WORK OUT – OBG KIT 1
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Normal position of the urerus is:
Explanation : Normal uterus us anteversion and anteflexion.Uterus is having inclination to right that is dextrorotation. Cervix is directed to left that is levorotation
In the second stage of labour which of the following injections is given to improve uterine contractions?
Explanation: Oxytocin is hormone secreted by posterior lobe of the pituitary and is necessary for uterine contraction. It also help in milk ejection. So oxytocin reflect is also known as milk ejection reflex.
Which of the following can lead to greenish discolaration of the amniotic fluid?
Explanation: Greenish colored amniotic fluid indicate meconium stained amniotic fluid. It indicate chance of respiratory distress in new born.
To promote comfort during labour , Nurse advises a client to assume certain position and avoid others . Which position may cause maternal hypotension and fetal hypoxia?
Explanation: In supine position the uterus will not have sufficient space so there will be less oxygen supply and blood circulation to the fetus.
Purple blue tinge of the cervix is
Explanation: A sign of pregnancy consisting of a dark bluish or purplish -red color of the vaginal or cervical mucosa as a result of the increased blood supply to the area.
Premature separation of a normally implanted placenta during the second half of pregnancy, usually with severe hemorrhage is known as:
Explanation: Abruptio placenta is defined as the premature separation of placenta from the uterus. Patients with abruptio placentae, also called placenta abruption, typically present with bleeding, uterine contractions, and fetal distress.
A 31 year old multipara is admitted to the birthing room after initial examination reveals her cervix to be at 8cm, completely effaced (100%), and at 0 station.What phase of labour is she in?
Explanation: Transitional phase starts from 8cm dialation of the cervix and it is the starting of the second stage of labour.
Postpartum hemorrhage is loss of blood which is more than:
Explanation: Postpartum bleeding or postpartum hemorrhageis often defined as the loss of more than 500ml within the first 24hours following childbirth
The connection between umbilical vein and inferior venacava in the fetal life is known as ……………
Explanation: Option B is the correct answer, this vessel has the highest oxygen concentration in the fetal life. Ductus arteriosus is the connection between aorta and pulmonary artery
Identify the part of uterus among the following?
Explanation: All the above mentioned portions are part of uterus. Body is also known as cavity or corpus
Arrange the parts of fallopian tube from medial to lateral order?
1. Interstitial 2. Isthmus 3. Ampulla 4. Infundibulum
Explanation: Intramural or interstitial, isthmus, ampulla and infundibulum is the order of arrangement from medial to lateral
Go through the following statements regarding fallopian tube and identify the incorrect statement
Explanation: All the other statements are correct regarding fallopian tube , but the production of ova is the responsibility of the ovary and transportation of it to uterus is the responsibility of fallopian tube
Fertilization occur at
Explanation: Fertilization occur at the ampullary part of fallopian tube.
What is the fertilization life span for oocyte?
Explanation: Fertilization life span of oocyte is 12-24 hours and that of sperm is 48-72 hours
Which chemical present in the acromial tip of sperm facilitate the penetration of zona pellucida of ovam?
Explanation: Hyaluronidase is a chemical present in the acromial tip of the sperm which facilitate the penetration of zona pellucida of ovam.
Labour is divided into how many stages?
Explanation: There are 4 stages of labour. First stage starts from the onset of true labour pain and ends with the dilatation of the cervix. Second stage starts from full dilatation of cervix and ends with delivery of the fetus. Third stage starts from delivery of the fetus and ends with expulsion of placenta and membrane. Fourth stage is the observation.
Identify the correct statement regarding implantation?
Explanation: All the above mentioned statements are regarding implanation. Implantation means fertilized ovum is transfered from site of fertilization to uterus.
Endometrium of the pregnant uterus is known as……..
Explanation: Endometrium of the pregnant uterus is known as decidua. It will shed following delivery.
Bleeding from or into the genital tract after the 28th week of pregnancy but before the birth of the baby is known as:
Explanation: The 28 week is taken arbitarily as the lower limit of fetal viability. The main causes are placental bleeding, unexplained and extra placenta.
Linea Nigra is:
Explanation:Linea Nigra is visible as early as 20th week of gestation
Which of the following instructions should nurse give to a client who’s 26 weeks pregnant and complains of constipation?
