Tests
Leopold's maneuver long flat side on left, round hard in fundus where do you put FHR monitor. What position?
The fundus should be at this height at 32 weeks
32 cm
A 29 year old female is currently 9 weeks pregnant. She has no living children. Two years ago she had 2 miscarriages at 10 and 12 weeks gestation.
30020
A vaccine that can be given during pregnancy
influenza
Folic acid is needed prevent this
Neural tube defects
Variable decels mean this
Cord compression
Whether the fetus will tolerate labor-HR/uteroplacental insufficiency
Woman is complaining of heartburn. Explain why this happens
Increased progesterone production= decreased motility of smooth muscle.
During a prenatal visit a patient tells you her last menstrual period was January 30, 2023. EDB?
November 6, 2023
3-5 days
Iron supplements are needed because of this
Increase in RBCs
Late decels mean this
Placental insufficiency
A pt is going through a NST and there has been no accelerations of HR. The nurse should do this.
Give the pt a snack
Name a presumptive sign of pregnancy
Amenorrhea, N/V, fatigue, breast tenderness and enlargement, urinary frequency, quickening
A 35 year old female is currently pregnant with twins. She has 10 year old triplets who were born at 32 weeks gestation, and a 16 year old who was born at 41 week gestation. Twelve years ago she had a miscarriage at 19 weeks gestation.
41114
Name 4 Danger signs during pregnancy
facial edema, visual changes, decrease in fetal movement. 1st tri-spotting/bleeding, fever, unilateral abd pain. 2nd- reg contractions, PROM
Pt has a BMI of 20. This is the recommended wt gain
25-35 lbs
Early decels mean this
Head compression
A MSAFP and an amniocentesis both test for these two conditions
What is neural tube defects and down syndrome
Give an example of ambivalence and introversion
conflicting feelings. focusing on self and baby
Pt LMP 10/24/2023. EDB?
7/31/24
Give advice to a woman suffering from engorgement.
Empty often. Feed then pump to empty. Cold compresses to help with pain. Cabbage leaves.
Name 2 foods high in folic acid
leafy greens, liver, beans, broccoli
Intervention for late decels
LIONS
Name four things that are looked for in a BPP
Fetal movement, fetal breathing, fetal heart tone, amniotic fluid volume
Describe quickening. Describe lightening. When?
fluttering movements 16-20 weeks. "Dropping" near labor
A 30 year old female is 25 weeks pregnant with twins. She has 5 living children. Four of the 5 children were born at 39 weeks gestation and one child was born at 27 weeks gestation. Two years ago she had a miscarriage at 10 weeks gestation.
74115
Things to look for when a pt has an epidural
Hypotension, dizziness
Smoking puts a fetus at risk for this
Intrauterine growth restriction
Accelerations mean this
A-OK
Cervical effacement and dilation
Name a positive sign of pregnancy
visualizing fetus by ultrasound, hearing heartbeat
LMP 12/25/23. EDB?
Counterpressure is this and what it is used for
pushing heel of hand into lower back. pain. occiput position
Advice for n/v
small frequent meals, avoid spicy/greasy, drink water, herbal tea, ginger
Contractions lasting longer than 90 seconds worried about this.
Uterine tetany-uterine rupture