1538 FINAL EXAM RICK QUESTIONS
WITH CORRECT ANSWERS
4 types of contraception? - Answer-Behavioral, barrier, hormonal, permanent
4 types of behavioral contraception? - Answer-Abstinence, fertility awareness-based
methods (cervical mucous ovulation method, basal body temp), withdrawal (coitus
interruptus), lactational amenorrhea method
4 types of barrier contraceptives? - Answer-Condom (male and female), diaphragm,
cervical cap, sponge
When does a diaphragm need to be refitted? - Answer-Greater than 20% weight
change, after pregnancy
How long is spermicide good for? - Answer-2 hours
How long should diaphragms, cervical caps, and sponges be left in for after sex? -
Answer-6 hours
Do not give combination pill to who? - Answer-Over 35 and smoke
Who is mini pill (progesterone only) good for? - Answer-Women who smoke and are
over 35
Progesterone only pill side effects? - Answer-Irregular bleeding, headaches, weight
gain, depression, and breast tenderness
Early signs of complications for OCP users? - Answer-A: abdominal pain
C: chest pain or SOB
H: headaches
E: eye problems
S: severe leg pain
Injectable contraceptives? - Answer-Progesterone only, SQ or IM q12weeks, long term
use=bone loss
Mirena and Skyla? - Answer-Progesterone only, Mirena 5 years, Skyla 3 years
ParaGard? - Answer-10 years, copper IUD that is spermicidal
Most effective contraceptive? - Answer-Abstinence, then IUD
But best choice is the one they will use
, Least effective contraceptive? - Answer-Coitus interruptus method, pull out
Chadwick's Sign? - Answer-Bluish color of cervix
Goodell's Sign? - Answer-Softening of cervix
Trimester weeks? - Answer-1st: 0-13 weeks
2nd: 14-27 weeks
3rd: 28-40 weeks
Pregnancy first visit? - Answer-Nagele rule, exams/tests (Rubella, VDRL/RPR, blood
type and Rh, CBC, UA. Hep B, HIV, TB, V/S, weight, height of fundus, FHTs, glucose,
Pap, GC), start on PNV (including folic acid to prevent NTD), nutrition and weight gain
Short way: confirm pregnancy, STI, blood type, iron, folic acid
When is RhoGam given? how long does it last? and why? special circumstance? -
Answer-28 weeks, last for 12 weeks, given to prevent sensitization in Rh- mom with
Rh+ baby
also given if there is suspicion blood has mixed, for example in a car accident
GTPAL? - Answer-Gravida, term, preterm (>20 weeks but before 37 weeks), abortions,
living
At 20 weeks, where is the height of the fundus? - Answer-Navel
Stages of labor? - Answer-First:
latent- Mild con, Q5-10 min, 0-3cm dilation, talking
active -mod to strong con, Q2-5,4-7 dilation, intense
Transition- Strong con, Q1-2, 8-10 dialation, can't take it, need to defecate
Second:complete dilation 10cm, birth of newborn, period of active pushing
Third: separation and delivery of the placenta
Fourth: 1-4 hours after birth, recovery physiologic adjustment
Pitocin uses? - Answer-Initiate or improve uterine contractions
Used in 3rd stage to control postpartum bleeding or hemorrhage
Signs of 3rd stage of labor? - Answer-Gush of blood, cord lengthening, globular and firm
uterus, uterus rises anteriorly
Episiotomy healing? - Answer-REEDA
R: redness
E: edema
E: ecchymosis
D: discharge, drainage
A: approximation