OB NURSING IDENTIFICATION

1.___________OK anytime during pregnancy except for: (+) PROM, pre-term labor, incompetent cervix and (+) vaginal spotting 2.__________ responsible for a positive pregnancy test 3.__________- caused by elevated estrogen 38._________ maintains acidic vaginal pH and progesterone and also fatigue 39._________ no lifting activities post surgery 4. __________ produced by posterior pituitary 40._________ 5-7 days post menstruation gland for uterine contractions 41._________ dx of breast CA; yearly for 40s, 5. ___________ aids in placental delivery if biannual for 50y above mother is anesthetized 42._________ removal of breast/s, pectoral 6.____________ uterus in 3rd stage of labor muscle, pectoral fascia, nodes 7.____________ inversion of uterus and 43._________ most important 2 h postpartum avulsion of cord. 44._________ done during menstrual days 1-4 8.____________comfort, dry clothing, perineal 45._________ 24-48 hours pre-ovulation to 48 pads and linens hours post ovulation 9. ___________ lochia, fundus, hematoma 46.__________ prevent ovulation 10. __________if cervical mucus is clear and 47.__________ stimulates oogenesis elastic (for contraception) 48.__________ - decrease in fundal height due 11.___________ for low sperm count to a 12.___________ for tubal occlusion change in shape of the abdomen a few weeks 13.___________ tx of Clomid or Parlodel before 14.___________ (-) spermicide pre-intercourse, onset of labor can 49.__________ for continuity of care stay up to 24-48h, durable, contraindicated if 50.__________ loss of fetus before viability (20 with weeks) abnormal pap smear 51.___________ with dilated cervix 15. ___________-doesnt protect against STDs 52.___________ closed cervix, 16.____________- saturation of peripad spotting and uterine cramping within 15 minutes and with pain sensation 53.___________ consecutive abortions 17.____________- inhibits uterine contraction 54.___________ complete bed rest, check with increased risk of blood loss vaginal bleeding and observe uterine 18.____________-massage fundus if boggy, contractions elevate legs from hips, IV line, oxygen at 8-10 55.___________ 14 days before menstruation l/min, stay with patient (for a 28 day cycle); increased pH of cervical 19. __________ void secretions, (+)MITTLESCHMERZ; increase in 20.__________ priority post rupture of BBT membranes 56.___________ LH surge from anterior 21.__________ beginning to beginning pituitary gland 22.__________ growth of endometrial tissue 57.___________ at 5th month or 20-24 weeks outside the uterus; dx: lap and biopsy 58.____________ at 10th lunar month 23.__________ menses stop, edema, weight 59.____________ Doppler at 3 weeks, gain, fetoscope at 18-20 weeks anovulation 60.____________ fundic ht in cm x 8/7 = aog 24.__________ drop 0.2 F pre ovulation, 61.____________ 1-7 mo once a month, 8th increase 0.4 F post ovulation mo 2/month, 9th q wk 25. __________ immediately after awakening 62.____________ due to hormonal and and before arising physiological changes occurring 26.___________ abdominal stretches 62._____________ prone to infections 27. __________ descending but not at ischial 63._____________ focus is the infant spine 64._____________ 4-5 days post partum 28.___________ increase in bloody 65.____________ cell that results from the show, rectal pressure, rupture of fertilization of the ovum by a sperm membranes,regular 66.____________ cell division of the fertilized and long contractions ovum 29. ___________ at crowning 67.____________ rupture of the ovum from 30.___________ at 20 weeks or 5 months the gestation graafian follicle 31. ___________ most important to check 24 68.____________ mulberry-like ball of cell that postpartum results from cleavage 32.___________termination of first stage of 69. ___________ where zygote normally labor implants 33.___________ end of third stage of labor 70.____________ 7-10 days post fertilization 34.___________ 1.0 mg for full terms, 0.5 mg 71.____________ cervix becomes thinner for preterms

35.___________ monthly 36. ___________ for maternal-infant bonding 37.___________ maintain corpus luteum during 1st trimester

72.____________ carbohydrate intolerance induced by pregnancy 73.____________ morbidity common in newborn, infant may inherit a predisposing to DM, higher perinatal death 74.____________ liberal exercise, acceptable diet at 30-35 kcal/kg of IDBW/day, insulin as ordered, CBG monitoring

