BSNC 5000OB Exam 1 Questions with Correct
Answers
What are the 3 developmental phases that the expectant father may experience as he
processes partner's pregnancy?
1. Announcement phase: hours to weeks.
--> accept biological reality of pregnancy
2. Moratorium phase: acceptance of reality of pregnancy
--> depends on readiness of father; may be short or last until final trimester
3. Focusing phase: father's active involvement in pregnancy and role in future child's life
-> usually final trimester
-> negotiates role in labor + parenting w/partner
Couvade syndrome
The phenomenon of expectant fathers' experiencing pregnancy-like symptoms.
What is the usual effect of teratogens in the first 2 weeks of pregnancy?
-either no effect, or miscarriage
What is the most sensitive phase for exposure to teratogens?
Embryonic period
(15 days to 60 days)
(2-8 weeks)
What outcomes are most common due to teratogen exposure during the embryonic
period (2-8 weeks)?
,-neural tube defects
-ASD, cleft palate, etc.
What consequences are most likely to occur if a fetus is exposed to teratogens weeks 9
onward?
-CNS problems
-altered genitalia development
-eyes, teeth, ears, palate
List the TORCH infections
T - Toxoplasmosis
O - Other (Syphilis, Hepatitis B, Parvovirus B19)
R - Rubella
C - Cytomegalovirus (CMV)
H - HSV
What is the typical source of maternal exposure to toxoplasmosis?
-cat feces
-not fully cooked meat
How is hepatitis B transmitted?
-unprotected vaginal or anal sex
-blood products
-sharing personal care products (toothbrush, razor, nail clippers)
-living with someone who has chronic HBV infection
Vertical transmission
, from mom to baby
Which TORCH infection does NOT pass through the placenta?
hep B
Leukorrhea
white discharge from the vagina, occurs during pregnancy due to hormonal changes
How does the pulse change during pregnancy?
May increase 10-15 bpm during 2nd trimester (weeks 14-20)
During pregnancy, the systolic BP tends to _______________ while the diastolic BP
______________.
During pregnancy, the systolic BP tends to stay the same or decrease slightly while
the diastolic BP tends to decrease.
HcG can be detected _______ after conception
HcG can be detected 8-10 days after conception
How are TORCH infections transmitted from mom to baby?
1. Trans-placentally (except hep B)
2. Contact with vaginal or uterine secretions during birth process (SVD)
-> HSV, CMV, syphilis, hep B
3. Breastmilk (e.g. CMV)
Is GBS a TORCH infection?
No
How do we treat a baby exposed to hep B?
Answers
What are the 3 developmental phases that the expectant father may experience as he
processes partner's pregnancy?
1. Announcement phase: hours to weeks.
--> accept biological reality of pregnancy
2. Moratorium phase: acceptance of reality of pregnancy
--> depends on readiness of father; may be short or last until final trimester
3. Focusing phase: father's active involvement in pregnancy and role in future child's life
-> usually final trimester
-> negotiates role in labor + parenting w/partner
Couvade syndrome
The phenomenon of expectant fathers' experiencing pregnancy-like symptoms.
What is the usual effect of teratogens in the first 2 weeks of pregnancy?
-either no effect, or miscarriage
What is the most sensitive phase for exposure to teratogens?
Embryonic period
(15 days to 60 days)
(2-8 weeks)
What outcomes are most common due to teratogen exposure during the embryonic
period (2-8 weeks)?
,-neural tube defects
-ASD, cleft palate, etc.
What consequences are most likely to occur if a fetus is exposed to teratogens weeks 9
onward?
-CNS problems
-altered genitalia development
-eyes, teeth, ears, palate
List the TORCH infections
T - Toxoplasmosis
O - Other (Syphilis, Hepatitis B, Parvovirus B19)
R - Rubella
C - Cytomegalovirus (CMV)
H - HSV
What is the typical source of maternal exposure to toxoplasmosis?
-cat feces
-not fully cooked meat
How is hepatitis B transmitted?
-unprotected vaginal or anal sex
-blood products
-sharing personal care products (toothbrush, razor, nail clippers)
-living with someone who has chronic HBV infection
Vertical transmission
, from mom to baby
Which TORCH infection does NOT pass through the placenta?
hep B
Leukorrhea
white discharge from the vagina, occurs during pregnancy due to hormonal changes
How does the pulse change during pregnancy?
May increase 10-15 bpm during 2nd trimester (weeks 14-20)
During pregnancy, the systolic BP tends to _______________ while the diastolic BP
______________.
During pregnancy, the systolic BP tends to stay the same or decrease slightly while
the diastolic BP tends to decrease.
HcG can be detected _______ after conception
HcG can be detected 8-10 days after conception
How are TORCH infections transmitted from mom to baby?
1. Trans-placentally (except hep B)
2. Contact with vaginal or uterine secretions during birth process (SVD)
-> HSV, CMV, syphilis, hep B
3. Breastmilk (e.g. CMV)
Is GBS a TORCH infection?
No
How do we treat a baby exposed to hep B?
