OB > Exam 1 > Antepartum, Intrapartum Questions With
Complete Solutions
#1 nutritional problem in pregnancy Correct Answer Iron
deficiency anemia
+ 1 year, - 3 months, + 7 days Correct Answer Naegele's Rule
1st trimester Correct Answer 1-12 weeks
2nd trimester Correct Answer 13-27 weeks
3rd trimester Correct Answer 28-40 weeks
4 Ps of Labor Correct Answer Powers, Passageway, Passenger,
Psychosocial
Abdominal palpation to assess fetus Correct Answer Leopold's
Abnormal glucose challenge test results (admin 50g oral
glucose, measure blood glucose at 1 hr) Correct Answer >130-
140 mg/dL
Abnormal glucose tolerance test (admin 100g oral glucose,
measure blood glucose at 1 hr, 2 hr, 3hr) Correct Answer >180
mg/dL at 1hr, >155 mg/dL at 2 hr, >140 mg/dL at 3hr
Acquired, chronic, recurrent symmetrical hyperpigmentation of
the forehead and cheeks Correct Answer Chloasma (Melasma)
Analgesic potentiaters Correct Answer Phenergan, Vistaril
,APGAR Correct Answer activity, pulse, grimace, appearance,
respiration
Assessments done in first prenatal visit Correct Answer
Prenatal history, physical assessment, laboratory testing
At the birth of a new baby, preschooler may have trouble with
Correct Answer grasping the reality of having a new baby in the
family
At the birth of a new baby, school-age children may be Correct
Answer excited, happy
At the birth of a new baby, toddlers may exhibit Correct
Answer regression
Atrophic linear scars, stretch marks Correct Answer Straie
gravidarum
Best dietary sources of folic acid Correct Answer asparagus,
green leafy vegetables, fortified whole grain breads, cereals,
pasta, cooked dried beans
Birthing theory: Birth without violence Correct Answer
Leboyer
Birthing theory: birthing pool of water to reduce low lumbar
pain Correct Answer Odent
,Birthing theory: education reduces fear, which reduces pain
Correct Answer Dick-Read Method
Birthing theory: state of deep relaxation to block distractions,
pain Correct Answer Hypnobirthing
Blood flow through the placenta Correct Answer Uterine
Souffle
Bluish discoloration of the cervix, vagina, and labia resulting
from increased blood flow, can be observed as early as 6-8
weeks after conception Correct Answer Chadwick's sign
BP may indicate preeclampsia Correct Answer 140/90+
Breast changes in pregnancy Correct Answer Increased size,
pigmentation of nipples and areola, tubercles of montgomery
enlarge, colostrum appears in third trimester
Breech risks and complications Correct Answer cord prolapse,
prolonged labor, cord compression
Breech: both legs up Correct Answer Frank breech
Breech: crossed legs Correct Answer complete breech
Breech: one leg down Correct Answer Footling breech
Breech: one leg up Correct Answer Incomplete breech
, BUBBLE-LE Correct Answer Breasts, uterus, bowel, bladder,
lochia, episiotomy, legs, emotions
Calcium intake Correct Answer 32 oz of milk
Cardiovascular changes in pregnancy Correct Answer
decreased peripheral vascular resistance, blood volume increases
by 40-50%, plasma volume increases by 50%, cardiac output
increases by 40%, HR increases, WBC increases up to 16,000
WNL, decrease in coagulation inhibiting factors, increased
venous pressure and decreased blood flow to extremities
Causes of postpartum blues Correct Answer changing hormone
levels, psychological adjustment, insecurity, fatigue, discomfort,
overstimulation, unsupportive environment
Causes/Treatments: Ankle edema Correct Answer Causes:
prolonged standing or sitting, increased levels of sodium due to
hormonal influences, circulatory congestion of lower
extremities, increased capillary permeabilit, varicose
veins/Treatments: practice frequent dorsiflexion of feet when
prolonged sitting or standing is necessary, elevate legs when
sitting or resting, avoid tight garters or restrictive bands around
legs
Causes/Treatments: Backache Correct Answer Causes:
Increased curvature of the lumbosacral vertebrae as the uterus
enlarges, increased levels of hormones, which cause softening of
the cartilage in body joints, fatigue, poor body
mechanics/Treatments: Use proper body mechanics, practice the