ATI OB

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1.

Amenorrhea (3 P's)

Presumptive sign

2.

Breast changes (3 P's)

Presumptive sign

3.

Quickening (3 P's)

Presumptive sign

4.

Hegar's sign

- Softening and
compressibility of the lower
uterus
- Probable sign

Chadwick's sign

- Deepened blue color of

vaginal mucosa
- Probable sign

6.

Goodell's sign

- Softening of cervical tip

- Probable sign

7.

Ballottement

- Rebound of unengaged
uterus
- Probable sign

8.

Braxton-Hicks (3 P's)

Probable sign

9.

Positive pregnancy test (3

P's)

Probable sign

10.

Fetal outline felt by

examiner (3 P's)

Probable sign

11.

Start measuring fundal

height at ______ weeks

12 weeks

12.

Between ___ and ___ weeks,

fundal height in cm should
equal the week of gestation

18 and 30 weeks

Fetal movement assessed

between ___ and ___ weeks

16 and 20 weeks

14.

Indirect Coombs' test done

between ___ and ___ weeks

24 and 28 weeks

15.

If negative, give this vaccine

after delivery

Rubella

16.

MSAFP done between ___ and

___ weeks

15 and 22 weeks

17.

MSAFP done to rule out

Down syndrome and neural

tube defects

5.

13.

18.

If MSAFP high...

Request ultrasound

19.

Folic acid

Leafy vegetables, dried peas

and beans, seeds, OJ, breads,
cereals

20.

Iron

Beef liver, red meats, fish,

poultry, dried peas and
beans, fortified cereals and
breads

21.

Calcium

Milk, fortified OJ, nuts,

legumes, dark leafy
vegetables

22.

Biophysical profile
(5 things)

Reactive FHR, fetal breathing, body

movements, fetal tone, amniotic fluid
volume

23.

Reactive nonstress
test

FHR accelerates to 15/min for at least

15 seconds, occurs 2 or more times
during 20 min period

24.

Nonstress test

evaluation of fetal well being in 3rd

trimester

25.

Contraction stress
test

Determines how the fetus will tolerate

stress of labor

26.

Negative
contraction stress
test

At least 3 contractions within 10 min

period, duration of 40-60 seconds

27.

Amniocentesis may
be performed after
___ weeks

14 weeks

28.

High AFP...

Neural tube defects

29.

Low AFP...

Down syndrome

30.

Ectopic pregnancy

- 1st trimester
- Abrupt, lower quadrant abdominal
pain with or without vaginal bleeding
- Referred shoulder pain

31.

Ectopic pregnancy
risk factors

Pelvic inflammatory disease

32.

Medication given in
ectopic pregnancy

Methotrexate

33.

Hydatidiform mole

- 2nd trimester
- Uterine size increasing very fast, high
levels of Hcg, N/V
- Don't become pregnant for at least 1
year

34.

Placenta previa

- 3rd trimester
- Painless vaginal bleeding
- No vaginal exams!
- Celestone

35.

Abruptio placentae

- 3rd trimester
- Bright red vaginal bleeding, sharp
abdominal pain

36.

Risk factors for

abruptio placentae

Maternal HTN, abdominal trauma,

cocaine use, cigarette smoking

37.

Mild preeclampsia

Gestational HTN, proteinuria 2+,

weight gain more than 2 kg/week, mild
edema

38.

Severe preeclampsia

BP 160/100 or greater,
proteinuria 4+, oliguria,
creatinine > 1.2, hyperreflexia,
peripheral edema, epigastric
and RUQ pain

61.

Rooting reflex

Stroking cheek, 0-4 months

62.

Palmar grasp

0-6 months

63.

Plantar grasp

Toes curl downward, 0-8 months

64.

Moro reflex

Startle, 0-4 months

65.

Tonic neck

0-3 to 4 months

66.

Babinski

0-1 year

67.

Stepping

0-4 weeks

68.

Physiological jaundice

Has no other s/s and shows signs

of jaundice after 24 hrs of age

Magnesium sulfate
toxicity s/s = absence of
_____, RR _____, decreased
_____, urine output _____

Absence of deep tendon

reflexes, RR < 12, decreased LOC,
urine output < 30 mL/hr

40.

Length of latent phase

6 hrs or 4 hrs

41.

Length of active phase

3 or 2 hrs

42.

Length of transition
phase

20-40 min

69.

Pathological jaundice

Appears before 24 hrs of age or is

persistent after day 7

43.

Latent phase dilation

0-3 cm

70.

35-37 weeks

44.

Active phase dilation

4-7 cm

GBS culture obtained at

___ to ___ weeks

71.

Transition phase dilation

8-10 cm

3 hr glucose tolerance
test done at ___ weeks

28 weeks

45.
46.

Latent phase
contractions

Every 5-30 min, 30-45 sec

72.

Polyhydraminos

Congenital anomalies in the fetus

(GI and neuro)

47.

Active phase
contractions

every 3-5 min, 40-70 sec

73.

Oligohydraminos

Renal anomalies

48.

Transition phase
contractions

Every 2-3 min, 45-90 sec

49.

Length of second stage

30 min - 2 hr, 5 - 30 min

50.

Length of third stage

5-30 min

51.

Early decelerations

Slowing of FHR with the start of

the contraction, return of FHR to
baseline at the end of the
contraction

52.

Late decelerations

Slowing of FHR after contraction

has started, return of FHR to
baseline well after contraction
has ended

53.

Variable decelerations

Abrupt slowing of FHR < 110,

variable in duration, intensity,
and timing

54.

Discontinue Pitocin if
contractions are ___ or
_____ long

Greater than every 2 min, or

longer than 90 seconds

55.

Newborn RR

30-60 with periods of apnea < 15

sec

56.

Newborn HR

100-160

57.

Newborn BP

60-80/40-50

58.

Newborn temperature

36.5-37.2

59.

Caput succedaneum

Soft edematous mass, cross over

suture line, resolves in 3-4 days

60.

Cephalohematoma

Does not cross suture line,

appears in the first 1-2 days after
birth, resolves in 2-3 weeks

39.