Antepartum
Anything Goes
Baby
High Risk
Postpartum
100
Lab work routinely done at 28 weeks gestation.
What is 1 hour GDM screen and CBC (or hemoglobin & hematocrit).
100
Explain G5/2113.
5th pregnancy, h/o 2 full term births, 1 preterm birth, 1 SAB or TOP, 3 living children.
100
Normal newborn vital signs.
HR 110-160, R 30-60, T 97.6-99.6
100
The indication for Magnesium sulfate.
What is pre-eclampsia (and sometimes preterm labor).
100
Where should the uterus be at 2 days postpartum?
2-3 finger breadths below the umbilicus
200
When would an Rh negative mother get RhoGam?
At 28 weeks gestation and within 72 hours of delivery of an Rh positive baby. (Also any time she has bleeding in pregnancy, and after an SAB or TOP.)
200
Name 3 good sources of protein for vegetarians.
Beans, eggs, yogurt, nuts, peanut butter, tofu.
200
Normal shunt that connects the fetal right and left atria.
What is foramen ovale.
200
Indication for labetalol.
What is hypertension.
200
3 most common causes for early postpartum hemorrhage.
uterine atony, retained placental fragments, genital tract laceration
300
Where would the uterus normally be at 20 weeks gestation?
What is at the umbilicus.
300
2 most common causes of abdominal pain and bleeding after 20 weeks gestation.
Abruptio placenta and preterm labor.
300
Collection of blood under the newborn's scalp that causes an asymmetric swelling that does not cross the suture line.
What is cephalhematoma.
300
Definition of a reactive NST.
2 accelerations of at least 15 bpm x at least 15 seconds, with fetal movement
300
2 most common causes of late postpartum hemorrhage.
Retained placental fragments, infection.
400
How many centimeters should a 32 week fundus measure?
What is 32 cm.
400
A woman's EDD is July 1 based on her LMP, but her first ultrasound at 16 weeks gives an EDD of July 8. Which EDD will you use?
July 1, the date based on LMP. An ultrasound at 14-20 weeks would only change the EDD if there were >10 days difference in EDD.
400
First 3 nursing actions for newborn resuscitation.
Dry the baby and provide tactile stimulation, suction airway if necessary, provide positive pressure ventilation with ambubag.
400
Definition of preterm birth.
Delivery between 20-36.6 weeks gestation.
400
Treatment for postpartum hemorrhage contraindicated in women with hypertension
What is Methergine.
500
Name 3 positive signs of pregnancy.
Fetal heart sounds, ultrasound visualization of fetus, fetal movement by an experienced examiner.
500
5 components of a biophysical profile
NST, fetal breathing movements, gross body movements, fetal tone, amniotic fluid volume
500
What would an elevated MSAFP mean and what follow up testing would be available.
Elevated risk of open neural tube defects. Follow up testing options would include amniocentesis and level II ultrasound.
500
Explain why we don't allow pregnancies to go past 42 weeks.
After 42 weeks, there's significantly increased risk of stillbirth, macrosomia, fetal distress and meconium aspiration.
500
Treatment for postpartum hemorrhage which is administered rectally.
What is cytotec (misoprostl).
M
e
n
u