OB Focal Points for Final Exam Review
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Questions and Answers

Which type of herpes simplex virus is more commonly associated with cold sores?

  • Neither type
  • Both types equally
  • HSV-2
  • HSV-1 (correct)
  • What is a common method of transmission for herpes simplex virus during childbirth?

  • Natural birth without complications
  • Through breast milk
  • Through lesions requiring a C-section (correct)
  • Transplacental transmission
  • Which of the following statements about hepatitis A is true?

  • It is primarily sexually transmitted.
  • It is never asymptomatic.
  • It has a vaccine available. (correct)
  • It requires interferon treatment.
  • What treatment option is used for hepatitis C?

    <p>Interferon alfa or ribavirin</p> Signup and view all the answers

    Which hepatitis type can be asymptomatic?

    <p>Hepatitis C</p> Signup and view all the answers

    What indicates caput succedaneum in a newborn?

    <p>Edema on the scalp from pressure during delivery</p> Signup and view all the answers

    Which type of heat loss occurs when a newborn's body loses heat to cooler air around it?

    <p>Convection</p> Signup and view all the answers

    Which reflex in newborns is characterized by dorsiflexion and fanning of the toes?

    <p>Babinski reflex</p> Signup and view all the answers

    What is a significant complication associated with inadequate thermoregulation in newborns?

    <p>Hypoglycemia</p> Signup and view all the answers

    Which abnormal finding indicates a need for immediate medical attention in a newborn?

    <p>Pathologic jaundice</p> Signup and view all the answers

    What measures are recommended to prevent vertical transmission of HIV?

    <p>Antiretroviral therapy (ART) and cesarean section</p> Signup and view all the answers

    Which statement about breastfeeding and HIV transmission is accurate?

    <p>Breastfeeding has been linked to HIV transmission.</p> Signup and view all the answers

    What should be done immediately for newborns exposed to hepatitis B?

    <p>They should receive a hepatitis B vaccine and hepatitis B immune globulin (HBIG).</p> Signup and view all the answers

    How can HIV be transmitted to a fetus?

    <p>Through maternal circulation during labor and birth</p> Signup and view all the answers

    What intervention is NOT recommended for a mother with HIV?

    <p>Breastfeeding the infant</p> Signup and view all the answers

    What is the primary indicator of the start of Stage 1 of labor?

    <p>Cervical dilation from 0 to 10 cm</p> Signup and view all the answers

    What is characteristic of Stage 3 of labor?

    <p>Placenta is expected to exit within 20-30 minutes</p> Signup and view all the answers

    Which fetal heart rate deceleration is caused primarily by umbilical cord compression?

    <p>Variable Deceleration</p> Signup and view all the answers

    Which of the following correctly defines the latency phase in Stage 2 of labor?

    <p>Contractions present without significant pushing</p> Signup and view all the answers

    What vital sign monitoring frequency is recommended during Stage 4 of labor?

    <p>Every 15 minutes</p> Signup and view all the answers

    What is the normal fetal heart rate range considered during monitoring?

    <p>110-160 bpm</p> Signup and view all the answers

    In which category does a pattern with absent variability and bradycardia fall?

    <p>Category 3</p> Signup and view all the answers

    Which deceleration is characterized by a mirror image of contractions?

    <p>Early Deceleration</p> Signup and view all the answers

    What does the 'I' in the LIONs intervention stand for?

    <p>IV fluid bolus</p> Signup and view all the answers

    Which of the following interventions is NOT indicated for late decelerations?

    <p>Perform immediate C-section</p> Signup and view all the answers

    What is a characteristic of early decelerations?

    <p>Do not require any interventions</p> Signup and view all the answers

    Which term is associated with a pattern that comes after the peak of contractions?

    <p>Late Deceleration</p> Signup and view all the answers

    If a patient is experiencing variable decelerations, which intervention might be appropriate?

    <p>Initiate amnioinfusion</p> Signup and view all the answers

    What is the primary purpose of phototherapy in the context of jaundice management?

    <p>To reduce bilirubin levels</p> Signup and view all the answers

    Which reflex is activated by placing an object in an infant's palm?

    <p>Palmar reflex</p> Signup and view all the answers

    What is a concern associated with pathologic jaundice in newborns?

    <p>Acute bilirubin encephalopathy</p> Signup and view all the answers

    At what bilirubin level is kernicterus typically a concern in newborns?

    <p>20 mg/dL</p> Signup and view all the answers

    What is the significance of Coombs positive and Coombs negative results in the context of jaundice?

    <p>Guide the decision to intensify phototherapy if positive</p> Signup and view all the answers

    Which of the following is NOT an indicator of adequate nutrition in managing jaundice?

    <p>Immediate weight gain</p> Signup and view all the answers

    When should the Apgar score be determined for a newborn?

    <p>1 and 5 minutes after birth</p> Signup and view all the answers

    Which of the following is NOT a symptom of kernicterus?

    <p>Increased energy</p> Signup and view all the answers

    Study Notes

    OB Focal Points for Final

    • Magnesium sulfate is contraindicated with magnesium.
    • Violence screening should be done during the initial assessment.
      • All women should be screened for violence.
      • Screening should focus on those with frequent somatic symptoms or signs of domestic abuse.
    • Endometriosis is tissue growth outside the uterus.
      • Symptoms include dysmenorrhea, deep dyspareunia, abnormal bleeding and decreased fertility.
      • Treatment includes surgery and medications to suppress estrogen levels.
    • STIs are significant during pregnancy and delivery.
      • Chlamydia can be asymptomatic.
      • Screening and treatment methods for STI's like Chlamydia are discussed.
      • Complications of certain STIs on the fetus/newborn are detailed.
    • Normal versus abnormal findings during pregnancy.
      • Physiologic adaptations of pregnancy are outlined.
      • Red flags and their interpretations are noted.
      • Specific abnormalities, such as abnormal vaginal bleeding, decreased/absent fetal movement, and elevated liver enzymes should be carefully assessed.
    • Normal newborn reflexes and their importance are detailed.
      • A variety of different reflexes are listed, and reasons for their presence or absence.
    • Gestational diabetes
      • Risk factors are highlighted
    • Newborn medications like eye prophylaxis (erythromycin ophthalmic ointment), vitamin K, and Hep B vaccines.
    • Normal vs abnormal findings in newborns are noted.
      • Apgar scoring, physiologic versus pathologic jaundice, thermoregulation are discussed.
      • Detailed descriptions of normal newborn reflexes and abnormal findings in a newborn are listed.
    • Identification and management of postpartum hemorrhage.
      • Classification is included.
      • Common causes are discussed and preventative measures listed.
      • Additional information about signs of PPH, classification, and evaluation for uterine atony and possible lacerations in the genital tract are included.
    • Postpartum issues
      • Postpartum blues, depression, and psychosis are listed along with definitions as relevant to obstetrics
    • Acrosyanoisis, and central cyanosis findings need to be differentiated.
      • Central cyanosis is more critical, and should be evaluated for potential underlying conditions.
    • Birth trauma - including different types of injuries and how to recognize them.
      • Different types of soft injuries and skeletal injuries are detailed.

    Additional Information

    • Importance of Hand hygiene and breastfeeding are emphasized as important aspects of general obstetrical care.

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    Description

    This quiz focuses on key concepts related to obstetrics, including the contraindications of magnesium sulfate, the importance of violence screening in pregnant women, and the implications of endometriosis and STIs during pregnancy. It also covers normal versus abnormal findings, highlighting red flags and their interpretations. Prepare effectively for your final exam with these crucial points in mind.

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