Explanation: Natural remedies will not have any side effect and complication thus it will helpin normal growth and development of fetus.
The indication of forceps delivery is:
Explanation: The total duration of second stage for Primigravida mother is 2 hrs and 30 mins for mutigravida.If labor isn’t progressing it indicates for emergency management.
In which condition , the umbilical cord is attached to the margins of placenta?
Explanation: It is because of the putative resemblance to the racquet used in battledore, a precursor to badminton
A client has come to the clinic for her first prenatal visit. Nurse should include which of the following statements about using drugs safely during pregnancy in her teaching?
Explanation: Most of the drugs can cross the placenta and inhibits normal growth of fetus.
Identify correct regarding human placenta?
Explanation: All the above statements are correct regarding human placenta.Placenta developed from 2 sources, principal component is fetal component named chorion and maternal component named decidua basalis
A postpartum patient was in labor for 32 hours and had ruptured membranes for 24 hours.Which of the following condition is expected in this client?
Explanation: Endometritis is an infection of the uterine lining and can occurs after prolonged rupture of membranes.Caesarean section, prolonged rupture of membranes and long labor with multiple vaginal examination are important risk factors of endometritis
What is the proportionate weight of the placenta to the baby at term?
Explanation: At term the weight of the placenta to the baby is approximately 1:6
Umbilical cord is attached to
Explanation: Umbilical cord is attached to fetal surface and is attached to center. It is about 40cm in length usually vary from 30-100cm
Following are the methods of induction of labor except:
Explanation: Methergin directly act on the myometrium. It excites uterine contraction which comes so frequentone after the other with increasing intensity that the uterus passes into the state of spasm without relaxation in between
Maternal alpha feto protein level is 30ng/ml. Which among the following condition may present in fetus?
Explanation: Normal AFP is 38-45ng/ml. If the value is less than 38 risk for down syndrome and klinfilter syndrome and other chromosomal abnormality. Increased AFP increased risk for neural tube effect.
During a routine prenatal visit, a pregnant client reports heartburn. To minimize her discomfort, nurse faith should include which suggestion in the plan of care?
Explanation: Small and frequent diet will help in proper digestion of the food.
Go through the following statement regarding amniotic fluid and find out incorrect statement
Explanation: Option C is incorrect. At tem the amount of amniotic fluid is about 600-800ml.All other options are true. Amniotic fluid is colorless and near term it becames pale straw colored because of the presence of exfoliated and epidermal cells from skin
Amniotic Fluid Index (AFI) is measured by …………….
Explanation: Amniotic Fluid Index is measured with the help of ultrasonography by dividing the abdomen into four quadrant. For dividing the abdomen into four quadrant linia nigra is considered as vertical point and umbilicus is considered as horizontal point.
In each quadrant deepest pocket is measured in cm. Sum of all pocket is considered as AFI.
Normal value of AFI varies from 8-18cm
AFI less than 5-6cm is considered as oligo-hydroamniosis
AFI more than 20-24cm is considered as polyhydroamniosis
Only immunoglobulin which can cross the placenta is………….
Explanation: IgG is the only immunoglobulin which can cross the placenta.Presence of IgA help us to diagnose intrauterine infection
After determining that a pregnant client is Rh negative, Gynecologist orders an indirect Coomb’s test. What is the purpose of performing this test in a pregnant client?
Explanation: Autoantibodies develops against the mother or fetus in Rh negative factors
Umbilical cord contain
Explanation: Normally Umbilical cord contain 2 artery and 1 vein
In fetal circulation deoxygenated blood is present in ………….
Explanation: Umbilical artery contain deoxygenated blood. All other blood vessel contain oxygenated blood
Gonodotropin releasing hormone (GnRH) stimulates the release of:
Explanation: GnRH is a trophic peptide hormone produced by anterior lobe of pituitary is responsible for the release of follicle stimulating hormone (FSH) and luteinizing hormone(LH).
Missed abortion is also known as:
Explanation: When the fetus is dead and retained inside the uterus for a variable period it is called missed abortion or silent abortion/early fetal demise.
Axillary tail, Montogomery’s tubercles are occur during the time of pregnancy because of the changes in …………….
