MOTHER BABY EXAM #1 QUESTIONS AND ANSWERS
OB Triage: Why would we want a mother to come back in the hospital? - Answers - -
Contraction
-Fetal movement
-Membrane rupture
-Blood > 1 Tbs
Antepartum- They need to be observed but not ready for delivery - Answers - patients
will be here for awhile
Assessment
Establishing trust
Obtaining the sexual history
Screening, Health Promotion, and
Education - Answers -
Why it matters for pregnant women
-Cause of Preterm Labor
-Transmit to infant
-Infertility
-May require cesarean birth to avoid transmission (herpes/HIV) - Answers -
Body Changes during ovulation
•Spinnbarkheit: elasticity of cervical mucus
•Ferning: crystallization of cervical mucus
•Increased basal body temperature
•Mittelschmerz: abdominal cramping during
ovulation - Answers -
How can knowledge of the menstrual cycle be used to prevent pregnancy?
How might a woman use this to get pregnant? - Answers - -Taking temperature that
would let someone know they have a temperature spike
-Tracking changes can be a form of birth control
-She would know when the best time to try to have a baby would be
Irregular cycles, Luteal phase will always stay the same (about 2 weeks) - Answers -
The earlier in pregnancy to do an ultrasound the less variation, so a greater accuracy of
a due date - Answers -
Follicular
Ovulation
Luteal - Answers -
,Birth Control Methods
-Natural family planning/Fertility awareness
-Lactational
amenorrhea method (breastfeeding
-"The Pill
--Monophasic, biphasic,triphasic
--Warning signs: ACHES
-Low-dose progestin-only pill
--Used with breastfeeding women
-Intrauterine Device(IUD)
--Copper (10 years)
--Mirena (5 years) - Answers -
Contraindications for the Pill
▫Smoking and age greater than
35 years
▫Moderate/severe
hypertension (BP 160/100)
▫Undiagnosed uterine
bleeding
▫Diabetes of more than 20
years' duration or with
vascular complications
▫History of pulmonary
embolism or deep venous
thrombosis - Answers -
ACHES
Abdominal pain
chest pain/SOB/Headaches
Eye Problems/ Vascular Accident/Increased BP
Severe Leg Pain - Answers -
Injectable Hormonal Contraceptive
Methods
•Depo
-Provera
▫Injected every 3 months
▫Reversible after 10 months
▫Side effects: irregular bleeding, weight gain,
depression
▫Safe for breastfeeding
mothers
▫May cause loss in Bone Density - Answers -
Warning Signs: PAINS IUD
, Inrauterine Device Complications
Period irregularities
Abdominal pain (Dyspareunia)
Infection (Abnormal Discharge)
Not feeling well
String missing - Answers -
Side effects
▫Irregular bleeding
▫Amenorrhea
▫Pelvic infections
•Contraindications
▫Current STI
▫Genital tract cancer
▫Uterine anomalies, fibroid - Answers -
Sterilization
Female
▫Bilateral tubal ligation
▫Nonincisional
hysteroscopic
tubal ligation
Male
-Vasectomy
-Medicaid Consent: Must be 21 or older,
consent must be signed at least 30 days in
advance - Answers -
_______: is an invasive procedure that can be used to obtain a fetal keryotype. ( Extra
or missing chromosomes, or abnormal positions of chromosome pieces, can cause
problems with a person's growth, development, and body functions.) - Answers -
Chorionic Villus sampling (CVS)
______________:also known as 'sensitization,' refers to the development of antibodies
to Rh-antigens when women who are Rh-negative are exposed to a source of Rh-
positive blood, red blood cells (RBCs) that have the Rh-antigens on their surface and
are, therefore, 'foreign' to the woman's immune system. - Answers - isoimmunization
___________: (PUBS) is an invasive procedure that is performed to obtain a sample of
fetal blood for karyotyping and to test for anemia, isoimmunization, metabolic disorders,
and infection. - Answers - Percutaneous ubilical blood sampling
_______________: invasive, involves the removal of amniotic fluid. - Answers -
amniocentesis
Chromosomes
OB Triage: Why would we want a mother to come back in the hospital? - Answers - -
Contraction
-Fetal movement
-Membrane rupture
-Blood > 1 Tbs
Antepartum- They need to be observed but not ready for delivery - Answers - patients
will be here for awhile
Assessment
Establishing trust
Obtaining the sexual history
Screening, Health Promotion, and
Education - Answers -
Why it matters for pregnant women
-Cause of Preterm Labor
-Transmit to infant
-Infertility
-May require cesarean birth to avoid transmission (herpes/HIV) - Answers -
Body Changes during ovulation
•Spinnbarkheit: elasticity of cervical mucus
•Ferning: crystallization of cervical mucus
•Increased basal body temperature
•Mittelschmerz: abdominal cramping during
ovulation - Answers -
How can knowledge of the menstrual cycle be used to prevent pregnancy?
