NARM
Maternal diabetes
Maternal Obesity
Hx of Shoulder Dystocia
Fetal Macrosomnia
Post term gestation - answerRisk factors for Shoulder Dystocia
Signs and symptoms of Thrombophlebitis - answerLeg Pain
Localized Heat
Tenderness
Palpation of a knot or cord
Inflammation at the site
Woodscrew maneuver - answerWith a hand firmly against either the posterior or
anterior shoulder, push the shoulder clockwise or counterclockwise in an attempt to
rotate it in a 180 degree arc. Continue to rotate the shoulders back and forth in
whichever direction they will move until impaction is dislodged.
hPL - answerThe primary role of this hormone is to regulate glucose availability for the
fetus
Anterior Fontanelle, Bregma - answerIt is diamond shaped and closed by 18 mos of
age. Pulsations of cerebral vessels can be felt through it.
Partial molar pregnancy - answerIn this type of molar pregnancy, there may be normal
placental tissue along with abnormally forming placental tissue. There may also be
formation of a fetus, but the fetus is not able to survive, and is usually miscarried early
in pregnancy. A fetus develops, but it will be abnormal and will not survive.
Fallopian Tube - answerThis passage propels the ovum towards the uterus, receives
the sperm as they travel upwards and provides a site for fertilization. It supplies the
fertilized ovum with nutrition during its continued journey to the uterus.
Placenta Previa - answerPainless, bleeding from the vagina. This condition should be
considered when the presenting part of the fetus is above the pelvis and/or the lie is
unstable. The color of the blood is bright red and pain is not a feature.
Trisomy 13/ Patau Syndrome - answerAn extra copy of the 13th chromosome leads to
multiple abnormalities. These children have a short life. Affected infants are small and
microcephalic. Midline facial abnormalities such as a cleft lip and palate are common
and limb abnormalities are frequently seen. Brain, cardiac and renal abnormalities may
coexist with this trisomy.
,Osianders Sign - answerStronger and harder vaginal pulsations caused by the greatly
increased blood supply and the enlarged uterine artery. A probable sign of pregnancy.
hCG (human chorionic gonadotropin) - answerThis hormone can be detected in the
maternal serum and urine 7-8 days after ovulation or around the time of implantation
and can give a positive indication of pregnancy by 3 weeks after conception.
Chadwick's sign - answerBluish-purple coloration of the vaginal mucosa and cervix
resulting from increased blood flow.
Lochia rubra - answerReddish or red-brown vaginal discharge that occurs immediately
after childbirth; composed mostly of blood. Lasts about 1-3 days
Lochia Serosa - answerPinkish/brown uterine discharge , Lasts day 4-10 postpartum
Lochia Alba - answerWhitish/yellowish discharge - lasts 10-14 days, may last 3-6 weeks
and remain normal.
Define Rh Factor - answerA protein that can be found on the surface of RBC's. If your
blood cells have this protein, you are Rh positive. If your blood cells do not have this
protein, you are Rh negative.
Mild Bradycardia - answerFHT's 100-109 bpm
oligohydramnios - answerThis condition can result from fetal genitourinary abnormalities
such as malformed or absent kidneys, premature rupture of membranes, uteroplacental
perfusion abnormality and post term pregnancy.
Management of engorgement - answerBaby needs to have a proper latch and nurse
well to prevent this postpartum complication. Cabbage leaves can be used and in
severe cases, a breast pump can be gently used to reduce tension in the breast.
Fibronolysis - answerEnsures that blood vessels are reopened in order to maintain the
patency of the circulation.
Risk factors associated with an ectopic pregnancy - answerPrevious Hx of of an ectopic
pregnancy
Failed sterilization
previous tubal surgery
PID
Extension - answerBirth of the Head; Cardinal movement
Latent phase - answerThe period of time from the beginning of regular contractions to
the point when dilation begins to progress rapidly.
,Hypoxic Ischemic Encephalopathy - answerThe brain injury cause by oxygen
deprivation to the brain. The newborns body can compensate for brief periods of
depleted oxygen, but if the asphyxia lasts too long, brain tissue is destroyed. Such
impairments can cause epilepsy, developmental delay, motor impairments,
neurodevelopmental delay and cognitive impairments.
Treatment for Vaginal Candidiasis? - answerAntifungal Medication
Second stage of labor - answerBegins with complete cervical dilation and ends with the
birth of the baby.
Foremilk - answerAt the beginning of a feeding, the baby receives a high volume of
relatively low fat milk called the?
Flexion - answerOne of the cardinal movements of labor. Occurs when the fetal head
meets resistance; this resistance increases with descent and is first met from the cervix,
then from the sidewalls of the pelvis and finally from the pelvic floor.
Preterm Prelabor Rupture of Membranes (PPROM) - answerOccurs before 37 weeks
gestation, where rupture of the fetal membranes occurs without the onset of
spontaneous uterine activity resulting in cervical dilation.
