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Study sets matching "obstetrics"

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Study sets matching "obstetrics"

51 terms
Obstetrics
obstetric
placenta
fraternal
cephalic
to stand opposite (midwife or obstetrician)
organ that provides nutrients to baby
twins that arise from two ovums
head first birth presentation
obstetric
to stand opposite (midwife or obstetrician)
placenta
organ that provides nutrients to baby
93 terms
Obstetrics
missed abortion
threatened abortion
inevitable abortion
incomplete abortion
nonviable pregnancy WITHOUT vag bleeding, cramping, cervical…
viable pregnancy WITH vaginal bleeding but no cervical dilati…
Vaginal bleeding, uterine cramping, cervical dilation. No pla…
vaginal bleeding and uterine cramping leading to cervical dil…
missed abortion
nonviable pregnancy WITHOUT vag bleeding, cramping, cervical…
threatened abortion
viable pregnancy WITH vaginal bleeding but no cervical dilati…
129 terms
Obstetrics
Name 7 complications that could affect…
Label the Female Reproductive System
ANSWER
When does pg occur?
1. Eclampsia/Preeclampsie... 2. Diabetes... 3. Hypotension/Hyperten…
When a male sperm fertilizes a female egg or ovum the sex bec…
Name 7 complications that could affect…
1. Eclampsia/Preeclampsie... 2. Diabetes... 3. Hypotension/Hyperten…
Label the Female Reproductive System
OBSTETRICS
lochia
discharge of lochia is from
smell of lochia
reaction of lochia alkaline or acidic
vaginal discharge for the first fortnight during puerperium.
uterus, cervix and vagina.
offensive fishy odour.
first alkaline later becomes acidic.
lochia
vaginal discharge for the first fortnight during puerperium.
discharge of lochia is from
uterus, cervix and vagina.
10 terms
obstetrics
shape
forceps
bruising
to cry
shape
forceps
228 terms
Obstetrics
Breast Cancer Screening
Cervical Cancer Screening
Colon Cancer screenings
Osteoporosis Screening
Age 20-39: every 3 years. Mammogram only if lump found.... Age 4…
No screening prior to age 21.... Age 21-29: every 3 years with c…
Start at age 50 with colonoscopy every 10 years.... Other proced…
Start at 65 unless risk factors present in which begin at 45.
Breast Cancer Screening
Age 20-39: every 3 years. Mammogram only if lump found.... Age 4…
Cervical Cancer Screening
No screening prior to age 21.... Age 21-29: every 3 years with c…
22 terms
Obstetrics
1. What should be asked for when check…
1. How can we date a pregnancy?
1. What are the risk factors in a preg…
1. What is gravidity?
- Date of birth... - Social... - Obst. history... - Gyn. history... - Med…
1) Calculate EDD: date of LMP + 9 months + 7 days (cycle leng…
DASS: Drugs, Alcohol, Smoking, Social class and status
Total number of pregnancies regardless of how they ended
1. What should be asked for when check…
- Date of birth... - Social... - Obst. history... - Gyn. history... - Med…
1. How can we date a pregnancy?
1) Calculate EDD: date of LMP + 9 months + 7 days (cycle leng…
96 terms
Obstetrics
What are some preconceptual nutritiona…
What comorbidities are especially impo…
Important information on immunizations…
What are the common medications that a…
Folic acid supplementation (at least 400mcg)... - this is espe…
Diabetes- goal A1c <6%... - this is especially important in th…
general rule: if it is a live vaccine, wait to try to get pre…
ACE-I = Potters' Sequence (renal agenesis), no fetal urine pr…
What are some preconceptual nutritiona…
Folic acid supplementation (at least 400mcg)... - this is espe…
What comorbidities are especially impo…
Diabetes- goal A1c <6%... - this is especially important in th…
100 terms
Obstetrics
Gravidity
parity
Developmental age
Gestational Age (GA)
number of times a woman has been pregnant
number of pregnancies that led to birth beyond 20 weeks gesta…
number of weeks and days since fertilization
# of wks and days measured from the first day of the LMP
Gravidity
number of times a woman has been pregnant
parity
number of pregnancies that led to birth beyond 20 weeks gesta…
88 terms
Obstetrics
Physiological changes during pregnancy
Vaccines allowed during pregnancy
Vaccines allowed during breast feeding
Drugs allowed during pregnancy
...
