Ob ati proctored study
1) Cytomegalovirus – is an infection contracted by mother during pregnancy that causes neonate
implications of IUGR, Encephalopathy
Exposure to toxoplasmosis, rubella, cytomegalovirus, herpes simplex, and hepatitis B may
adversely affect pregnancy and fetal outcome. TORCH
Cytomegalovirus (CMV) belongs to the herpes simplex virus group and causes both congenital and
acquired disorders. The significance of this virus in pregnancy is related to its ability to be transmitted by
asymptomatic women across the placenta to the fetus or by the cervical route during birth.
the virus is usually innocuous in adults and children,itmaybefataltothefetus.
Asymptomatic CMV infection is particularly commoninchildrenandgravidwomen.Transmissioniscommon
indaycarecenters
2) Who see first? 190 sugar, FHR 160
3) Which food has highest fiber? Oatmeal, asparagus
A: oatmeal, avavados, bananas, pears, split peas, lentils
4) Client who reported abdominal pain upon breast feeding
Why Does It Happen?
The uterus is a muscle, and each pregnancy over-stretches the muscle. Nipple stimulation during
breastfeeding causes a hormone known as oxytocin to be released into your bloodstream. This
hormone causes the contraction of all smooth muscles and helps your uterus contract back into
its pre-pregnancy shape and size. These contractions also help reduce postpartum blood loss, so
although you may be uncomfortable, this cramping is helping your body heal.
What Can You Do?
Don’t be afraid to ask for pain medication while still in the hospital – it will be safe for you and
your baby. You can also give yourself a gentle lower-stomach massage. These afterbirth pains
almost always subside within a few days, but if they continue longer than that or if the pain
becomes intense, reach out to your healthcare provider.
5) Signs of neonate abstinent syndrome
, - NAS may occur when a pregnant woman takes drugs such as heroin, codeine, oxycodone
(Oxycontin), methadone, or buprenorphine.
Tremors (trembling)
Irritability (excessive crying)
Sleep problems.
High-pitched crying
Tight muscle tone.
Hyperactive reflexes.
Seizures.
Yawning, stuffy nose, and sneezing.
6) Place test in order alpha-protien, 1 hour glucose
Gestational diabtes test:
To take the glucose screening test you will drink a sugar solution (which tastes like a thick, flat cola—I'm
not saying it's delicious, but it's not all that awful either). An hour later, a blood sample will be taken and
the blood sugar level will be checked. If the reading is abnormal (which occurs about 20 percent of the
time) you'll go home and come back at a later date for a diagnostic exam, called a three-hour glucose
tolerance test, to verify the results.
Alpha fetoprotien - screening test for congenital disabilities, chromosomal abnormalities
- Alpha-fetoprotein levels in men and non-pregnant women vary for age and race but mostly
range from 0 ng/ml to 40 ng/ml.
Maternal AFP levels in pregnancy start to rise from about 14th week of gestation up until about
32 weeks gestation. Between week 15 and 20 weeks, levels usually range between 10 ng/ml to
150 ng/ml.
-elevated levels imply a significant risk of having birth defects
7) Report HR with – 150/155/135 – acceleration. Decleration, variability
Cord compression associated with decelerations
Baseline Fetal Heart Rate
• Normal baseline FHR = 110 – 160
Accelerations/decelerations are compared to the baseline of the infants HR
Late and variable decelerartions are the most risk for fetus because of head or cord compression
1) Cytomegalovirus – is an infection contracted by mother during pregnancy that causes neonate
implications of IUGR, Encephalopathy
Exposure to toxoplasmosis, rubella, cytomegalovirus, herpes simplex, and hepatitis B may
adversely affect pregnancy and fetal outcome. TORCH
Cytomegalovirus (CMV) belongs to the herpes simplex virus group and causes both congenital and
acquired disorders. The significance of this virus in pregnancy is related to its ability to be transmitted by
asymptomatic women across the placenta to the fetus or by the cervical route during birth.
the virus is usually innocuous in adults and children,itmaybefataltothefetus.
Asymptomatic CMV infection is particularly commoninchildrenandgravidwomen.Transmissioniscommon
indaycarecenters
2) Who see first? 190 sugar, FHR 160
3) Which food has highest fiber? Oatmeal, asparagus
A: oatmeal, avavados, bananas, pears, split peas, lentils
4) Client who reported abdominal pain upon breast feeding
Why Does It Happen?
The uterus is a muscle, and each pregnancy over-stretches the muscle. Nipple stimulation during
breastfeeding causes a hormone known as oxytocin to be released into your bloodstream. This
hormone causes the contraction of all smooth muscles and helps your uterus contract back into
its pre-pregnancy shape and size. These contractions also help reduce postpartum blood loss, so
although you may be uncomfortable, this cramping is helping your body heal.
What Can You Do?
Don’t be afraid to ask for pain medication while still in the hospital – it will be safe for you and
your baby. You can also give yourself a gentle lower-stomach massage. These afterbirth pains
almost always subside within a few days, but if they continue longer than that or if the pain
becomes intense, reach out to your healthcare provider.
5) Signs of neonate abstinent syndrome
, - NAS may occur when a pregnant woman takes drugs such as heroin, codeine, oxycodone
(Oxycontin), methadone, or buprenorphine.
Tremors (trembling)
Irritability (excessive crying)
Sleep problems.
High-pitched crying
Tight muscle tone.
Hyperactive reflexes.
Seizures.
Yawning, stuffy nose, and sneezing.
6) Place test in order alpha-protien, 1 hour glucose
Gestational diabtes test:
To take the glucose screening test you will drink a sugar solution (which tastes like a thick, flat cola—I'm
not saying it's delicious, but it's not all that awful either). An hour later, a blood sample will be taken and
the blood sugar level will be checked. If the reading is abnormal (which occurs about 20 percent of the
time) you'll go home and come back at a later date for a diagnostic exam, called a three-hour glucose
tolerance test, to verify the results.
Alpha fetoprotien - screening test for congenital disabilities, chromosomal abnormalities
- Alpha-fetoprotein levels in men and non-pregnant women vary for age and race but mostly
range from 0 ng/ml to 40 ng/ml.
Maternal AFP levels in pregnancy start to rise from about 14th week of gestation up until about
32 weeks gestation. Between week 15 and 20 weeks, levels usually range between 10 ng/ml to
150 ng/ml.
-elevated levels imply a significant risk of having birth defects
7) Report HR with – 150/155/135 – acceleration. Decleration, variability
Cord compression associated with decelerations
Baseline Fetal Heart Rate
• Normal baseline FHR = 110 – 160
Accelerations/decelerations are compared to the baseline of the infants HR
Late and variable decelerartions are the most risk for fetus because of head or cord compression
