Physiologic Changes during Pregnancy
Labor & Birth
Complications of Pregnancy
OB Potpourri
Complications of Labor & Birth

100

This maternal immunization is contradicted during pregnancy due to its well-known risk of birth defects

The measles, mumps, and rubella (MMR) vaccine  

100

This maternal landmark is used to gauge the station of the fetal head 

Ischial Spines

100

A woman is experiencing preterm labor and is given this glucocorticoid to enhance fetal lung maturity 

Betamethasone

100

The umbilical cord is composed of how many arteries and vessels

Two arteries and one vein 

 

100

This obstetrical emergency occurs when the uterine walls tears open 

Uterine Rupture

200

Increased consumption of this before and during pregnancy is recommended to reduce the risk of neural tube defects

Folic Acid

200

Describe the 4 stages of labor

First stage - dilation and effacement 

Second Stage - pushing and delivery of baby

Third Stage - delivery of placenta

Fourth Stage - Postpartum period

200

This drug is used to treat preeclampsia and can cause maternal respiratory depression

Magnesium sulfate

200

The cause of late decelerations

Uteroplacental Insufficiency

200

This procedure may be done to expidite the delivery of a fetus in distress and involves making an surgical incision in the perineum

Episiotomy

300

This is defined as the first time a pregnant person is able to feel her fetus move

Quickening

300

A fluid bolus is given to decrease the risk of this when administering regional anesthesia

Hypotension

300

This complication of pregnancy occurs when the placenta attaches to the lower uterine segment of the uterus

Placenta previa

300

This non-invasive assessment should be performed by pregnant women daily after quickening occurs

Daily fetal movement count, also known as kick counts

300

This obstetrical emergency occurs when the umbilical cord protrudes past the presenting part

Umbilical Cord Prolapse

400

The formula used to calculate Naegele's Rule

LMP - 3 months + 7 days

400

This fetal position is associated with a prolonged, difficult labor with severe back pain

Occiput posterior (OP)

400

A benign growth of grapelike clusters without a viable fetus

Hydatidiform (molar) pregnancy

400

Fetal cord compression causes this abrupt drop in fetal heart rate

Variable deceleration

400

Patients experiencing this obstetrical emergency may present with the following signs/symptoms: rigid hard abdomen, bleeding, back pain, and frequent uterine contractions

Placental Abruption

500

Calculate GTPAL: A client who is 30 weeks pregnant had a miscarriage at 8 weeks, and a living child born at 32 weeks.

G-3  T-0   P-1   A-1   L- 1

500

There is an increased risk for maternal respiratory depression with this regional anesthesia

Spinal Anesthesia

500

This complication of pregnancy increases the risk of the fetus developing congenital malformations

Diabetes Mellitus (Type 1, 2, or GDM)

500

List the 5 components of a Biophysical Profile

Movement, tone, breathing movement, amniotic fluid, and a Nonstress test (NST)

500

This type of incision is typically performed during obstetrical emergencies and is contraindicated for vaginal birth after cesarean delivery (VBAC)

Classical incision