Explanation: Axillary tail occur because of prolongation of breast tissue under cover of pectoralis major. Monogomery’s tubercles are those placed around the nipple, there secretion keep the areola healthy and moist.
Identify correct statement regarding linea nigra
Explanation : All the above mentioned statements are correct regarding linea nigra.
What is the total weight gain occur during the course of single fetus pregnancy?
Explanation: Expected weight gain occur during the course of pregnancy is 11kg, in which 1 kg in first trimester and 5 kg each in second and third trimester
Ergometrine is useful for…………..
Explanation: Ergometrine help in controlling PPH. It is given after the delivery of anterior shoulder. In twin delivery after the birth of first baby we are not supposed to give this drug.
Fall in hematocrit value observed during pregnancy because………….
Explanation: The disappropriate increase in plasma and RBC volume produce a state of hemodilution which leads to fall in hematocrit during pregnancy
After the delivery insulin requirement of a diabetic mother will be ……………..
Explanation: During the delivery process most of the glucose will be consumed as part of metabolism for energy production. Which significantly reduces the insulin requirement in post-partum period
Lateral position is given to pregnant mothers inorder to avoid…………..
Explanation: Lateral position is given to mothers to avoid supine(postural) hypotension. Gravid uterus compress inferior venacava when the patient is in supine position & cause hypotension, tachycardia and syncope. this can be avoided by providing lateral position to the client
Fourth – stage of labour means
Explanation: Fourth – stage is after the delivery of placenta, in which health care worker observe mother and check vitals every 15 minutes to identify complications as early as possible.
After ovulation graffian follicle becomes…………..
Explanation: Graffian follicle is changed to corpus luteum. It will secrete progestrone, 17 alpha progestrone and oestradiol, adrostenedione. At 6-8 week there is transfer of function of corpus luteum to tha placenta.
Hormone human chorionic gonadotropin can be detected in case of …..
Explanation:In all the above mentioned conditions hcg will be present . In normal pregnancy it will disappear from blood following 2 weeks after delivery.
Endocrine control of lactation can be seen in
Explanation: Endocrine control of lactation can be seen in Lactogenesis, Galactokinesis, Galactopoiesis and mammogenesis. Mammogenesis means preparation of breast, lactogenesis means synthesis and secretion of milk, galactokinesis means ejection of milk and galactopoiesis means maintenance of lactation. All these are the endocrine control and preparation for lactation.
Duration of pregnancy is
Explanation: Duration of pregnancy can be expressed in all the above given methods and also as 40 weeks, which is calculated from first day of last menstrual cycle. This is called as menstrual age of gestational age
Dusky hue of the vestibule and discoloration of anterier vaginal wall occur during pregnancy is known as ………….
Explanation: It is known as Jacquemier’s sign (chadwick’s sign). Osiander sign is increased pulsation felt on the lateral fornics at 8th week. Softening of cervix is named as Goodell’s sign. Piskacek’s sign is the asymmetrical enlargement of uterus in case of lateral implantation.
Perception of active fetal movement by the mother is …………..
Explanation: Quickening is the perception of active fetal movement by the mother. It is usually felt about at 18 weeks, and about 2 weeks earlier in multipara mother.
Hegar’s sign: is a non-sensitive indication of pregnancy in women – its absence does not exclude pregnancy. It pertains to the features of the cervix and the uterine isthmus. It is demonstrated as a softening in the consistency of the uterus, and the cervix seem to be two separate regions.
Palamar sign: regular rhythmic contraction felt during bimanual examination.
Chloasma: mask of pregnancy when present in pregnant women, it is a tan or dark skin discoloration.
The height of the uterus is at the level of umbilicus at …………period of gestation
Explanation: Height of the uterus is at the level of umbilicus at 14 week POG
Fetal heart sound can be first auscultated with an ordinary stethoscope at ……….POG
Explanation: With an ordinary stethoscope fetal heart sound can be first auscultated by 18-20 week POG
Pseudocyesis is ……….
