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NURS 341 OB Womens Health Exam 1 Latest 2024/2025 Accurate Summer Semester Graded A Xavier University
Typology: Exams
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What it is a Pudenal block? Injection into perineum for labor, birth and episiotomy What is local infiltration anesthesia used for? Episiotomy causes burning T/F women who use anesthesia/analgesics need more help to start breastfeeding True What is the biggest concern with an epidural? Hypotension
How often do you record vital signs for a spinal? q5- 10 Which maternal condition results in large babies? Type I Diabetes who would you not run a CST on? anyone at risk for preterm labor if placenta is over the cervix if incompetent cervix multiple gestation What is a sinusoidal pattern? smooth wave-like heart beat caused by fetal anemia, chronic fetal bleeding, fetal isoimmunization
preterm labor and preeclampsia Who are considered vulnerable populations? Minorities Adolescents and Elderly Incarcerated women Immigrants Homeless women Rural women When should women start taking folic acid? Before they are even prego How many extra calories do women need in the 2nd and 3rd trimesters? 300 How much calcium do prego and lactating women need? 1000
What are good sources of iron? Red meat, dark greens, eggs, whole grains To avoid listeria, avoid what foods? Hot dogs, deli meats, soft cheeses, unpaturized milk, smoked seafood If deficiencies occur during cell division, then ________ will have permanent consequences vs cell enlargement which is reversible What is pica? Eating non-food items including ice, paper, dirt, hair. Breast feeding women need ______ calories 2500 - 2700
What does a tocodynamometer measure? Frequency and duration of contractions NOT INTENSITY What does an intrauterine pressure catheter measure? measures pressure and intensity slipped into uterus right next to babys head could punction a low lying placenta T/F it is okay to push before the cervix has dilated to 10cm FALSE Will cause swelling What does "occiput anterior" mean? the back of the babys skull is anterior, facing the tummy
this is good!! What does "occiput posterior" mean? The back of the baby's skull is posterior, facing the moms spine no bueno. mom will push longer and face may be bruised "sunny side up" What does "fetal station" refer to? How low the baby is in the pelvis
What is absent variability? No changes Not good! means baby is not moving Looks like straight line What are accelerations? Increase of at least 15 for 15 seconds These are good!! means baby is moving When is antepartum? from conception to labor When is intrapartum? from labor to birth When is post partum?
birth to recovery, ~6 weeks What is gestation?
How old the baby is What is considered "preterm"? 20 - 37 weeks Late Preterm: 34-36 weeks What is considered "early term"? 37 - 38.6 weeks What is considered "full term"? 39 - 40.6 weeks
What is nulligravida? never been pregnant What is primigravida? a woman who is pregnant for the first time What is multigravida? multiple pregnancies What is "para"? the number of births >20 weeks so viable births
What is nullipara? a woman who has not given birth at more than 20 weeks gestation What is multipara? a woman who has had two or more births at more than 20 weeks gestation What does GTPAL stand for? Gravida, Term, Preterm, Abortion, Living When is Rhogam given? 28 weeks African american women are _____ more likely to die or have complications 3x
What are probable signs of pregnancy? Things a provider can evaluate
How do you measure fundal height? From the top of the symphysis pubis to the top of the uterine fundus When measuring fundal height, the cm should match up with_______
so if 20wks, 18-22 cm at 20 wks should be at the belly button How do you treat round ligament pain? Heating pad, stretching, knees to chest When can you first hear a baby's HR with a doppler? A fetoscope? 10 - 12wks 17 - 20wks
if it doesn't, think miscarriage or ectopic pregnancy How high does HcG have to be for gestation to be detected on an ultrasound? 6000+ Discharge from the vagina is normal unless...? Has odor, weird color or itches When do breasts start to change? Almost immediately When is colostrum secreted? ~1 2 - 20wks Oxygen consumption_______ during pregnancy increases
Pregnant women become ______ breathers thoracic T/F: it is okay to use nasal sprays and decongestants for nasal congestion FALSE could make it worse use saline drops Blood volume increases by________ 40 - 50% Heart Rate ________ by________ during pregnancy increases by 10-15bpm
