Maternal Health Pregnancy Quiz
46 Questions
0 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What are common discomforts of pregnancy during the third trimester?

  • Spotting/bleeding, painful urination and UTI, severe persistent vomiting, lower abdominal pain with dizziness and shoulder pain (sign of ectopic pregnancy)
  • Ensuring safe passage throughout pregnancy and birth, seeking acceptance of infant by others, seeking acceptance of self in maternal role to infant, learning to give of oneself
  • Shortness of breath, heartburn, indigestion, edema, Braxton Hicks contractions (correct)
  • Backache, leg cramps, varicosities, hemorrhoids, gas, round ligament pain
  • Urinary frequency, fatigue, nausea and vomiting, breast tenderness, constipation, nasal stuffiness, cravings, vaginal discharge
  • What type of emotion is common for mothers during the second trimester?

  • Anxiety and fear
  • Acceptance of the baby and planning
  • Introversion (correct)
  • Excitement and anticipation
  • What routine labs are taken during the first pregnancy visit?

  • Urinalysis, CBC, blood typing and Rh factor, Rubella titer, Hep B surface antigen, HIV test, RPR/VDRL (syphilis) (correct)
  • NSAIDs, vasoconstrictors, anti-seizure medications
  • Second - backache, leg cramps, varicosities, hemorrhoids, gas, round ligament pain
  • Weight, blood pressure, urinalysis, fundal height, fetal movement, fetal heart rate
  • First - urinary frequency, fatigue, NV, breast tenderness, constipation, nasal stuffiness, cravings, vaginal discharge
  • Which of the following are considered maternal role tasks?

    <p>Ensuring safe passage throughout pregnancy and birth, seeking acceptance of infant by others, seeking acceptance of self in maternal role to infant, learning to give of oneself (B)</p> Signup and view all the answers

    What routine labs are continued each pregnancy visit after the first visit?

    <p>Weight, blood pressure, urinalysis, fundal height, fetal movement, fetal heart rate (B)</p> Signup and view all the answers

    What are some danger signs of pregnancy during the first trimester?

    <p>Spotting/bleeding, painful urination and UTI, severe persistent vomiting, lower abdominal pain with dizziness and shoulder pain (sign of ectopic pregnancy) (A)</p> Signup and view all the answers

    What types of drugs are unsafe during pregnancy?

    <p>NSAIDs, vasoconstrictors, anti-seizure medications (E)</p> Signup and view all the answers

    Which of the following is NOT a sign of true labor?

    <p>Contractions are short and mild and felt in the upper back and upper abdomen (D)</p> Signup and view all the answers

    Which of the following is a sign of preeclampsia?

    <p>All of the above (D)</p> Signup and view all the answers

    What is the most favorable pelvis shape for vaginal delivery?

    <p>Gynecoid (D)</p> Signup and view all the answers

    Which pelvis shapes are NOT favorable for vaginal delivery?

    <p>Android and Platypelloid (B)</p> Signup and view all the answers

    Where does the true pelvis lie?

    <p>Below the linea terminalis (B)</p> Signup and view all the answers

    What is effacement?

    <p>Thinning of the cervix (C)</p> Signup and view all the answers

    What is station?

    <p>The relation of the presenting part of the fetus to an imaginary line drawn between the maternal ischial spines (C)</p> Signup and view all the answers

    Which of the following is not a sign of complications from an IUD?

    <p>Nausea and vomiting (C)</p> Signup and view all the answers

    What is the primary function of Plan B?

    <p>To prevent ovulation after unprotected sex (B)</p> Signup and view all the answers

    Which statement about vasectomy is false?

    <p>It provides immediate contraception. (A)</p> Signup and view all the answers

    What is a significant risk associated with a salpingectomy?

    <p>Risk of ectopic pregnancy (C)</p> Signup and view all the answers

    Which of the following is a common symptom of chlamydia?

    <p>Bad smelling discharge (B)</p> Signup and view all the answers

    Which statement about Neisseria gonorrhoeae is true?

    <p>It may be asymptomatic but can cause cervicitis. (B)</p> Signup and view all the answers

    What is one of the main symptoms of trichomoniasis?

