Maternal CO increases by?
50% (most correct answer 40%)
All of the following increased during pregnancy EXCEPT?
Mother becomes hypotension in supine position, what do you do?
Turn patient to right side with towel roll
What increases risk of hypoxia during pregnancy? Pick 2
Decreased FRC INCREASED A-a gradient
Which is true during pregnancy? Pick 3
Decreased FRC Decreased MAC for GA Decreased PCO2
Which structure identifies the cytotrophoblast? Which structure identifies the syncytiotrophoblast?
look at image [ctotrophoblast]
Which structure identifies the umbilical arteries? Which structure identifies the umbilical veins? What structure identities the ductus arteriosus?
insert image [fetal circulation]
Which affects drug passage through the placental barrier?
Molecular weight, lipid solubility, ionization of drug
Normal FHR is 130-80. True or False
False (normal is 110/120-160)
Oxygenated blood is brought through?
Deoxygenated blood is brought to the placental through?
What is best used to prevent DVT during pregnancy?
Which lab is suggested of NTD (ex: Spina Bifida)?
INCREASED alpha fetoprotein
Which lab is suggested for Downs Syndrome Trisomy 21?
DECREASED alpha fetoprotein
Which is true of first stage labor? Pick 2
Level of spinal needed is T10-L1 Visceral pain is caused by uterine contraction
Which is true of second stage labor? Pick 3
Pain is through pudendal nerves
Somatic pain is due to stretching of vagina
Level of spinal needed for anesthesia is S2-S4
What describes the birth defect causing the backbone and spinal canal not to properly fuse?
What is true about diaphragmatic hernia (choose 2)
-occurs when the diaphragm, the muscle that separates the chest from the abdomen, fails to close during prenatal development -Is a life threatening illness that prevents lung development
What is true about anesthetic management for fetal surgery?
2 patients and Maternal safety is paramount
Absent or minimal variability indicates that there is a compromise to fetal health. True or false?
Which correlates with fetal head compression?
41 weeks describes what term?
Ultrasonography is recommended for all pregnancies because it? Pick 3
Determines gestational age Determines placental position Determines structural abnormalities
Lepold’s Manuever used to elevate a 12 week fetus, the fundal height should be measuring at?
what is true of Aspirin use during the 3rd trimester? Pick 3
Intrauterine constriction of the ductus arteriosus
Which of the following is true regarding pregnancy and anticoagulants?
-Pregnant women have 5x the normal risk for venous thromboembolism -LMWH is less likely to cause HIT -Unfractionated heparin is easier to reverse
Which weight significantly increased newborn and maternal morbidity?
4500 - 4999
Major physiologic changes during pregnancy alter drug disposition by:
-Decrease in intestinal motility -Reduced FRC -Increased minute ventilation increases pulmonary uptake of inhalation anesthetics
Nonstress test is less useful in the very preterm fetus. True or false?
The most common indication for 2nd trimester amniocentesis is for?
Cytogenetic analysis of fetal cells