RNC-OB UPDATED ACTUAL Questions and CORRECT Answers
Threatened Abortion Vaginal bleeding
<20 weeks
S/S- closed cervix and mild cramping
Inevitable Abortion Bleeding with continuous dilation, without expulsion of fetal products.
<20 weeks
Vaginal bleeding and cramping, watch for hemorrhage
May need D&C
Incomplete Abortion Partial expulsion of conception products
<20 weeks
Bleeding and cramping but not all products have passed. Will need D&C
Spontaneous/Complete Abortion <20 weeks or <500 gms
Spontaneous and complete evacuation of all products of conception.
Habitual Abortion spontaneous abortion occurring in three or more consecutive pregnancies
When can a cerclage be placed? Second trimester
Septic Shock Decreased BP
Hypothermia
Oliguria
, Septic Fever
Chills
Kidney failure
DIC
ARDS
Death
Protamine Sulfate Heparin Antagonist
Antiphospholipid antibody syndrome Common cause of recurrent miscarriage and early severe pre-E
Related to SLE
Tx. With Heparin
Progesterone Progesterone shots prevent early PTL (McKenna) 16-36 weeks
Vaginal cream if <20 weeks or shortened cervix.
Pregnancy and > 40 years old Intimacy vs. Isolation
Teen Pregnancy Identity vs. Role Confusion
Highest indication of a PTD Previous PTD
Calorie increase during pregnancy 300 kcal/day
600 with twins
Folic acid prevents what? neural tube defects
With maternal lead exposure Think neuro and low IQ
Type 1 DM Treatment is diet, exercise, and will need insulin injections.
Type 2 DM Genetic link
Treatment is diet, exercise, oral meds, and insulin may or may not be needed.
DKA Metabolic Acidosis
BS >250
Kussmauls Respirations
Non-Ketosis BS >600
No fruity breath or kaussmauls
To. IV fluids, IV insulin
GDM A1 Diet controlled
GDM A2 Not controlled by diet, needs medications
Fetal Macrosomia >4,000 gms or 8lbs 13oz
Threatened Abortion Vaginal bleeding
<20 weeks
S/S- closed cervix and mild cramping
Inevitable Abortion Bleeding with continuous dilation, without expulsion of fetal products.
<20 weeks
Vaginal bleeding and cramping, watch for hemorrhage
May need D&C
Incomplete Abortion Partial expulsion of conception products
<20 weeks
Bleeding and cramping but not all products have passed. Will need D&C
Spontaneous/Complete Abortion <20 weeks or <500 gms
Spontaneous and complete evacuation of all products of conception.
Habitual Abortion spontaneous abortion occurring in three or more consecutive pregnancies
When can a cerclage be placed? Second trimester
Septic Shock Decreased BP
Hypothermia
Oliguria
, Septic Fever
Chills
Kidney failure
DIC
ARDS
Death
Protamine Sulfate Heparin Antagonist
Antiphospholipid antibody syndrome Common cause of recurrent miscarriage and early severe pre-E
Related to SLE
Tx. With Heparin
Progesterone Progesterone shots prevent early PTL (McKenna) 16-36 weeks
Vaginal cream if <20 weeks or shortened cervix.
Pregnancy and > 40 years old Intimacy vs. Isolation
Teen Pregnancy Identity vs. Role Confusion
Highest indication of a PTD Previous PTD
Calorie increase during pregnancy 300 kcal/day
600 with twins
Folic acid prevents what? neural tube defects
With maternal lead exposure Think neuro and low IQ
Type 1 DM Treatment is diet, exercise, and will need insulin injections.
Type 2 DM Genetic link
Treatment is diet, exercise, oral meds, and insulin may or may not be needed.
DKA Metabolic Acidosis
BS >250
Kussmauls Respirations
Non-Ketosis BS >600
No fruity breath or kaussmauls
To. IV fluids, IV insulin
GDM A1 Diet controlled
GDM A2 Not controlled by diet, needs medications
Fetal Macrosomia >4,000 gms or 8lbs 13oz