    <p>Thin yellow discharge (D)</p> Signup and view all the answers

    What does HPV primarily cause?

    <p>Cervical cancer (C)</p> Signup and view all the answers

    What complications can arise from amniocentesis?

    <p>Fetal-maternal hemorrhage (A)</p> Signup and view all the answers

    What is indicated by a reactive non-stress test?

    <p>Two accelerations of at least 15 beats per minute in 20 minutes (B)</p> Signup and view all the answers

    Which components are assessed in a biophysical profile using the BATMAN method?

    <p>Breathing, Amniotic fluid volume, Tone, Movements, Non-stress test (C)</p> Signup and view all the answers

    When is amniocentesis typically performed to test for fetal lung maturity?

    <p>35 weeks (C)</p> Signup and view all the answers

    What condition is a non-stress test recommended for?

    <p>Diabetes in pregnancy (C)</p> Signup and view all the answers

    What represents a presumptive sign of pregnancy?

    <p>Breast tenderness (D)</p> Signup and view all the answers

    What is a probable sign of pregnancy?

    <p>Uterine enlargement (A)</p> Signup and view all the answers

    Which of the following is an example of a positive sign of pregnancy?

    <p>Fetal heartbeat detected via ultrasound (C)</p> Signup and view all the answers

    What is the primary purpose of the standard days method of contraception?

    <p>To count fertile and non-fertile days to avoid intercourse (D)</p> Signup and view all the answers

    Which statement best describes the basal body temperature method of contraception?

    <p>A significant temperature spike indicates ovulation has occurred. (D)</p> Signup and view all the answers

    What is the cervical mucus ovulation-detection method primarily based on?

    <p>Monitoring the thickness and consistency of cervical mucus (C)</p> Signup and view all the answers

    What is one critical issue associated with the use of male and female condoms?

    <p>Inconsistent use can lead to unwanted pregnancy. (B)</p> Signup and view all the answers

    What key feature distinguishes a cervical cap from other cervical barrier methods?

    <p>It must be fitted by a healthcare provider. (B)</p> Signup and view all the answers

    Which statement is true regarding diaphragms as a method of contraception?

    <p>Diaphragms must be checked for fit after any significant bodily changes. (C)</p> Signup and view all the answers

    What mechanism do combined oral contraceptives primarily use to prevent pregnancy?

    <p>They suppress ovulation and thicken cervical mucus. (B)</p> Signup and view all the answers

    If a woman misses one oral contraceptive pill, what should she do?

    <p>Take the missed pill as soon as she remembers and continue normally. (D)</p> Signup and view all the answers

    What action should be prioritized when a patient is at risk for hemorrhage postpartum?

    <p>Perform frequent lochia checks (D)</p> Signup and view all the answers

    Which of the following is NOT a support method for a pregnant woman wanting a natural birth?

    <p>IV narcotics (C)</p> Signup and view all the answers

    What is the purpose of a pudendal block during labor?

    <p>To provide anesthesia to the perineum (C)</p> Signup and view all the answers

    What is a key consideration before administering an epidural?

    <p>Check the platelet count for safety (B)</p> Signup and view all the answers

    What is a significant risk associated with the use of general anesthesia in pregnancy?

    <p>Postpartum hemorrhage (A)</p> Signup and view all the answers

    Which of the following correctly describes a spinal block in pregnancy?

    <p>Emergency use for pain relief (B)</p> Signup and view all the answers

    What is the primary effect of using bupivocaine or ropivacaine in a pudendal block?

    <p>To numb the perineum and surrounding areas (A)</p> Signup and view all the answers

    What is a common side effect of administering an epidural?

    <p>Hypotension (D)</p> Signup and view all the answers

    Flashcards

    Standard Days Method

    A contraception method tracking 14 days from the first day of menstruation, identifying fertile days as days 14-24.

    Basal Body Temperature Method

    A contraception method that tracks temperature, with ovulation indicated by a sharp dip followed by a spike.

    Cervical Mucous Method

    A method where users monitor cervical mucous and refrain from sex during the 'egg white' mucous phase, indicating fertility.

