?» OB FINAL EXAM - COMPREHENSIVE STUDY GUIDE
Modules 1-8 =75% | Module 9 =25%
¢ MODULES 1-8 (75% of Final Exam)
High-yield review of foundational OB content
£l Pregnancy Basics & Prenatal Care
Must Know
e GTPAL system
e Normal pregnancy changes
o MHR, * blood volume, ¥ BP in 2nd trimester
e Danger signs in pregnancy
o Vaginal bleeding
o Severe headache, vision changes
o Epigastric/RUQ pain
o Decreased fetal movement
¢ Rhincompatibility
o Rh-negative mom + Rh-positive fetus
o RhoGAM at 28 weeks & within 72 hrs postpartum
] Labor & Delivery
The 3P’s
e Passenger - fetal size, position
e Passageway - pelvis
o Powers - contractions
Stages of Labor
, 1. Latent/Active/Transition
2. Delivery of baby
3. Delivery of placenta
4. Recovery (first 1-2 hrs postpartum)
EJ Fetal Heart Rate Monitoring (VERY TESTED)
Baseline: 110-160 bpm
Pattern Cause Nursing Action
Early decels Head compression Reassure, continue monitoring
Variable decels Cord compression Reposition, O,, amnioinfusion
Late decels Placental insufficiency Left side, O,, IV fluids, stop oxytocin
Absent variability Hypoxia/acidosis Emergency
3 OB Emergencies
Preeclampsia
e BP=2140/90 + proteinuria
e Severe signs: headache, vision changes, RUQ pain
e Tx: magnesium sulfate
e Toxicity signs: ¥ RR, ¥ reflexes, ¥ urine output
e Antidote: calcium gluconate
Postpartum Hemorrhage
e Uterine atony =#1 cause
e Boggy uterus > massage FIRST
e Oxytocin, methylergonovine (no HTN), misoprostol
DIC
Modules 1-8 =75% | Module 9 =25%
¢ MODULES 1-8 (75% of Final Exam)
High-yield review of foundational OB content
£l Pregnancy Basics & Prenatal Care
Must Know
e GTPAL system
e Normal pregnancy changes
o MHR, * blood volume, ¥ BP in 2nd trimester
e Danger signs in pregnancy
o Vaginal bleeding
o Severe headache, vision changes
o Epigastric/RUQ pain
o Decreased fetal movement
¢ Rhincompatibility
o Rh-negative mom + Rh-positive fetus
o RhoGAM at 28 weeks & within 72 hrs postpartum
] Labor & Delivery
The 3P’s
e Passenger - fetal size, position
e Passageway - pelvis
o Powers - contractions
Stages of Labor
, 1. Latent/Active/Transition
2. Delivery of baby
3. Delivery of placenta
4. Recovery (first 1-2 hrs postpartum)
EJ Fetal Heart Rate Monitoring (VERY TESTED)
Baseline: 110-160 bpm
Pattern Cause Nursing Action
Early decels Head compression Reassure, continue monitoring
Variable decels Cord compression Reposition, O,, amnioinfusion
Late decels Placental insufficiency Left side, O,, IV fluids, stop oxytocin
Absent variability Hypoxia/acidosis Emergency
3 OB Emergencies
Preeclampsia
e BP=2140/90 + proteinuria
e Severe signs: headache, vision changes, RUQ pain
e Tx: magnesium sulfate
e Toxicity signs: ¥ RR, ¥ reflexes, ¥ urine output
e Antidote: calcium gluconate
Postpartum Hemorrhage
e Uterine atony =#1 cause
e Boggy uterus > massage FIRST
e Oxytocin, methylergonovine (no HTN), misoprostol
DIC
