Prenatal Assessment
The expected fundal height for a patient at 28 weeks gestation
What is 26-30cm
A fetal complication indicating maternal use of cigarettes
What is IUGR/SGA
Fetal circulation consists of what
What are two umbilical arteries and one umbilical vein
AVA!
The signs of the transition phase of the first stage of labor
What is nausea, vomiting, shaking, rectal pressure, or irritability
The normal fetal heart rate baseline
What is 110-160
This symptom is considered the most dangerous first trimester warning sign
What is vaginal bleeding
This is a normal finding in the second trimester due to hemodilution
What is physiologic anemia
What defects can be prevented by maternal folic acid supplements
What are neural tube defects
This stage of labor ends with full dilation and effacement and can last up to 20 hours or more
What is the first stage of labor
This contraction pattern (in minutes) indicates normal uterine activity in labor
What is every 2-3 minutes
This test is performed around 35 to 37 weeks to decrease risk of newborn sepsis at delivery
What is Group Beta Streptococcus (GBS)
This paternal combination would NOT require RhoGAM at 28 weeks gestation
What is Rh negative mother and Rh negative father
The education you would give your patient regarding alcohol consumption in pregnancy
There is no known safe consumption; therefore, we recommend to abstain from drinking during the pregnancy
*When is the fetus most vulnerable to teratogens?
This stage of labor may be indicated by a small gush of red blood, firm fundus, and globular shape of the uterus
What is the 3rd stage (delivery of the placenta)
This deceleration is considered a cause of cord compression
What is a variable deceleration
Use Naegele’s Rule to determine the EDC for a patient who stated their last menstrual period began on September 1st
What is June 8th
Spiral artery compression can happen as a result to what
What are uterine contractions
The location of the ductus arteriosus
What is connects the aorta and the pulmonary artery, bypassing the non-functioning lungs
The components of active management in the 3rd stage of labor
What is Pitocin, early cord clamping, and controlled cord traction with fundal massage
An early deceleration is an indication of what happening
What is cerebral compression
Your patient is currently 39 weeks pregnant with a singleton pregnancy. She has a 5 year old that delivered at 34 weeks, a 2 year old that delivered at 40 weeks, and a stillbirth that delivered at 38 weeks. What are her Gs&Ps:
What is G4P2102
(GTPAL)
This hormone helps maintain pregnancy by decreasing uterine contractility
What is progesterone
Explain the gas exchange function of the placenta
The placenta provides oxygen to the baby through the umbilical veins and excretes carbon dioxide into mom’s bloodstream through the umbilical arteries
Skin-to-skin should be prioritized during which state of labor?
What is the 4th stage (recovery)
This deceleration is considered a sign of uteroplacental insufficiency
What is a late deceleration