    Condoms

    Barrier method of contraception that protects against STIs; inconsistent use is a potential issue.

    Signup and view all the flashcards

    Sponge

    A cervical barrier method that is single-use, more expensive, and rarely used for contraception.

    Signup and view all the flashcards

    Cervical Cap

    A cervical barrier method that requires fitting; increased efficacy with spermicide, must be used properly to avoid TSS.

    Signup and view all the flashcards

    Diaphragm

    A fitted barrier method reviewed annually, placed up to 6 hours before intercourse, uses spermicide, and needs to stay in for 6 hours after.

    Signup and view all the flashcards

    Combined Oral Contraceptives

    Birth control pills that add estrogen and progesterone, inhibiting ovulation and thickening cervical mucous, with risks like DVT.

    Signup and view all the flashcards

    Signs of IUD complications

    Late periods, abdominal pain, fever, unusual discharge, string issues.

    Signup and view all the flashcards

    Plan B

    Emergency contraception taken within 72 hours; does not affect already implanted ovum.

    Signup and view all the flashcards

    Vasectomy

    Ligation and severance of vas deferens; safe, doesn't impair male function, possible reversal.

    Signup and view all the flashcards

    Salpingectomy

    Tying or removal of fallopian tubes; does not affect sexual function but risks ectopic pregnancy.

    Signup and view all the flashcards

    Chlamydia

    Most reported STI in the US; often asymptomatic; can lead to PID and newborn blindness if untreated.

    Signup and view all the flashcards

    Neisseria gonorrhoeae

    Second most common bacterial STI; often coinfected with chlamydia; may cause cervical symptoms.

    Signup and view all the flashcards

    Trichomonas vaginalis

    Parasitic STI with itching and bad smelling discharge; often asymptomatic.

    Signup and view all the flashcards

    Human Papillomavirus (HPV)

    Most common viral infection in the US; linked to cervical cancer; prevents warts; no cure.

    Signup and view all the flashcards

    Amniocentesis

    A procedure to obtain amniotic fluid for testing genetic abnormalities and fetal health.

    Signup and view all the flashcards

    Risks of Amniocentesis

    Potential complications include pain, abortion, infection, and fluid leakage.

    Signup and view all the flashcards

    Non-Stress Test

    A test assessing fetal heart rate to evaluate well-being after 28 weeks gestation.

    Signup and view all the flashcards

    Biophysical Profile

    A combination of ultrasound and non-stress test to assess fetal well-being.

    Signup and view all the flashcards

    Fetal Lung Maturity

    Assessment of fetal lungs via amniotic fluid analysis in the third trimester.

    Signup and view all the flashcards

    Presumptive Signs of Pregnancy

    Symptoms of pregnancy that can also be due to other factors.

    Signup and view all the flashcards

    Probable Signs of Pregnancy

    Indicators that strongly suggest pregnancy but can have other explanations.

    Signup and view all the flashcards

    Positive Signs of Pregnancy

    Signs that confirm a pregnancy, like fetal heartbeat.

    Signup and view all the flashcards

    Common emotion in 2nd trimester

    Mothers often experience introversion as they bond with the baby.

    Signup and view all the flashcards

    Common emotion in 3rd trimester

    Acceptance of the baby and planning for childbirth are common feelings.

    Signup and view all the flashcards

    Maternal role tasks

    Tasks include ensuring safe passage, seeking acceptance from others, and learning selflessness.

    Signup and view all the flashcards

    Sexual activity during pregnancy

    It is generally safe during a normal, healthy pregnancy until labor.

    Signup and view all the flashcards

    Unsafe drugs during pregnancy

    NSAIDs, vasoconstrictors, and anti-seizure drugs are unsafe.

    Signup and view all the flashcards

    Routine labs in first pregnancy visit

    Tests include urinalysis, CBC, blood typing, hepatitis screenings, and syphilis test.

    Signup and view all the flashcards

    Common discomforts in 1st trimester

    Includes urinary frequency, fatigue, nausea, and breast tenderness.

    Signup and view all the flashcards

    Danger signs in pregnancy

    In the first trimester, watch for spotting, UTI symptoms, severe vomiting, and abdominal pain.