How might a woman use this to get pregnant? - Answers - -Taking temperature that
would let someone know they have a temperature spike
-Tracking changes can be a form of birth control
-She would know when the best time to try to have a baby would be
Irregular cycles, Luteal phase will always stay the same (about 2 weeks) - Answers -
The earlier in pregnancy to do an ultrasound the less variation, so a greater accuracy of
a due date - Answers -
Follicular
Ovulation
Luteal - Answers -
,Birth Control Methods
-Natural family planning/Fertility awareness
-Lactational
amenorrhea method (breastfeeding
-"The Pill
--Monophasic, biphasic,triphasic
--Warning signs: ACHES
-Low-dose progestin-only pill
--Used with breastfeeding women
-Intrauterine Device(IUD)
--Copper (10 years)
--Mirena (5 years) - Answers -
Contraindications for the Pill
▫Smoking and age greater than
35 years
▫Moderate/severe
hypertension (BP 160/100)
▫Undiagnosed uterine
bleeding
▫Diabetes of more than 20
years' duration or with
vascular complications
▫History of pulmonary
embolism or deep venous
thrombosis - Answers -
ACHES
Abdominal pain
chest pain/SOB/Headaches
Eye Problems/ Vascular Accident/Increased BP
Severe Leg Pain - Answers -
Injectable Hormonal Contraceptive
Methods
•Depo
-Provera
▫Injected every 3 months
▫Reversible after 10 months
▫Side effects: irregular bleeding, weight gain,
depression
▫Safe for breastfeeding
mothers
▫May cause loss in Bone Density - Answers -
Warning Signs: PAINS IUD
, Inrauterine Device Complications
Period irregularities
Abdominal pain (Dyspareunia)
Infection (Abnormal Discharge)
Not feeling well
String missing - Answers -
Side effects
▫Irregular bleeding
▫Amenorrhea
▫Pelvic infections
•Contraindications
▫Current STI
▫Genital tract cancer
▫Uterine anomalies, fibroid - Answers -
Sterilization
Female
▫Bilateral tubal ligation
▫Nonincisional
hysteroscopic
tubal ligation
Male
-Vasectomy
-Medicaid Consent: Must be 21 or older,
consent must be signed at least 30 days in
advance - Answers -
_______: is an invasive procedure that can be used to obtain a fetal keryotype. ( Extra
or missing chromosomes, or abnormal positions of chromosome pieces, can cause
problems with a person's growth, development, and body functions.) - Answers -
Chorionic Villus sampling (CVS)
______________:also known as 'sensitization,' refers to the development of antibodies
to Rh-antigens when women who are Rh-negative are exposed to a source of Rh-
positive blood, red blood cells (RBCs) that have the Rh-antigens on their surface and
are, therefore, 'foreign' to the woman's immune system. - Answers - isoimmunization
___________: (PUBS) is an invasive procedure that is performed to obtain a sample of
fetal blood for karyotyping and to test for anemia, isoimmunization, metabolic disorders,
and infection. - Answers - Percutaneous ubilical blood sampling
_______________: invasive, involves the removal of amniotic fluid. - Answers -
amniocentesis
Chromosomes
