WHNP NCC
Hegar's sign - Answer- softening and compressibility of lower uterus
Goodell's sign - Answer- Cervical softening
Piskacek's sign - Answer- asymmetrical enlargement of the uterus
Chadwick's sign - Answer- Bluish purple discoloration of the cervix, vagina, and labia during pregnancy as a result of
increased vascular congestion.
Recommendations for managing nausea and vomiting in pregnancy? - Answer- eat small, frequent meals, with no
restriction on the kind of food or how often
Education includes discontinuing prenatal vitamins with iron until nausea and vomiting have resolved, but continuing folic
acid.
Other recommendations may include consuming raspberry tea, peppermint tea, carbonated beverages, or hard candy
using acupressure, including sea bands for wristss
taking ginger 1 g per day in divided doses, pyridoxine (vitamin B6) 25 mg BID or TID orally, doxylamine 12.5 mg BID or QID
with pyridoxine orally, metoclopramide 5 to 10 mg g q6-8h orally, or promethazine 25 mg q4h per rectal suppository.
when does the foramen ovale close - Answer- Shortly after birth
Dating a pregnancy is most accurate with ? - Answer- certain LMP
What are all the parts of the placenta - Answer- trophoblasts, chorion, amnion and chorionic villi, intervillous spaces, and
decidual plate
Which of the elements of clinical pelvimetry defines the midplane? - Answer- ischial spine distance and sacrum
The distance between the ischial spines normally measures 10 cm, is the smallest diameter of the pelvis
If a patient receives a rubella vaccination, how long should they wait to conceive? - Answer- 4 weeks
Can you receive the rubella vaccine while breastfeeding? - Answer- Yes
Congenital Rubella Syndrome - Answer- Classic triad: congenital cataracts (white pupils), sensory-neural deafness, and
patent ductus arteriosus (could be pulmonary artery stenosis as well)
Could potentially also result in microcephaly and mental retardation
If mother has been exposed to rubella, has rubella, or received the vaccine--> refer to perinatologist
What levels should be collected after uterine evacuation for hydatidiform mole - Answer- Serial beta hCG levels to monitor
for persistent trophoblastic dz and identify metastatic dz, including choriocarcinoma
The pelvic planes of obstetric significance are the: - Answer- inlet, midplane, and outlet
Second trimester screening AKA multiple marker screening is performed when? And what is it? - Answer- performed
between 15 and 20 weeks to detect neural tube defects and trisomies 18 and 21
MSAFP, estriol, and hCG
w/ the addition of inhibin, becomes a quad screen
Placental transport of oxygen and glucose occurs by: - Answer- facilitated diffusion
The vessels of the umbilical cord consist of: - Answer- one vein carrying oxygenated blood and two arteries carrying
deoxygenated blood
Vein of the umbilical cord shape - Answer- characterized by twisting or spiraling to minimize snarling
The human zygote contains - Answer- the haploid number of chromosomes: 23 pairs. It possesses half the diploid or
normal number of pairs of chromosomes, 46 pairs, found in somatic, or body, cells.
How does the fetus have genes from both mom and dad - Answer- Meiosis occurs, producing half the number of
chromosomes. Meiosis is the process of two successive cell divisions, producing cells, egg, or sperm that contain half the
number of chromosomes found in somatic cells.
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