    Signup and view all the flashcards

    Hemorrhage Risk Postpartum

    Time after delivery when patient is at high risk for bleeding; requires monitoring and care.

    Signup and view all the flashcards

    Pain Relief Methods for Natural Birth

    Various techniques like massage, breathing, and water therapy used to manage pain during labor.

    Signup and view all the flashcards

    Pudendal Block

    Anesthesia injected near the ischial spine to numb the perineum; effective for delivery pain.

    Signup and view all the flashcards

    Epidural

    Continuous or intermittent anesthesia injected into the epidural space, relieving contraction pain.

    Signup and view all the flashcards

    General Anesthesia in Pregnancy

    IV and inhalation technique used for surgeries like C-sections; poses risks including postpartum hemorrhage.

    Signup and view all the flashcards

    Spinal Block

    Epidural-like injection into the subarachnoid space, often used in emergencies for labor and C-section.

    Signup and view all the flashcards

    Lochia Checks

    Monitoring postpartum vaginal discharge to assess bleeding levels after childbirth.

    Signup and view all the flashcards

    Perineal Care Postpartum

    Care provided to the perineum after childbirth to prevent infection and manage pain.

    Signup and view all the flashcards

    Signs of Second Stage Labor

    Regular contractions, calf pain, fluid leaking, no fetal movement in over 12 hours.

    Signup and view all the flashcards

    Signs of Third Stage Labor

    Sudden weight gain, facial swelling, severe abdominal pain, decreased fetal movement over 24 hours.

    Signup and view all the flashcards

    True Labor vs False Labor

    True labor has strong, long contractions; false labor has irregular, mild contractions.

    Signup and view all the flashcards

    Five Ps of Labor

    Passageway, Passenger, Powers, Position, Psychological response affect labor and birth.

    Signup and view all the flashcards

    Gynecoid Pelvis Shape

    The best pelvis shape for vaginal delivery, favoring easier birth.

    Signup and view all the flashcards

    Android and Platypelloid Pelvis

    Pelvis shapes not favorable for vaginal delivery.

    Signup and view all the flashcards

    Cervical Dilation

    Progressive opening of the cervical canal, measured from 0 to 10 cm.

    Signup and view all the flashcards

    Cervical Effacement

    Thinning of the cervix, measured from 0% to 100%.

    Signup and view all the flashcards

    Study Notes

    OB/GYN Test 1 Nursing Study Notes

    • Standard Days Method: Count from first day of period for 14 days, days 14-24 are fertile. Avoid sex during fertile days.

    • Basal Body Temperature Method: Measure temperature same time each morning before getting out of bed. Ovulation is indicated by a sharp dip and then spike in temperature.

    • Cervical Mucous Ovulation-Detection Method: Monitor cervical mucus and abstain during "egg white" days.

    • Male and Female Condoms: Only contraceptive method protecting against STIs. Never use both at once. Inconsistent use is an issue.

    • Cervical Sponge: Barrier method, rarely used. Single use, more expensive. Efficacy increases with spermicide use and must be used for at least six hours after sexual intercourse, but not more than 48 hours.

    • Cervical Cap: Barrier method. Requires a fitting and reevaluation annually. Use spermicide for increased effectiveness. Risk of Toxic Shock Syndrome; use other birth control during period.

    • Diaphragm: Barrier method. Requires fitting, annually re-evaluated after weight changes (loss/gain), birth, or surgery. Place 2tsp spermicide, leave in for 6 hours after intercourse.

    • Combined Oral Contraceptives: Suppress ovulation by adding estrogen and progesterone. Increases cervical mucous thickness, inhibits ovulation and thins the uterine lining. Risk of DVT.

    • Oral Estrogens: Do not contain estrogen. Thickens cervical mucous, thins uterine lining. Must be taken at same time daily. Safe for breastfeeding.

    • Missed Oral Contraceptive Pill (1): Take the missed pill as soon as possible. Take the next pill at regular time. No backup method needed.

    • Missed Oral Contraceptive Pill (2): Take 2 pills a day for 2 days and resume the normal schedule. Use a backup method for 7 days.