106.___________ indication for chorionic villi sampling 107.___________ essential post-CVS or RH (-) mom; refrain from sex 48h post-CVS 108.___________ most important factor affecting amniocentesis 109.___________ prevent implantation of the fertilized ovum; taken within 12h postintercourse, (+) slight nausea post-2d; not given to those with hx contraindications to 75.____________ 18.02 mg/dl = 1 mmol 76.____________ doesnt last for greater than OCPs 110.__________ inhibit FSH and LH production 24 hours 77.___________ anti-inflammatory 78.___________ structure of maternal pelvis 79.___________ urine vs. amniotic fluid; 111.___________ causes sodium retention yellow vs blue 112.___________ indication for IUD use 80.___________ check temperature 113.___________ contraindication for IUD use 81.___________ lined by endometrium 114.___________ done 2-6 days after menses 82.___________ externally visible structure of 115.__________ way in which an expectant the female reproductive system extending father can explore his feelings from the symphysis pubis to the perineum 116._________ should be administered within 83.___________ fertilization site 72h; 84.___________ site of sterilization destroys fetal RBCs to prevent antibody 85.__________ conduit for spermatozoa formation 86.__________ seminal fluid 117._________ tx for endometriosis 87.__________ synthesize testosterone 118._________ safest antibiotic for 88.__________ increased activity of pyelonephritis endometrial glands during luteal phase; 119._________ monitor contractions increased basal metabolism, increased 120._________ first sign is disappearance of placental growth, development of acinar cells knee jerk reflex in the breast 121.__________ excessive menstrual flow 89.___________ (+) hypertrophy during 122.__________ spontaneous expulsion of pregnancy device 90.___________ best criterion for sperm 123.__________ provides contraception by quality setting up a nonspecific inflammatory cell 91.___________ introduction of reaction in the endometrium radiopaque material into uterus and fallopian 124.__________ occurs when LH is high tubes to assess for tubal patency 125.___________ causes breakthrough 92.___________ brought about by the bleeding overstimulation by oxytocin 126.__________ best timed within 1-2 days 93.__________ due to mechanical factors of presumed ovulation 94.__________ greater than 500 ml of blood 127.__________ are most often related to past loss infections 95.__________ where developing 128.__________ inability to become pregnant follicles and the graafian follicles are found after a year of trying 96.__________ forms the frenulum and 129.__________ determine the number, prepuce motility and activity of sperm of the clitoris 130.__________ be alert for unusual 97.__________ formed by the labia minora uterine enlargement tapering and extending posteriorly 131.__________ sudden lower right or 98.__________ thick folds of membranous left abdominal pain radiating to the shoulders stratified epithelium on the internal vaginal 132.__________ sudden knifelike, lower wall capable of stretching during the birth quadrant pain process to accommodate delivery of fetus 133.__________ causes most spontaneous 99.__________ location where abortions squamocolumnar junction is, pap smear 134.__________ fetus is expelled but location part of the placenta and membranes are not 100._________ largest portion of uterus 135.___________ umbilical cord 101._________ upper triangular portion of 136.___________ inner membrane that uterus encloses the fluid medium for the embryo 102._________ testosterone production 137.___________ 8th week to birth 103._________ secreted by graafian follicle 138.___________ uterus becomes an associated with spinnbarkeit and ferning abdominal organ 104.__________ cystic fibrosis, taysachs 140.____________ first fetal movement felt by disease, sickle-cell anemia the mother 105.__________ detects trisomy 21, cystic 141.____________ in third trimester; 2nd fibrosis and tay sachs trimester: height and length