Platypelloid Pelvis - answerKidney-shaped brim. Antero-posterior diameter is reduced
and the transverse diameter is increased. The sacrum is flat and cavity shallow. The
ischial spines are blunt and the sciatic notch and subpubic angles are both wide.
Asynclitism is common in order for the biparietal diameter to pass the narrowest
anteroposterior diameter of the brim.
Dysmenorrhea - answerSevere uterine cramps
partial salpingectomy - answerRemoval of part of the fallopian tube
First maneuver of Leopolds - answerWhat is in the fundus?
Second maneuver of Leopolds - answerIdentify small parts and the fetal back. Place
both hands on the side of the uterus
Third Maneuver of Leopolds - answerIdentify the presenting part
Fourth Maneuver of Leopolds - answerCheck to see if the presenting part is engaged
and the location of the cephalic prominence.
Gestational Diabetes Mellitus (GDM) - answerAs maternal blood sugars rise in the
second trimester, glucose crosses the placenta and enters the fetus. The fetus does not
, have diabetes, but must increase production of insulin in order to metabolize the higher
levels of glucose obtained from the maternal circulation.
4 weeks - answerThe heart begins to beat during which week from conception?
Management of Oligohydramnios - answerBedrest to increase uterine perfusion
Good Maternal Nutrition
Oral Hydration/IV Hydration
Oligohydramnios is associated with what kind of decelerations? These decelerations
are assumed to occur secondary to umbilical cord compression in the absence of fluid
that "cushions" the cord. - answerVariable decelerations
What are the common symptoms of PID? - answerPain in the lower abdomen
Fever
Unusual discharge with a foul odor
Pain/bleeding during sexual intercourse
Burning when voiding
Bleeding between periods
How is HPV spread? - answerYou can get HPV by having vaginal, oral, or anal sex with
someone who has the virus. It can be passed even when an infected person has no
s/sx's.
internal pudental artery - answerPrimary blood supply to the pelvic floor
Amniotic Fluid - answerClear, alkaline and slightly yellowish liquid contained within the
amniotic sac
Active management to prevent PPH. - answer-Give a pitocin in the third stage or
another uterotonic drug
-Clamp umbilical cord before it has stopped pulsating
- Apply cord traction with counter pressure on the uterus to deliver the placenta
Signs and Symptoms of a postpartum infection - answer-Fever
-General Malaise
-Pain
-Foul odor lochia
-Increased pulse rate
-Chills
-Elevated WBC's
Nulliparous - answerA woman who has never given birth. This term also applies to
women who have given birth to a stillborn baby, or a baby who was otherwise not able
to survive outside of the womb.
Maternal diabetes
Maternal Obesity
Hx of Shoulder Dystocia
Fetal Macrosomnia
Post term gestation - answerRisk factors for Shoulder Dystocia
Signs and symptoms of Thrombophlebitis - answerLeg Pain
Localized Heat
Tenderness
Palpation of a knot or cord
Inflammation at the site
Woodscrew maneuver - answerWith a hand firmly against either the posterior or
anterior shoulder, push the shoulder clockwise or counterclockwise in an attempt to
rotate it in a 180 degree arc. Continue to rotate the shoulders back and forth in
whichever direction they will move until impaction is dislodged.
hPL - answerThe primary role of this hormone is to regulate glucose availability for the
fetus
Anterior Fontanelle, Bregma - answerIt is diamond shaped and closed by 18 mos of
age. Pulsations of cerebral vessels can be felt through it.
Partial molar pregnancy - answerIn this type of molar pregnancy, there may be normal
placental tissue along with abnormally forming placental tissue. There may also be
formation of a fetus, but the fetus is not able to survive, and is usually miscarried early
in pregnancy. A fetus develops, but it will be abnormal and will not survive.
Fallopian Tube - answerThis passage propels the ovum towards the uterus, receives
the sperm as they travel upwards and provides a site for fertilization. It supplies the
fertilized ovum with nutrition during its continued journey to the uterus.
Placenta Previa - answerPainless, bleeding from the vagina. This condition should be
considered when the presenting part of the fetus is above the pelvis and/or the lie is
unstable. The color of the blood is bright red and pain is not a feature.
Trisomy 13/ Patau Syndrome - answerAn extra copy of the 13th chromosome leads to
multiple abnormalities. These children have a short life. Affected infants are small and
microcephalic. Midline facial abnormalities such as a cleft lip and palate are common
and limb abnormalities are frequently seen. Brain, cardiac and renal abnormalities may
coexist with this trisomy.
,Osianders Sign - answerStronger and harder vaginal pulsations caused by the greatly
increased blood supply and the enlarged uterine artery. A probable sign of pregnancy.
hCG (human chorionic gonadotropin) - answerThis hormone can be detected in the
maternal serum and urine 7-8 days after ovulation or around the time of implantation
and can give a positive indication of pregnancy by 3 weeks after conception.
Chadwick's sign - answerBluish-purple coloration of the vaginal mucosa and cervix
resulting from increased blood flow.