Explanation: False believe of a women that she is pregnant is known as pseudocyesis
Identify the signs which indicating a previous child birth
Explanation: All the above mentioned signs indicating previous child birth
Identify the formula which is used for the estimation of fetal weight
McDonald’s measurement of symphysiofundal height
Station of the presenting part by abdominal and vaginal examination when in labour
Fetal weight (gms)= (McDonald’s measurement -X)* 155. Where,
X= 13 when presenting part is at minus station
X= 12 when presenting part is at 0 station
X=11 when presenting part at plus station
Estimation of fetal weight by Hadlock’s formula
Biparietal Diameter (BPD) was measured on the frozen image from the outer edge of the proximal skull to the inner edge of the distal skull table
Abdominal circumference (AC) was measured at the level of umbilical vein as it enters liver. Stomach bubble was also taken as landmark. It was measured using ellipse method.
Relationship of the long axis of the fetus to the long axis of the centralized uterus or maternal spine is known as …………………
Example: Option A is the correct answer. Attitude is relationship of one part of the body to others. Denominator is bony fixed point on presenting part. Position is the relationship of the denominator to different quadrants of pelvis.
Synonymous of obstetric grip is ………….
Obstetric grip also known as Leopold maneuevers which includes the following grips, they are fundal grip, lateral or umbilical grip, pawlik’s grip (third leopold), pelvic grip (fourth leopold)
Commonest presenting part in cephalic presentation
Explanation: Commonest presenting part is vertex in cephalic presentation.It can be face or brow but they are not common.
The suture lies between two parietal bone is known as……………
Explanation: Suture lies between two parietal bone is known as longtitudinal suture which is also known as sagittal suture
Identify the correct statement regarding anterior fontanelle
Explanation: All the above given statements are correct regarding posterior fontanelle
Identify the correct statement regarding posterior fontanelle
Explanation:All the above statements are true regarding posterior fontanelle
Formation of swelling due to stagnation of fluid in the layers of scalp beneath the girdle of contact is …………….
Explanation:Option B is the correct answer.Moulding meansalteration in the shape of forecoming head while passing throughresistant birth passage during labour.
Most reliable indicator of true labour
Explanation : Effacement indicates thinning of the cervix which mainly occurs along with dilatation of the cervix.
Which of the following positions should the nurse place the client when the epidural regional block is administered?
Explanation: Client should be placed in lateral position or sitting up position
True pelvis can be divided as…………..
Explanation: Descriptive purpose True pelvis can be divided as inlet,cavity and outlet
Gravida indicate
Explanation: Option A is the correct definition of gravida,option B is the definition id parity.
Rema is pregnant for the first time and at 12 week POG ,her USG suggestive of twin pregnancy .Her gravida is….
Explanation: Rema is pregnant for the first time so gravida1. Even if the women is having twin pregnancy it will be considered as dravia 1
Sheela comes to the ANC clinic for her 2nd antenatal visit.Her history suggestive of 2 previous abortion and one term delivery.Her gravid and parity is………….
Explanation: Sheela has history of 2 abortion,one term delivery and presently she is pregnant so gravida is 4.Since she has only one term delivery her para is still 1.
G3P1 +2 means
Explanation:G3 means 3 time pregnant,P1+2 means 1 abortion and 2 viable birth
Grand multipara is…………
Explanation: Option A is the correct answer,Option B is the definition of elder primigravida.
Nullipara is …
Explanation : Option A is the correct definition of Nullipara.Option B is the definition of Nulligravida.Option C is the definition of primigravida.Option D is the definition of Multigravida.
Formula used for calculating expected date of delivery
Explanation: EDD is calculated from LMP by adding 7 days to the first day of last menstural cycle and 9 months to the months
Calculate EDD if LMP was 7th may 2016
Explanation: adding 7 to the date become 7 +7=14 .Adding 9 calender months become February.
The components of triple test includes
Explanation: All the above mentioned are the components of triple screening ,which help us to find down syndrome,neural tube defect & other chromosomal abnormality present in the fetus . Ii is performed between 15-18 week.
WHO recommended minimum antental visit in the developing country is…………
Explanation:WHO recommended minimum 4 antental visit ,first in trimester around 16 week,second between 24-28 week,3rd at 32 week ,4th at 36 week
Identify the correct statement regarding immunization in pregnant in women
Explanation: Option D is the incorrect statement,livevaccines during pregnancy carry arisk for infection to the unborn baby also.2 dose of TT immunization is recommended 0.ml Im in deltoid region at 6 week interval.
