OB Exam 3
OB Exam 3: Assess Your Knowledge
Test your knowledge on obstetrics with this comprehensive quiz designed for healthcare professionals and students. Gain insights into crucial topics surrounding pregnancy, labor, and fetal monitoring.
- 40 detailed questions
- Multiple choice and checkbox formats
- Key concepts in maternal and fetal care
Medications that are unsafe and could have risks for pregnant mother are?
Category A
Category B
Category C
At 20 week apt (for routine pregnancy), your doctor will tell you to come back when?
22 weeks
24 weeks
26 weeks
28 weeks
Foods to avoid?
High mercury fish
Raw fish
Raw eggs
Thoroughly washed produce
Alcohol
Caffeine over 200mg
Unpasteurized milk, cheese and fruit juice
Estrogen is for ___ and Progesterone is for ___
Protect; growth
Mother; baby
Growth; protect
Relax uterus; contractions
Marginal placenta is when...
The placenta is close to the opening of the cervix but doesn't cover it
The placenta covers the opening of the cervix
There is a margin between baby and placenta
Abruptio placenta is when...
Abrupt labor occurs
Placenta separates from the inner wall of uterus before birth
Placenta separates from the inner wall of uterus after birth
Treatments/education for complete placenta previa
Educate that the placenta is covering the cervical opening
Educate to be more physically active
Bed rest
May need a c-section
Don't worry if bleeding occurs
No vaginal penetration of any kind
Placenta increta is when...
Placenta grows over cervical opening
Placenta grows sideways
Placenta grows deep into uterine muscle
Preterm labor can be caused by which of the following?
SGA fetus
Infection
Maternal stress
Eating lots of prunes
Uterine stretching
Screening tests (compared to diagnostics) are...
More invasive
Less invasive
Give probability of diagnosis
Confirm diagnosis
Which are presumed signs of pregnancy?
Missed period
Chadwick's sign
Breast tenderness
N/V
Goodell's sign
Enlarged uterus
Opioid reversal medication
Calcium gluconate
Narcan/naloxone
Vitamin K
Magnesium sulfate reversal medication
Calcium gluconate
Narcan/naloxone
Vitamin K
Contractions feel like ___ when relaxed, ___ when moderate, and ___ when strong
Forehead, chin, cheek
Cheek, forehead, chin
Chin, cheek, forehead
Cheek, chin, forehead
S/E of vacuum extraction of baby
Broken arm
Cephalohematoma
Cartilage fracture
What to do for epidural management
Ice mom's back beforehand
Baseline vitals on mom
Watch for rise in BP
Watch for drop in BP
Monitor mom's VS and fetal HR closely
Accelerations on the FHR strip tell us?
How well baby is doing and oxygenation
Head compression
Cord compression
Placental insufficiencies
Ptyalism is excessive saliva during pregnancy
True
False
Tocolytics delay delivery for up to 48 hours
True
False
Which cells develop the placenta?
Uroblasts
Teroblasts
Trophoblasts
Tolacblasts
Augmentation of labor is to stop/slow down labor
True
False
When would you allow for a trail of labor after c-section (TOLAC)?
Transverse uterine incision
Vertical uterine incision
Positive for Herpes with open sores
Positive for vaginal candidiasis
Transverse fetal lie
This is showing what?
Tachycardia
Absent variability
Tachysystole
Late decels
Betamethasone is given between 24 and 36 weeks for?
Preterm labor
Lung development
Induce labor
Minimal variability, bradycardia, and periodic decels are which category?
1
2
3
4
Category 2 with minimal variability is...
Emergency
Prepare for c-section
Abnormal
Concerned watch/continue monitoring
Fetal vessels are unsupported by placenta OR umbilical cord transverses the membrane over the cervix is called?
Placenta previa
Vasa previa
Placenta crepitus
Abruptio placentae
Which education would you give to a pt with gestational diabetes?
Reduce physical activity
Diabetic diet
How to test glucose
Glucose challenge at 18 weeks
S&S of infection
PPROM
Rupture after 37 weeks gestation
Treatment is antibiotics and modified bed rest
Mother and baby are healthy vitals are done Q1 hour
Mother and baby are healthy vitals are done Q4 hours
Pre-eclampsia
Multisystem vasopressin disorder
Low BPs
Proteinuria present
No swelling or edema
Epigastric pain
Only cure is delivery of baby/placenta
36 week patient is exhausted because of what?
Being fat
Painful contractions
Nocturia and insomnia
Oliguria
When do you want to call the doctor immediately?
If you have pain during sex
If you have a fever of 100.4+
If you have not felt baby move
If you have heartburn
Bright red bleeding that occurs suddenly, FHR 140, no pain, 30 weeks, soft uterus are signs of what?
Placenta increta
Abruptio placentae
Placenta previa
Miscarriage
At noon fetus has moderate variability, 6pm has minimal variability, and the following morning absent variability what is occuring?
Fetus has no heart beat
Fetus is acidotic
Fetus does not require c/s
Fetus is having accels
2nd time mother is having urge to have a BM, what is the FIRST thing you do?
Check her anus
Give her a bedpan
Walk her to the bathroom
SVE
Category 2 FHR, the FIRST thing you do?
Call provider
Stop oxytocin
Position to left side
Oxygenate mother
Umbilical prolapse, the FIRST thing you do?
Manual pressure on cord
C/S
Position on left side
Call provider
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