...
Antibiotic safe in pregnancy... amoxicillin
Physiological changes during pregnancy
Vaccines allowed during pregnancy
...
18 terms
Obstetrics
gynecoid
android
Ovum
embryo
classic female pelvis shape
classic male pelvis shape
the period from fertilization until primary villi appear... ~12-…
period from the end of the ovum stage until the embryo measur…
gynecoid
classic female pelvis shape
android
classic male pelvis shape
8 terms
Obstetrics
Before the 20th week of pregnancy
Ectopic pregnancy
Bleeding after the 20th week of pregna…
Pregnancy-Induced Hypertension (PIH),…
-Threatened abortion: cervical os remains closed despite blee…
-Implantation of a fertilized ovum outside of the normal uter…
-Placenta previa: an abnormally implanted placenta in the low…
-HTN that is unique to pregnancy.... -Elevated BP: diagnostic wh…
Before the 20th week of pregnancy
-Threatened abortion: cervical os remains closed despite blee…
Ectopic pregnancy
-Implantation of a fertilized ovum outside of the normal uter…
41 terms
Obstetrics
Ectopic Pregnancy s/s
Ectopic Pregnancy
Placenta Previa
Abruptio Placentae
Abdominal pain (sharp pain in lower ABD on affected side), mi…
Abnormal implantation of the fertilized egg outside of uterus…
...
Premature separation of a normally implanted placenta from th…
Ectopic Pregnancy s/s
Abdominal pain (sharp pain in lower ABD on affected side), mi…
Ectopic Pregnancy
Abnormal implantation of the fertilized egg outside of uterus…
84 terms
Obstetrics
abortion
abruptio placenta
amniotic fluid
amniotic fluid embolism
Expulsion of the fetus, from any cause, before the 20th week…
A premature separation of the placenta from the wall of the u…
A watery fluid that provides the fetus with a weightless envi…
An extremely rare, life-threatening condition that occurs whe…
abortion
Expulsion of the fetus, from any cause, before the 20th week…
abruptio placenta
A premature separation of the placenta from the wall of the u…
160 terms
Obstetrics
prenatal period
prenatal care
ovulation
24-48
the time from conception until delivery of the fetus
Medical care during pregnancy
release of an egg
if the woman has had intercourse within ___________ hours bef…
prenatal period
the time from conception until delivery of the fetus
prenatal care
Medical care during pregnancy
95 terms
Obstetrics
Preterm labor
Preterm labor likelihood based on cerv…
Accuracy of FFN
Tests for ROM
Regular contractions before 37 weeks and associated cervical…
> 3cm, unlikely... 2-3 likely w contractions... < 2 w contractions,…
Positive predictive val < 20%... NPV 69-92%
Ferning on slide... Nitrazine: pH > 6.5 c/w rom... Amnisure
Preterm labor
Regular contractions before 37 weeks and associated cervical…
Preterm labor likelihood based on cerv…
> 3cm, unlikely... 2-3 likely w contractions... < 2 w contractions,…
21 terms
Obstetrics
obstetric
placenta
cephalic
oxytocin
to stand opposite (midwife or obstetrician)
organ that provides nutrients to fetus
head first birth presentation
hormone that stimulates uterine contractions
obstetric
to stand opposite (midwife or obstetrician)
placenta
organ that provides nutrients to fetus
37 terms
Obstetrics
prenatal period
EDC
FDIU
Full Term
The time from conception until delivery of the fetus.
Expected Date of Confinement (due date)
Fetal Death in Utero
38-40 weeks
prenatal period
The time from conception until delivery of the fetus.
