction hypertension
50
what class of hypertension medications should be avoided when pregnant
ACE Inhibitors
Calcium Channel Blockers
Angiotensin II receptor blockers (ARBS)
Beta Blockers
51
Is long acting insulin recommended for use in pregnancy
IDK
No
Yes
Who cares
52
live attenuated vaccine admin w/in 96hr to provide temp. immunity to pregnant women, airborne&contact isolation
hepatitis
Varicella
rubella
syphilis
53
abrupt increase in FHR from baseline, occur at anytime in labor, reassuring sign of fetal well being
late deceleration
acceleration
early deceleration
variable deceleration