NM717 FINAL EXAM QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED LATEST UPDATE
Do you need to treat BV if pt is asymptomatic?
no
Normal AFI at term is
10-24 cm of fluid.
41 weeks, GBS +, feeling vaginal dampness. What to do?
come in for an eval
Cerclage is used when
cervical length is less then 20
platypelloid pelvis
pelvis that is flat in its dimensions with a very narrow anterior-posterior diameter and a
wide transverse diameter; this shape makes it extremely difficult for the fetus to pass
through the bony pelvis
Anthropoid pelvis
oval shaped, with a wider anteroposterior diameter. Tends to produce OP babies.
prolonged latent phase
exceeds 20 hours in nulliparas and exceeds 14 hours in multiparas
Abnormal active phase (Friedman)
nullip- less than 1.2 cm/hr
multip- less than 1.5 cm/hr
,Cardinal movements of labor
1. Engagement
2. Descent
3. Flexion
4. Internal Rotation
5. Extension
6. External Rotation
Does progesterone treat vaginal dryness in menopause?
no
first line osteoporosis treatment
Hormone (estrogen) replacement therapy (HRT) slows bone loss .
Bisphosphonates (Actonel, Fosamax), SERMs (Raloxifene, Evista), statins increase
bone mineral density
appendicitis pain
starts at epigastrum , localizes to RLQ (Rovsing's sign is referred pain from palpated
LLQ to RLQ)
COCs primary mechanism of action
prevent ovulation
Progestin-only pills mechanism of action
thickening cervical mucus
cystocele
hernia of the bladder
enterocele
, portion of small intestine herniates into upper vagina
FSH in menopause
continues to increase as it's trying to cause ovulation, but it can't
What hormone causes increase in BBT?
increased progesterone
COCs and migraines
Never okay with migraines with aura. Okay if below 35, migraines without aura.
Cocs and smoking
Okay if you're below 35.
ectopic pregnancy s/s
pelvic pain, shoulder pain, CMT, vaginal bleeding,
Asthma S/S
Sudden dyspnea, wheezing, tightness in chest, coughing, produces thick sputum,
tachypnea, rapid pulse, profuse perspirations, hyperresonance on percussion,
diminished breath sounds, prolonged expiratory phase,
THe percentage of latent TB that becomes active
10%
Biophysical profile
A test that assess five variables; fetal breathing, fetal movement, fetal tone, amniotic
fluid volume, and reactive NST. 4 or less- abnormal
Weight gain in pregnancy
Underweight: >35lbs
Normal Weight: 25-35lbs
COMPLETE SOLUTIONS VERIFIED LATEST UPDATE
Do you need to treat BV if pt is asymptomatic?
no
Normal AFI at term is
10-24 cm of fluid.
41 weeks, GBS +, feeling vaginal dampness. What to do?
come in for an eval
Cerclage is used when
cervical length is less then 20
platypelloid pelvis
pelvis that is flat in its dimensions with a very narrow anterior-posterior diameter and a
wide transverse diameter; this shape makes it extremely difficult for the fetus to pass
through the bony pelvis
Anthropoid pelvis
oval shaped, with a wider anteroposterior diameter. Tends to produce OP babies.
prolonged latent phase
exceeds 20 hours in nulliparas and exceeds 14 hours in multiparas
Abnormal active phase (Friedman)
nullip- less than 1.2 cm/hr
multip- less than 1.5 cm/hr
,Cardinal movements of labor
1. Engagement
2. Descent
3. Flexion
4. Internal Rotation
5. Extension
6. External Rotation
Does progesterone treat vaginal dryness in menopause?
no
first line osteoporosis treatment
Hormone (estrogen) replacement therapy (HRT) slows bone loss .
Bisphosphonates (Actonel, Fosamax), SERMs (Raloxifene, Evista), statins increase
bone mineral density
appendicitis pain
starts at epigastrum , localizes to RLQ (Rovsing's sign is referred pain from palpated
LLQ to RLQ)
COCs primary mechanism of action
prevent ovulation
Progestin-only pills mechanism of action
thickening cervical mucus
cystocele
hernia of the bladder
enterocele
, portion of small intestine herniates into upper vagina
FSH in menopause
continues to increase as it's trying to cause ovulation, but it can't
What hormone causes increase in BBT?
increased progesterone
COCs and migraines
Never okay with migraines with aura. Okay if below 35, migraines without aura.
Cocs and smoking
Okay if you're below 35.
ectopic pregnancy s/s
pelvic pain, shoulder pain, CMT, vaginal bleeding,
Asthma S/S
Sudden dyspnea, wheezing, tightness in chest, coughing, produces thick sputum,
tachypnea, rapid pulse, profuse perspirations, hyperresonance on percussion,
diminished breath sounds, prolonged expiratory phase,
THe percentage of latent TB that becomes active
10%
Biophysical profile
A test that assess five variables; fetal breathing, fetal movement, fetal tone, amniotic
fluid volume, and reactive NST. 4 or less- abnormal
Weight gain in pregnancy
Underweight: >35lbs
Normal Weight: 25-35lbs
