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Rnc-Ob Questions And Answers With Verified Solutions Already Passed!!!
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Rnc-Ob Questions And Answers With Verified Solutions Already Passed!!!
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Rnc-Ob Questions And Answers WithVerified Solutions Already Passed!!!
Threatened Abortion - ANSWER✔✔Vaginal bleeding
<20 weeks
S/S- closed cervix and mild cramping
Inevitable Abortion - ANSWER✔✔Bleeding with continuous dilation, without
expulsion of fetal products.
<20 weeks
Vaginal bleeding and cramping, watch for hemorrhage
May need D&C
Incomplete Abortion - ANSWER✔✔Partial expulsion of conception products
<20 weeks
Bleeding and cramping but not all products have passed. Will need D&C
Spontaneous/Complete Abortion - ANSWER✔✔<20 weeks or <500 gms
Spontaneous and complete evacuation of all products of conception.
Habitual Abortion - ANSWER✔✔spontaneous abortion occurring in three or more
consecutive pregnancies
When can a cerclage be placed? - ANSWER✔✔Second trimester
,Septic Shock - ANSWER✔✔Decreased BP
Hypothermia
Oliguria
Septic - ANSWER✔✔Fever
Chills
Kidney failure
DIC
ARDS
Death
Protamine Sulfate - ANSWER✔✔Heparin Antagonist
Antiphospholipid antibody syndrome - ANSWER✔✔Common cause of recurrent
miscarriage and early severe pre-E
Related to SLE
Tx. With Heparin
Progesterone - ANSWER✔✔Progesterone shots prevent early PTL (McKenna) 16-
36 weeks
Vaginal cream if <20 weeks or shortened cervix.
Pregnancy and > 40 years old - ANSWER✔✔Intimacy vs. Isolation
Teen Pregnancy - ANSWER✔✔Identity vs. Role Confusion
,Highest indication of a PTD - ANSWER✔✔Previous PTD
Calorie increase during pregnancy - ANSWER✔✔300 kcal/day
600 with twins
Folic acid prevents what? - ANSWER✔✔neural tube defects
With maternal lead exposure - ANSWER✔✔Think neuro and low IQ
Type 1 DM - ANSWER✔✔Treatment is diet, exercise, and will need insulin
injections.
Type 2 DM - ANSWER✔✔Genetic link
Treatment is diet, exercise, oral meds, and insulin may or may not be needed.
DKA - ANSWER✔✔Metabolic Acidosis
BS >250
Kussmauls Respirations
Non-Ketosis - ANSWER✔✔BS >600
No fruity breath or kaussmauls
To. IV fluids, IV insulin
GDM A1 - ANSWER✔✔Diet controlled
, GDM A2 - ANSWER✔✔Not controlled by diet, needs medications
Fetal Macrosomia - ANSWER✔✔>4,000 gms or 8lbs 13oz
GDM have a higher risk of: - ANSWER✔✔UTI
Polyhydramnios (baby has polyuria)
Abruption
PP uterine atony
Pre-E- screen at 12 weeks PP
Hyperglycemia S/S - ANSWER✔✔Polydipsia, polyuria, polyphagia, blurred
vision, weakness, weight loss, syncope
Polyhydramnios
Recurring infections (UTI)
If risk factors for hyperglycemia are present, we should screen at -
ANSWER✔✔1st prenatal visit. If WNL screen again at 24-28 weeks.
Should be screened twice!
Glucola Screening Test - ANSWER✔✔Screen at 24-28 weeks (earlier if risk
factors)
Ultimate diagnosis with 2 abnormal lab results in 3 hour gtt
1 hour GTT - ANSWER✔✔Load with 50gm oral glucose
<140
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