    • Missed Oral Contraceptive Pill (3): Throw away the rest of the pack, start a new pack same day. Use a backup method for 7 days.

    • Missed Oral Contraceptive Pills (more than 3): Have a backup method. Follow instructions outlined in packet.

    • The Patch: Transdermal contraceptive applied to lower abdomen, upper outer arm, or upper torso (excluding breasts). Maximum weight 198 lbs. Application is weekly.

    • Depo-Provera: Injectable progestin. Initial injection given first 5 days of menstrual cycle. Then re-administered every 11-13 weeks. Can prevent pregnancy for 12-18 months after stopping. Useful for teens.

    • Vaginal Contraceptive Ring: Insert for 3 weeks. Releases hormones to stop ovulation. Remove for a week.

    • Nexplanon: Implantable progestin device placed under arm skin. Effective for 3 years.

    • IUD: Constant contraception through hormonal and non-hormonal options. Impacts sperm motility, irritates the uterine lining, and thins the endometrium.

    • IUD Complications: Period late, pregnancy, abnormal spotting/bleeding, abdominal pain, pain during intercourse, infection, fever, or chills, string missing (shorter/longer).

    • Plan B: Emergency contraception used within 72 hours of unprotected sex. No effect on existing pregnancy.

    • Vasectomy: Ligation and severance of vas deferens. Safe and simple, no immediate protection against STIs.

    • Salpingectomy: Tying or removal of fallopian tubes. Can be reversed. Has no effect on sexual function.

    • Chlamydia: Most frequently reported disease in the US, often without symptoms. Untreated can cause PID and newborn blindness.

    • Gonorrhea: Second most common STI, may be asymptomatic, possible strawberry cervix, and greenish-yellow discharge.

    • Trichomonas Vaginalis: Parasitic STI, symptoms typically appear 5-28 days after exposure. May experience itching in the genital area, foul-smelling thin vaginal discharge, burning with urination, and pain during sex.

    • HPV (Human Papillomavirus): Most common viral infection in the US. May cause cervical cancer (high-risk types).

    • HSV (Herpes Simplex Virus): Cold sores (HSV1) commonly around the mouth, while HSV2 usually causes genital herpes.

    • Hepatitis: Transmitted through blood, saliva, semen, and vaginal secretions. No cure, but preventable by immunization.

    • Dysmenorrhea: Extremely painful menstruation.

    • Menorrhagia: Heavy menstrual bleeding.

    • Dyspareunia: Painful intercourse

    • Mammograms: Begin at 40 years old (unless high risk).

    • Breast Changes: Changes in shape, size, contour, symmetry, discoloration, lumps, sores, discharge, or nipple puckering, must be reported to doctor.

    • Pap Smears: Women 21-29: every 3 years. Women 30-65: every 5 years if also getting HPV testing or every 3 years if not getting HPV testing.

    • Ultrasound (Pregnancy): Uses sound waves to visualize the fetus, fetal heartbeat, malformations, size and growth, placental position, dating, etc.

    • Chorionic Villus Sampling: Performed 10-13 weeks to diagnose fetal chromosomal disorders. Collects a chorionic villi sample from the placenta.

    • Nuchal Translucency Screening: Measures fetal neck fold to screen (not diagnose) chromosomal abnormalities. Done at 11-14 weeks.

    • Alpha-Fetoprotein Analysis (AFP): Measures maternal blood AFP at 16-18 weeks. Elevated AFP may indicate neural tube defect.

    • Marker Screening Tests: Identify fetal risk of trisomy 13, 18, and 21 and neural tube defects. Tests performed at 16 - 18 weeks.

    • Doppler Flow Studies: Measures blood flow velocity within the fetus. Used for high risk moms.

    • Amniocentesis: Collects amniotic fluid to examine fetal cells for chromosomal abnormalities, neural tube defects, and metabolic defects. Performed at 15-20 weeks (genetic abnormalities) and 35 weeks to evaluate fetal lung maturity

    • Non-Stress Test: Assesses fetal well-being and uteroplacental function. Checks fetal heart rate for 20 minutes. Placement on left side to increase blood flow to placenta.

