OB review

OB reviewThe outmost membrane that helps form the placenta:AmnionYolk sacChorionallantoisProgesterone is normally secreted in relatively large quantities by the:Corpus luteumAdrenal cortexEndometriumPituitary glandThe ischial spines are designated as important landmark in labor and delivery because the distance between the spines is:A measurement of the floor of the pelvisA measurement of the inlet of the birth canalThe widest measurement of the pelvisThe narrowest diameter of the pelvisThe inner membrane that provides a fluid medium for the embryo:AmnionYolk sacChorionfunisThe chief function of the progesterone:Establishment of secondary male sex characteristicsStimulation of follicles for ovulation to occurDevelopment of female reproductive organsPreparation of the uterus to receive a fertilized ovumThe placenta does not produce:Chorionic gonadotropinFSHProgesterone precursor substancessomatotropinAfter the first 3 mos. Of pregnancy, the chief source of estrogen and progesterone is the:Anterior hypophysisPlacentaAdrenal cortexCorpus luteumIn fetal blood vessels, the oxygen content is highest in the:Umbilical arteryDuctus arteriosusDuctus venosusPulmonary arteryThe developing cells are called a fetus from the:End of the second week to the onset of laborImplantation of fertilized ovumTime the FHT is heardEighth week to the time of birthThe uterus rises out of the pelvis and becomes an abdominal organ:Eighth week of pregnancyEighteenth week of pregnancyTenth week of pregnancyTwelfth week of pregnancyFirst fetal movements felt by the mother:BallottementEngagementLighteningquickeningIn prenatal development, growth is most rapid in the:Implantation periodFirst trimesterSecond trimesterThird trimesterA client about 8wks pregnant asks the nurse when she will be able to hear the FHB. The nurse would respond that the FHB can be heard with a Doppler in as early as:4 wks8 wks15 wks18 wksA young couple in eager anticipation for their childs birth asks, When does the rudimentary foundation of the baby such as the brain and the heartbeat form?Third monthSecond monthFirst monthFourth monthBetween 12-24 wks gestation, applicable prenatal teaching would be about:Prep for the baby, travel to hospital, labor signsFetal growth, personal hygiene and nutritional guidelineFetal growth, mgt. for n/v, expectations for careDanger signs of preeclampsia, relaxation breathing technique and signs of laborA client is now in her 2nd trimester. You heard the FHR at 136 bpm, RUQ and also at midline below umbilicus. Source of sounds are:HR of two fetusesMaternal and FHRFHR and funic soufflUterine souffl and FHRThe nurse explains to a pregnant couple that in childbirth classes the emphasis is on:Birth as a family experienceLabor w/o using analgesicsNutrition, relaxation, breathingEducation, breathing and exerciseWhen developing a series of parent classes on fetal devt., the nurse include this as being developed by end of third month:External genitaliaMyelination of nerveBrown fat storeAir ducts and alveoliA client comes to the clinic and states her lmp was May 31. using Nageles rule, EDD would be on:March 7March 30February 24February 27The nurse discusses to a client, 53 and 125 lbs, the recommended wt. gain during pregnancy. At term, how much should she weigh?130 lbs135 lbs140 lbs150 lbsA 28-wk-pregnant client has gained 13 lbs and tells you she is glad she has not gained as much weight as her sister. Your appropriate response would be:Do you think you are getting fat?Are you trying to watch your figure?You have to eat right during pregnancy?Tell me what you have been eating lately.LMP: June 18EDD: ?? (use nageles rule)February 25March 18March 23April 18A husband coaching his wife during labor demonstrates understanding of transitional phase when with each contraction he instructs wife to:Take cleansing breaths and pushTake quick shallow breaths and blowUse slow, rhythmic, diaphragmatic breathingSwitch from accelerated to decelerated breathingA client states she had 1-day light spotting on februARY 7. edd WOULD BE:OCTOBER 1OCTOBER 18NOVEMBER 14NOVEMBER 18Lmp: May 10EDD: ??January 13January 17February 13February 17Mary Grace, 22, has missed 2 regular periods. Her OB confirms pregnancy. To determine EDD, which is important?Dates of first menstrual periodDate of last intercourseDate of last normal menstrual periodAge of menarcheIn a 32-day cycle, ovulation usually occurs:14th day after mense18th day after mense20th day after mense24th day of mensePlacenta is that organ providing for the exchange of nutrients and waste products between mom and fetus, w/c develops by:First monthThird monthFifth monthSeventh monthAling purita, 32-yr-old fish vendor, is pregnant for 5 mos. In evaluating wt. gain, you know that the minimum weight gain during pregnancy is:2 lbs/wk5 lbs/wk7 lbs/wk10 lbs/wk