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SUM '20 Final Exams Prep > Advanced Principles Exams > Flashcards

Flashcards in Advanced Principles Exams Deck (189)
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1

Maternal CO increases by?

50% (most correct answer 40%) 

2

All of the following increased during pregnancy EXCEPT?

SVR

3

Mother becomes hypotension in supine position, what do you do?

Turn patient to right side with towel roll

4

What increases risk of hypoxia during pregnancy? Pick 2

Decreased FRC INCREASED A-a gradient

5

Which is true during pregnancy? Pick 3

Decreased FRC Decreased MAC for GA Decreased PCO2

6

Which structure identifies the cytotrophoblast? Which structure identifies the syncytiotrophoblast?

look at image [ctotrophoblast]

7

Which structure identifies the umbilical arteries? Which structure identifies the umbilical veins? What structure identities the ductus arteriosus?

insert image [fetal circulation]

8

Which affects drug passage through the placental barrier?

Molecular weight, lipid solubility, ionization of drug

9

Normal FHR is 130-80. True or False

False (normal is 110/120-160)

10

Oxygenated blood is brought through?

Umbilical vein

11

Deoxygenated blood is brought to the placental through?

Umbilical arteries

12

What is best used to prevent DVT during pregnancy?

Compression stockings

13

Which lab is suggested of NTD (ex: Spina Bifida)?

INCREASED alpha fetoprotein

14

Which lab is suggested for Downs Syndrome Trisomy 21?

DECREASED alpha fetoprotein

15

Which is true of first stage labor? Pick 2

Level of spinal needed is T10-L1 Visceral pain is caused by uterine contraction

16

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

17

What describes the birth defect causing the backbone and spinal canal not to properly fuse?

myelomeningocele

18

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

19

What is true about anesthetic management for fetal surgery?

2 patients and Maternal safety is paramount

20

Absent or minimal variability indicates that there is a compromise to fetal health. True or false?

TRUE

21

Which correlates with fetal head compression?

Early Decelerations

22

41 weeks describes what term?

LATE Term

23

Ultrasonography is recommended for all pregnancies because it? Pick 3

Determines gestational age Determines placental position Determines structural abnormalities

24

Lepold’s Manuever used to elevate a 12 week fetus, the fundal height should be measuring at?

Pelvic brim

25

what is true of Aspirin use during the 3rd trimester? Pick 3

Oligohydraminios

Renal injury

Intrauterine constriction of the ductus arteriosus

26

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

27

Which weight significantly increased newborn and maternal morbidity?

4500 - 4999

28

Major physiologic changes during pregnancy alter drug disposition by:

-Decrease in intestinal motility -Reduced FRC -Increased minute ventilation increases pulmonary uptake of inhalation anesthetics

29

Nonstress test is less useful in the very preterm fetus. True or false?

True

30

The most common indication for 2nd trimester amniocentesis is for?

Cytogenetic analysis of fetal cells