    • Biophysical Profile: Utilizes ultrasound and non-stress tests to evaluate fetal well-being and possible issues of hypoxia.

    • False Labor: Irregular or regular, but stopping with changes in position. Short, mild contractions, felt in the upper back and/or upper abdomen. Cervix is softened but undilated, posterior.

    • True Labor: Contractions strong and steady, felt in lower back and lower abdomen. Cervix dilates and effaces.

    • Pelvic Shape for Vaginal Delivery: Gynecoid is most favorable for vaginal delivery.

    • Cervical Dilation: Progressive opening or widening of cervical canal (0-10cm).

    • Effacement: Thinning of cervix (0-100%).

    • Engagement: Largest diameter of presenting part passed through the maternal pelvic brim.

    • Station: Presenting part relationship to maternal ischial spines (-5 to +5).

    • Cephalic Presentation: Head first.

    • Vertex Presentation: Ideal cephalic presentation (head first, chin tucked).

    • Breech Presentation: Buttocks ("frank") or feet ("footling") first.

    • Fetal Position: Right and left; anterior, posterior, transverse positions measured from maternal ischial spines.

    • First Stage of Labor: Onset of contractions, latent/early stage and active stage. Latent/early: 0-5cm dilated, strong, frequent contractions felt in upper abdomen; active 6-10cm dilated.

    • Second Stage of Labor: 10 cm dilated, effaced to delivery of baby. Lacerations and episiotomy may be necessary. Coaching is important

    • Third Stage of Labor: Expulsion of placenta, fundus contracts to a discoid-shape. Gush/discharge of dark blood.

    • Fourth Stage of Labor: Recovery first 24 postpartum. Monitor for hemorrhage, and check the maternal organs.

    • Pain Relief in Pregnancy: Support, ambulation, positioning, massage, acupuncture, guided imagery and focal points, breathing techniques.

    • IV Narcotics for Labor Pain: Meperidine, morphine, nalbuphine, and butorphanol.

    • Pudendal Block: Local anesthetic, injection at ischial spine for second stage.

    • Epidural: Continuous infusion or intermittent injection into epidural space to provide relief from contractions. Risk of hypotension (require a bolus of IV fluid)

    • General Anesthesia: Used in emergencies, especially C-sections (women with contraindications to regional anesthesia).

    • Spinal Anesthesia: Injecting into subarachnoid space. Can cause hypotension, and spinal headaches.

    • Risks of Narcotics in Labor: Respiratory depression in the mother or infant, abnormal fetal heart rate patterns

    • Indicators of Fetal Well-Being in Labor: Moderate variability.

    • Causes of Early Decelerations: Head compression, vaginal exams, fundal pressure, internal monitoring.

    • Causes of Late Decelerations: Uteroplacental insufficiency, uterine tachysystole, maternal hypotension, intrauterine growth restriction.

    • Intrauterine Resuscitation: Turn off anything that would be constricting the patient, place on side (ensure no pressure is present on organs), boluses of supplemental oxygen.

    • Causes of Prolonged Decelerations: Maternal hypotension, uterine tachysystole, extreme placental insufficiency, prolonged cord compression or prolapse.

    • Deceleration Management: Remember VEAL CHOP (assisting the patient to improve physiological function, i.e., proper positioning

    • Amniotic Fluid Role: Cushions and supports fetus (maintains temperature); allows umbilical cord to be free from compression, enhances musculoskeletal development, assists in symmetric growth.

    • Placental Function: Interface between mother and fetus. Supples nutrients and oxygen, removes waste.

    • Genetic Evaluation Timing: Preferably before conception to address potential risks and plan accordingly.

    Studying That Suits You

    Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

    Quiz Team

    Related Documents

    OB/GYN Test 1 Nursing PDF

    Description

    Test your knowledge on maternal health and pregnancy with this comprehensive quiz. Covering topics from the first to the third trimester, this quiz touches on discomforts, routine tests, key signs, and risks associated with pregnancy. Perfect for future parents and healthcare students alike!

    More Like This

    Use Quizgecko on...
    Browser
    Browser