Elevated level of maternal serum alpha feto protein is seen in all condition except
Explanation: Elevated maternal serum alpha feto protein is seen in all condition except Down syndrome .In Down syndrome & Gestational trophoblastic disease MSAFP will decreases
Appropriate time for chorionic villus sampling is………….
Explanation: Option A is the correct answer,amniocentesis timing is 14-16 weeks and that of cordocentesis is 18-20 week
Identify the correct statement during non stress test (NST)
Explanation : All the above are true regarding NST.
Criteria for normal labour……..
Explanation : All the above are thecriteria m= normal labour.Other than these natural termination with minimum aid ,without affecting the health of mother and baby is the criteria for normal labour
A client is in active labour with twins and the cervix is 5cm dilated.The nurse observe that contraction occuring every 7 to 8 minutes in a 30 minute period.The most appropriate action by the nurse would be to
Explanation : The client is most likely experiencing hypotonic uterine contractions.The nurse must notify the physician immediately. The usual treatment is oxytocin administration unless cephalopelvic disproportion exists.
Which sign is considered as welcome sign in pregnancy?
Explanation:Presenting part sink onto the pelvis, this sign is considered as welcome sign in pregnancy as it rule out cephalopelvic disproportion and corresponding conditions that preventing the head from entering in the pelvic inlet
Are all the characteristic of true labour pain except
Explanation:Option D is the characteristic of false labour pain & all others are the characteristic of true labour pain
Which of the following lochial findings is expected during the first 24- hours post delivery?
Explanation: colour of the lochia in first 24 hrs is bright colour.Absence of lochia indicates or foul odour indicates infection.
Pacemaker of uterine contraction is……………
Explanation: Tubal ostia is the pacemaker of uterine contraction SA node is the pacemaker heart.
A primigravida client at 25 week’s gestation visit the client and tell the nurse that her lower back ache when she arrives home from work. The nurse should suggest that the client perform
Explanation:Tailor sitting will help in removing the spasm and congestion which occurs due to pressure of growing fetus in the lower back
All among the following are principal movements during labour except
Explanation:Option B retraction is not a principal movement.It occur in uterine muscle fibers which means these muscles are shortened permanently.The principal movement occuring labour are engagement,internal rotation,crowning,extension,restitution,external rotation & expulsion of trunk.
When the membrane rupture before the onset of labour is called as………….
Explanation: Option B is the correct answer, Option A indicates rupture of membrane after the onset of labour & before full dialation of cervix.
Fifth formula is used for assesing …………
Explanation:Descent of head is expressed in terms of fifth above the pelvic brim
A client is scheduled for amniocentesis.When preparing her for the procedure ,nurse do which of the following?
Explanation: Voiding will decrease the discomfort for doing procedure
Which of the following drug is administered for when postpartum client,who is receiving heparin for thrombohlebitis,develops complications related to heparin therapy?
Explanation:Protamine sulphate is a heparine antagonist. It is administered intravenously to counter the bleeding complications precipitated by heparin overdose
Station of head is expressed in relation to
Explanation: Station of head is expressed in terms of ischial spine.At the level of ischial spine will be termed as 0 station,above will be indicated in negative numbers such as -1,-2, -3,-4 & -5 below which is positive numbers 1,2,3,4 & 5.
Normal range of fetal heart rate is ……………..
Explanation: Normal range of fetal heart rate is 110-150bpm
All above indicate transition from first stage to second stage except?
Explanation: Except relaxation all others are present during transition
Delayed cord clamping is contraindicated in…………
Explanation:Rh-incompatibility is the contradiction for delayed cord clamping inorder to prevent antibody transfer from other to fetus
A nurse is caring for a 16 -year old pregnant client. The client is taking an iron supplement.What should this client drink to increase the absorption of iron?
Explanation: Orange is the good source of Vitamin C and helps in absorption of iron
Which bone is a part of pelvis?
Which of the following measures would the nurse include in the teaching plan about the method to prevent breast engorgement in the post-partum period?
Several minutes after a vaginal delivery, nursing assessment reveals blood gushing from the client’s vagina , umbilical cord lenghthening , and a globular -shaped uterus. Nurse should suspect which condition?
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