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Abirilm
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Softening of the lower uterine segment at 6wks
Hegar Sign
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Contractions felt after the 4th week of pregnancy
Braxton Hicks sign
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Softening of the cervical tip in the 6th wk
Goodwell's sign
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A bluish color observed in the vaginal mucosa and cervix.
What week(s) is this noticed?
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What are striae gravidarum?
stretch marks
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What is an epulis?
a raised red nodule on the gums that bleeds easily
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Prenatal visit q4 wks should
occur between what weeks in a normal pregnancy
- 16-28
- This is twelve wks after the start of 16wks
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Prenatal visit q2 wks should
occur between what weeks in a normal pregnancy
- 29-36
- This is 7 wks after the start of 29wks
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Weekly visits should occur
between what weeks in a normal pregnancy
36 to birth
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From GWs ____ to ____ the height of the fundus in cm is app the same as the number of weeks of gestation (+/-2)
18 to 32 wks
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A stable or decreased fundal height may indicate the presence of?
IUGR
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An excessive increase could indicate the presence of?
Multifetal gestation or hydraminios
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The glucose challenge test is performed between what weeks?
24 to 28 weeks
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GBS testing is performed between what weeks?
35 and 37 weeks
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What are breast shields used for? When and how long should they be worn?
Breast shields are used for women who have inverted nipples. They should be worn 1 to 2 hrs daily during the last trimester of pregnancy.
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Name the exercise that is performed to prevent or relieve back pain
Pelvic tilt (rock)
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Which of the following vaccines can not be given during pregnancy? Select all that apply:
A) Hep B
B) Chickenpox
C) Mumps
D) diphtheria
E) Influenza
F) Tetanus
G) Rubella
Rubella, chickenpox, and mumps are live vaccines and therefore cannot be given.
B, C, G
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There is an increased risk of miscarriage with caffeine intake greater than _______?
200mg/day
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GI tract motility is slowed because
what hormone?
Progesterone
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The glucose tolerance test (glucose challenge) is given at ____wks.
24-28 weeks
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Which of the following results
indicate the need for a 3-hr oral glucose test?
A) 80-90
B) 110-120
C) 135-140
D) 150-160
C. results of >130 to 140 will need the 3GTT
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Fetal heart activity can be detected by echo scanner during___ wks gestation and by Doppler during _____ wks
gestation?
- Echo—6 to 7 weeks
- Doppler: 10 to 12 weeks
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In post term pregnancy an elevated /d ration indicates what?
Poorly perfused placenta
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What is the normal score for a biophysical profile?
8 to 10
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Amniocentesis is possible after
week___ of pregnancy.
Week 14
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When is Chorionic Villus Sampling
is performed?
Between 10 and 12 weeks gestation
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This procedure involves the removal of a small
tissue specimen from the fetal portion of the placenta. Can be done transvaginally or transabdominally
Chorionic Villus Sampling
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This procedure involves the insertion of a needle
directly into a fetal umbilical vessel (vein) and is the most widely used method for fetal blood sampling and transfusion.
Percutaneous Umbilical bloodsampling (PUBS)
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When is PUBS performed?
2nd and 3rd trimesters
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Which maternal titer is a positive indirect coombs?
A) 1:6
B) 1:8
C) 1:10
D) 1:12
C ; a titer greater than 1:8 is considered positive
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What is the normal weight gain in pregnancy?
25-35lb
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What is the normal BMI?
18.5-24.9
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Normal weight gain in the 1st
trimester?...2nd and 3rd?
- 2 to 5lbs during first trimester
- 1 lb per week during 2nd and 3rd
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When should the NST be performed?
After26 wks gestation
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Fill in the blanks.
A reactive NST for a patient after 32 weeks gestation is ___ accels in a ___ minuteperiod, lasting at least _____ and peaking at least ____ beats per minute above the baseline.
2, 15, 15sec, 15 beats
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Fill in the blank.
For a negative contraction stress test, at least ____
uterine contractions occur in a _____ period with no ____ or significant ____ decels.
3, 10, late, variable
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Hydramnios is amniotic fluid in excess of ____ml and occurs 10 more times in _____ pregnancies.
2000ml, diabetic
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Macrosomia is defined as a birthweight more than ____ to ___ grams.
4000 to 4500g
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What is the target fasting level glucose during pregnancy?
65-95
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What is the target glucose 1 hr post meal during pregnancy?
130-140 or less
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What is the target glucose 2 hr post meal during pregnancy?
<120
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How much Fe+ does a pregnant women need a day?
27mg
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How much protein does a pregnant women need a day?
Around 60g/day
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How much Ca+ does a pregnant women >19 need a day?
1000mg+
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During labor fluids and insulin are adjusted to maintain the blood glucose level at less than___mb/dl
140mg/dl
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The following symptoms are sign of:
Irritability, Hunger, Sweating,
Personality Changes, Weakness, double vision
A) Hypoglycemia
B) Hyperglycemia
Answer is(a) hypoglycemia
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The following symptoms are sign of:
Thirst, n/v, and abdominal pain, increased urine, flushed dry skin
A) Hypoglycemia
B) Hyperglycemia
Answer is(b) hyperglycemia
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Which of the following are signs of Mg toxicity?
A) Loss of patellar reflexes
B) Increased patellar reflexes
C) RR <12
D) RR >20
E) Increased LOC
F) Decreased LOC
G) Oliguria
H) Polyuria
Answer: a, c, g, f
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What is the therapeutic range of Mg?
4 to 7
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What is the target BP range for severe preeclapsia?
160/110
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What is the antihypertensive agent of choice for the intrapartum treatment of HTN in severe preeclampsia
IV hydralazine
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________is the drug most often recommended for treating chronic HTN in pregnancy.
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