{"id":116239,"date":"2023-08-25T08:37:34","date_gmt":"2023-08-25T08:37:34","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=116239"},"modified":"2023-08-25T08:37:36","modified_gmt":"2023-08-25T08:37:36","slug":"ob-peds-final-study-guide-combined-latest-updated","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/08\/25\/ob-peds-final-study-guide-combined-latest-updated\/","title":{"rendered":"OB\/PEDS Final Study Guide (combined)\/ Latest Updated"},"content":{"rendered":"\n<p>OB\/PEDS Final Study Guide (combined)<br>Preterm<br>(ANS- 20-37 weeks<br>Term<br>(ANS- 37-42 weeks<br>Postterm<br>(ANS- after 42 weeks<br>Why is it important to know how far along you are?<br>(ANS- To determine viability of the fetus<br>How is fundal height measured and how does it correlate to the number of weeks<br>pregnant?<br>(ANS- \u00b7 It tells the gestational age<br>\u00b7 From fundus ( top of uterus) to the symphysis (bony structure of pelvis)<br>o Measurement should approximately equal the number of weeks pregnant<br>Umbilical cord vessels<br>(ANS- \u00b7 2 arteries (carry deoxygenated blood to fetus) and 1 vein (carries<br>oxygenated blood to fetus)<br>\u00b7 There should always be THREE vessels in the cord<br>\u00b7 AVA<br>Why is the number is vessels in the umbilical cord important and what does a<br>reduced number mean?<br>(ANS- o Newborns w\/ only TWO vessels have 20% chance of having<br>cardiac\/vascular defects or renal<br>o Document number of vessels &amp; report abnormalities to the physician<\/p>\n\n\n\n<p>Presumptive signs of pregnancy<br>(ANS- \u2022 Amenorrhea<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Nausea\/Vomiting<\/li>\n\n\n\n<li>Breast changes (enlarged, tender, tingling, increased vascularity)<\/li>\n\n\n\n<li>Fatigue<\/li>\n\n\n\n<li>Urination frequency<\/li>\n\n\n\n<li>Quickening<br>Probably signs of pregnancy<br>(ANS- \u2022 Positive pregnancy test<\/li>\n\n\n\n<li>Uterine growth and abdominal growth<\/li>\n\n\n\n<li>Skin Hyperpigmentation<br>\u00b7 Melasma (mask of pregnancy): brownish pigmentation over the forehead,<br>temples, cheek, and\/or upper lip<\/li>\n\n\n\n<li>Goodell Sign: softening of the cervical tip<\/li>\n\n\n\n<li>Chadwick Sign: depend violet-blush color of cervix &amp; vaginal mucous.<\/li>\n\n\n\n<li>Hegar&#8217;s Sign: softening &amp; compressibility of lower uterus<\/li>\n\n\n\n<li>Braxton Hicks Contractions: fake contractions that can be relieved by walking<br>and are painless\/irregular<\/li>\n\n\n\n<li>Ballottement: rebound of unengaged fetus via cervical opening<br>Positive signs of pregnancy<br>(ANS- \u2022 Auscultation of the FHR w\/ doppler<\/li>\n\n\n\n<li>Observation\/palpation of fetal movement by examiner after about 20 weeks<\/li>\n\n\n\n<li>Sonographic visualization &amp; cardiac movement noted<\/li>\n\n\n\n<li>Feeling and seeing movement<br>Goodell&#8217;s sign<br>(ANS- softening of cervical tip<br>Chadwick&#8217;s sign<br>(ANS- deepened violet-blush color of cervix &amp; vaginal mucous<br>Hegar&#8217;s sign<br>(ANS- softening and compressibility of lower uterus<\/li>\n<\/ul>\n\n\n\n<p>Naegele&#8217;s Rule<br>(ANS- add 7 days to LMP, subtract 3 months, add 1 year<br>Normal FHR<br>(ANS- \u2022 110 &#8211; 160<br>o FHR changes are the most important indicators of compromised blood flow<br>Lanugo<br>(ANS- o fine, downy hair that develops after 16 wks gestation<br>\u00b7 Will decrease as fetus ages<br>\u00b7 Back, shoulders, forehead<br>\u00b7 Gradually falls out<br>\u00b7 Presence and amount of lanugo assist in estimating gestational age<br>\u00b7 Abundant lanugo may be signs of prematurity or genetic disorder<br>What is milia and how is it treated?<br>(ANS- o milk bumps : exposed sebaceous glands that resolve without treatment<br>\u00b7 Leave alone &amp; resolve on own<br>What do changes in the FHR suggest<br>(ANS- \u2022 Most important indicator of compromised blood flow to baby<br>HELLP syndrome<br>(ANS- \u2022 Hemolysis (H) , Elevated Liver Enzymes (EL), and low platelets (LP)<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Hemolysis (breaking down of red blood cells)<\/li>\n\n\n\n<li>Elevated liver enzymes<\/li>\n\n\n\n<li>Low platelets ( you gunna bleed out)<br>How to treat HELLP syndrome and what to be on the look out for afterwards<br>(ANS- o Correction:<\/li>\n\n\n\n<li>Massive blood transfusion protocol<\/li>\n\n\n\n<li>Fresh frozen plasma<\/li>\n\n\n\n<li>Cryoprecipitate<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>OB\/PEDS Final Study Guide (combined)Preterm(ANS- 20-37 weeksTerm(ANS- 37-42 weeksPostterm(ANS- after 42 weeksWhy is it important to know how far along you are?(ANS- To determine viability of the fetusHow is fundal height measured and how does it correlate to the number of weekspregnant?(ANS- \u00b7 It tells the gestational age\u00b7 From fundus ( top of uterus) to [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center 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