142.____________ chief source of estrogen 172._____________ promotes vasodilation, and progesterone after the first 3 months relieves hemorrhoids 143.____________ has the highest oxygen 173._____________ on demand; baby will soon content develop a feeding schedule 144.____________ A-P diameter of 174._____________ after birth is pelvic inlet caused by an increase in the pulmonary blood 145.____________ 30-50% is normal flow 146.____________ purplish discoloration of 175._____________ becomes the ligamentum vaginal arteriosum mucosa 176.______________ primary critical 147.____________ result of increased plasma observation in apgar scoring volume of the mother 177._______________ to keep limit 148.____________ causes nausea and development of hyperbilirubinemia vomiting 178._______________ associated with brachial 149.____________ increase in melanotropin plexus, cervical or humerus injuries hormone causing dark nipples and linea nigra 179._______________ lack bacteria necessary 150.____________ - routinely performed on for the synthesis of prothrombin expectant mothers to predict whether the 180._______________ measures protein fetus is at metabolism risk for acute hemolytic anemia 181.______________ in infants is caused by an 151.______________ caused by elevated underdeveloped cardiac sphincter estrogen 182.____________ done to detect presence of 152.______________ - adequate fluids and neural tube defects elevation of lower extremities 183. _____________ contraindication for 153.______________ pre UTZ oxytocin 154.______________ clear, almost challenge test colorless, containing little white specks 184._____________ (+)CST 155.______________ when an external fetal 185._____________ emphasize importance of monitor is being used consistent care 156._____________ FHT decreases just before 186._____________ is 2-3 times greater in acme due to head compression multiple gestation than in single gestation 157._____________ FHT decreases just 187.____________ is oftentimes caused by after acme caused by uteroplacental multiple gestation insufficiency; may lead to distress 188.____________ observe for signs of PTL; 158._____________ due to cord compression antibiotic tx should be administered until 159._____________ halfway between the urine is symphysis pubis and the umbilicus sterile2 (-) C/S 160._____________ alleviates discomfort 189.___________ causes abdominal pain during contractions associated with abruption placenta 161.______________ during crowning 190.___________ causes bleeding following 162.______________ causes low back pain sever abruptio placenta 163.______________ during contractions to 191.___________ is most likely to occur in increase comfort women with pregnancy induced hypertension 164.______________ during second stage of 192.___________ painless vaginal bleeding labor because undigested food and fluid may 193.__________ are kept at minimum during cause nausea and vomiting, limiting the PTL to prevent respiratory depression choice of anesthesia 194.___________ due to overstretching is 165.______________ help client retain/remain commonly caused by multiple gestation in control 195.___________ may cause uterine atony 166.______________ legs 196.___________ rarely occurs as elevated simultaneously to prevent trauma to a complication of uncomplicated gestational the hypertension uterine ligaments 197.___________ BP elevation of 30/15 167._______________ observe carefully for this mmHg from baseline on 2 occasions 6 hours during the induction of labor apart 168._______________ when fully 198.___________ subjective symptom of an dilated but (-) crowning impending seizure 169.______________ is done to prevent 199.___________ objective sign of an lacerations impending 170. _____________ 2 most important seizure predisposing factors to its development is 200.___________ ends in 48h postpartum in a hemorrhage woman with eclampsia and trauma during birth 201.____________ - birth hazard associated 171._____________ - stimulates secretion of with breech delivery milk from the 202._____________ - cardiac acceleration in the mammary glands last half of pregnancy; most compromised during

the first 48 hours after delivery; forceps 231.___________ LMP minus 3m +7d + 1y = delivery EDC 203.____________ balanced, to meet the 232.___________ placenta increased dietary needs with insulin adjusted as necessary 204.____________ - funis with only two vessels 205.____________ - irritability and nasal congestion 206._____________ - with low apgar score at 5 minutes post delivery 207.______________ microcephalic, craniofacial features, persistent diarrhea 208.______________ purulent conjunctivitis and pneumonia in infant 209.______________ caused by high oxygen concentration administered in premature infants 210.____________ asymptomatic newborn, VDRL test 211._____________ asymmetric gluteal folds 212_____________ complication of breech delivery; flaccid arm with elbows extended; ROM exercises 213.______________ increased risk for intracranial hemorrhage and elevated ICP 214._____________ appearance of jaundice during the first 24 hours 215._____________ inability of the infant to concentrate urine and conserve water 216.______________ most common preterm complication 217._____________ - tremors, periods of apnea, cyanosis and poor sucking 218._____________ due to increased somatotropin and increased glucose utilization 219.______________ main blood supply of the uterus 220.______________ is characterized by painful menstruation and backache 221.______________ is brought about by overstretching of perineal supporting tissues as a result of childbirth 222._____________ common site of cervical CA growth 223._____________ management for infertility 224._____________ pain and elevated temperature 225._____________ inhibits RNA synthesis by binding DNA 226._____________evaluates potential response to hormone therapy 227.____________ surgical menopause 228.____________ is due to the inability of the ovary to respond to gonadotropic hormone 229.____________ via location of fundus 230.___________ first 5 months: month2 = aog; second half: month x 5 = aog