EDC
Expected Date of Confinement (due date)
54 terms
Obstetrics
placenta previa
placenta abruption
Apgar
The Prenatal Period
Placenta presenting before the fetus and covers the opening i…
a complication of pregnancy, wherein the placental lining has…
scale is determined by evaluating the newborn baby on five si…
Conception until delivery of fetus.... Fetal development takes p…
placenta previa
Placenta presenting before the fetus and covers the opening i…
placenta abruption
a complication of pregnancy, wherein the placental lining has…
195 terms
Obstetrics
what causes morning sickness?
morning sickness can occur until week…
Embryo
Fetus
increase in beta-HCG produced by placenta
12-14
Fertilization to 8 weeks
8 weeks to birth
what causes morning sickness?
increase in beta-HCG produced by placenta
morning sickness can occur until week…
12-14
119 terms
Obstetrics
The 4 signs of placental separation
Abnormally retained placenta
Risk factors for uterine inversion
Most likely complication of uterine in…
1. Gush of blood... 2. Lengthening of the cord... 3. Globular and f…
3rd stage of labor that has exceeded 30 minutes; manual extra…
1. Grand-multiparous pt w/ placenta implanted in the fundus... 2…
Hemorrhage
The 4 signs of placental separation
1. Gush of blood... 2. Lengthening of the cord... 3. Globular and f…
Abnormally retained placenta
3rd stage of labor that has exceeded 30 minutes; manual extra…
143 terms
Obstetrics
Preconception counseling
preconception counseling: comorbidities
preconception counseling: vaccinations
preconception counseling: med exposure
-nutrition: iron and folic acid!... -need iron and folic acid…
CONTROL CONTROL... -optimize maternal health, eval comorbidities…
-if live vaccine--> wait to conceive... -every preg woman NEEDS…
-ACEi--> affects kidneys, Potter's sequence (kidneys don't…
Preconception counseling
-nutrition: iron and folic acid!... -need iron and folic acid…
preconception counseling: comorbidities
CONTROL CONTROL... -optimize maternal health, eval comorbidities…
17 terms
Obstetrics
4 weeks
5 weeks
6-7 weeks
8-9 wks
neural tube development
gestational sac detected US... -4 chambered heart
nostrils, lens/eyes, pancreas form
b/w 9&11 fetal insulin apparent... -2.3 cm in length; 2g wt
4 weeks
neural tube development
5 weeks
gestational sac detected US... -4 chambered heart
89 terms
Obstetrics
8 weeks
The lungs
Yes, absolutely
Mg toxicity... Ca gluconate and stop the Mg
What is the threshold for how long postpartum VB can occur be…
What is the most frequent site of metastasis of choriocarcino…
Should a TDaP vaccine be given during pregnancy?
A laboring pt gets MgSO4 as a tocolytic. She begins to develo…
8 weeks
What is the threshold for how long postpartum VB can occur be…
The lungs
What is the most frequent site of metastasis of choriocarcino…
128 terms
Obstetrics
gamete
Ovulation
Conception or fertilization
Zygote
Mature germ cell
expulsion of a mature ovum
Beginning of pregnancy
Cell formed from the union of the sperm and the ovum
gamete
Mature germ cell
Ovulation
expulsion of a mature ovum
19 terms
Obstetrics
Pregnancy dating
Dating pregnancy at 12/40 scan
Average gestation for 1st baby
Average gestation for 2nd baby
From day one of last period. Then revised at 12/40 scan.
Measure femur, head circumference and abdominal circumference
40/40 + 6
40/40 + 4
Pregnancy dating
From day one of last period. Then revised at 12/40 scan.