Lochia rubra - answerReddish or red-brown vaginal discharge that occurs immediately
after childbirth; composed mostly of blood. Lasts about 1-3 days
Lochia Serosa - answerPinkish/brown uterine discharge , Lasts day 4-10 postpartum
Lochia Alba - answerWhitish/yellowish discharge - lasts 10-14 days, may last 3-6 weeks
and remain normal.
Define Rh Factor - answerA protein that can be found on the surface of RBC's. If your
blood cells have this protein, you are Rh positive. If your blood cells do not have this
protein, you are Rh negative.
Mild Bradycardia - answerFHT's 100-109 bpm
oligohydramnios - answerThis condition can result from fetal genitourinary abnormalities
such as malformed or absent kidneys, premature rupture of membranes, uteroplacental
perfusion abnormality and post term pregnancy.
Management of engorgement - answerBaby needs to have a proper latch and nurse
well to prevent this postpartum complication. Cabbage leaves can be used and in
severe cases, a breast pump can be gently used to reduce tension in the breast.
Fibronolysis - answerEnsures that blood vessels are reopened in order to maintain the
patency of the circulation.
Risk factors associated with an ectopic pregnancy - answerPrevious Hx of of an ectopic
pregnancy
Failed sterilization
previous tubal surgery
PID
Extension - answerBirth of the Head; Cardinal movement
Latent phase - answerThe period of time from the beginning of regular contractions to
the point when dilation begins to progress rapidly.
,Hypoxic Ischemic Encephalopathy - answerThe brain injury cause by oxygen
deprivation to the brain. The newborns body can compensate for brief periods of
depleted oxygen, but if the asphyxia lasts too long, brain tissue is destroyed. Such
impairments can cause epilepsy, developmental delay, motor impairments,
neurodevelopmental delay and cognitive impairments.
Treatment for Vaginal Candidiasis? - answerAntifungal Medication
Second stage of labor - answerBegins with complete cervical dilation and ends with the
birth of the baby.
Foremilk - answerAt the beginning of a feeding, the baby receives a high volume of
relatively low fat milk called the?
Flexion - answerOne of the cardinal movements of labor. Occurs when the fetal head
meets resistance; this resistance increases with descent and is first met from the cervix,
then from the sidewalls of the pelvis and finally from the pelvic floor.
Preterm Prelabor Rupture of Membranes (PPROM) - answerOccurs before 37 weeks
gestation, where rupture of the fetal membranes occurs without the onset of
spontaneous uterine activity resulting in cervical dilation.
Platypelloid Pelvis - answerKidney-shaped brim. Antero-posterior diameter is reduced
and the transverse diameter is increased. The sacrum is flat and cavity shallow. The
ischial spines are blunt and the sciatic notch and subpubic angles are both wide.
Asynclitism is common in order for the biparietal diameter to pass the narrowest
anteroposterior diameter of the brim.
Dysmenorrhea - answerSevere uterine cramps
partial salpingectomy - answerRemoval of part of the fallopian tube
First maneuver of Leopolds - answerWhat is in the fundus?
Second maneuver of Leopolds - answerIdentify small parts and the fetal back. Place
both hands on the side of the uterus
Third Maneuver of Leopolds - answerIdentify the presenting part
Fourth Maneuver of Leopolds - answerCheck to see if the presenting part is engaged
and the location of the cephalic prominence.
Gestational Diabetes Mellitus (GDM) - answerAs maternal blood sugars rise in the
second trimester, glucose crosses the placenta and enters the fetus. The fetus does not
, have diabetes, but must increase production of insulin in order to metabolize the higher
levels of glucose obtained from the maternal circulation.
4 weeks - answerThe heart begins to beat during which week from conception?
Management of Oligohydramnios - answerBedrest to increase uterine perfusion
Good Maternal Nutrition
Oral Hydration/IV Hydration
Oligohydramnios is associated with what kind of decelerations? These decelerations
are assumed to occur secondary to umbilical cord compression in the absence of fluid
that "cushions" the cord. - answerVariable decelerations
What are the common symptoms of PID? - answerPain in the lower abdomen
Fever
Unusual discharge with a foul odor
Pain/bleeding during sexual intercourse
Burning when voiding
Bleeding between periods
How is HPV spread? - answerYou can get HPV by having vaginal, oral, or anal sex with
someone who has the virus. It can be passed even when an infected person has no
s/sx's.
internal pudental artery - answerPrimary blood supply to the pelvic floor
Amniotic Fluid - answerClear, alkaline and slightly yellowish liquid contained within the
amniotic sac
Active management to prevent PPH. - answer-Give a pitocin in the third stage or
another uterotonic drug
-Clamp umbilical cord before it has stopped pulsating
- Apply cord traction with counter pressure on the uterus to deliver the placenta
Signs and Symptoms of a postpartum infection - answer-Fever
-General Malaise
-Pain
-Foul odor lochia
-Increased pulse rate
-Chills
-Elevated WBC's
Nulliparous - answerA woman who has never given birth. This term also applies to
women who have given birth to a stillborn baby, or a baby who was otherwise not able
to survive outside of the womb.