Dating pregnancy at 12/40 scan
Measure femur, head circumference and abdominal circumference
64 terms
Obstetrics
Chadwick's Sign
Hegar's Sign
Naegele's Rule
Schedule of antenatal visits
blue cervix due to incerased venous blood flow in early pregn…
softening of the cervix in early pregnancy
determines gestational age. LMP + 1 yr -3 months + 7 days... 280…
1st visit 8-12 week... Monthly until 28 weeks... Bi-monthly until 3…
Chadwick's Sign
blue cervix due to incerased venous blood flow in early pregn…
Hegar's Sign
softening of the cervix in early pregnancy
242 terms
obstetrics
softening and compressibility of the l…
do pregnant women take iron?... I mean th…
Macrosomia is defined as?
how does pregnancy change the frequenc…
hegar sign
yes, prevent anemia anyways
weighs more than 4 kg (roughly 9 lb).
it doesn't, if she is due for one she gets one
softening and compressibility of the l…
hegar sign
do pregnant women take iron?... I mean th…
yes, prevent anemia anyways
100 terms
Obstetrics
Gravidity
parity
Developmental age
Gestational Age (GA)
number of times a woman has been pregnant
number of pregnancies that led to birth beyond 20 weeks gesta…
number of weeks and days since fertilization
# of wks and days measured from the first day of the LMP
Gravidity
number of times a woman has been pregnant
parity
number of pregnancies that led to birth beyond 20 weeks gesta…
167 terms
Obstetrics
Where does Fertilization normally occu…
What occurs within 7 days after fertil…
T or F (1277)... Implantation is complete…
What do trophoblast cells develop? (14…
in the fallopian tube
Implantation
TRUE
Placenta
Where does Fertilization normally occu…
in the fallopian tube
What occurs within 7 days after fertil…
Implantation
97 terms
Obstetrics
Gravidity
What other methods are use to determin…
What is Nagele Rule
When do you measure the fetal crown-ru…
number of times a woman has been pregnant
1. Fundal height: @umbilicus at 20weeks +2-3cm... 2. Fetal Heart…
LMP-3mo +7days= estimated day of delivery
6-12 weeks
Gravidity
number of times a woman has been pregnant
What other methods are use to determin…
1. Fundal height: @umbilicus at 20weeks +2-3cm... 2. Fetal Heart…
11 terms
OBSTETRICS
Pregnancy 1st term tests
Studies during 2nd trimester (14-26)
Studies during 3rd trimester
Meds for nausea in preggos
CBC--> iron/folate, BMP, T/S, direct and indirect coombs (Rho…
MS-AFP (HIGH =NTD, ventral wall defect, twins, placental blee…
1) 1 hr 50 g OGTT in weeks 24-28 --> if + (>140), do 3 hr 100…
Reglan, Zofran, pyridoxine (B6), promethazine, doxylamine
Pregnancy 1st term tests
CBC--> iron/folate, BMP, T/S, direct and indirect coombs (Rho…
Studies during 2nd trimester (14-26)
MS-AFP (HIGH =NTD, ventral wall defect, twins, placental blee…
59 terms
Obstetrics
Preconception counseling
preconception counseling: controlling…
preconception counseling: vaccinations
preconception counseling: med exposure
-nutrition: iron and folic acid!... -need iron and folic acid…
CONTROL CONTROL!!... -DM: higher A1C= higher risk of defects,…
-if live vaccine--> wait to conceive... -every preg woman NEEDS…
-ACEi--> affects kidneys, Potter's sequence (kidneys don't…
Preconception counseling
-nutrition: iron and folic acid!... -need iron and folic acid…
preconception counseling: controlling…
CONTROL CONTROL!!... -DM: higher A1C= higher risk of defects,…
35 terms
Obstetrics
placenta:
umbilical cord:
umbilical cord:
blood volume increases by:
known as the "organ of pregnancy"
flexible rope like structure approximately 2 ft in legnth
contains 2 arteries, 1 vein... the umbilical vein transports oxy…
45%
placenta:
known as the "organ of pregnancy"
umbilical cord:
flexible rope like structure approximately 2 ft in legnth
21 terms
OBSTETRICS
GRAVITY
PARITY
VIABILITY
MULTI-GRAVIDA
Total number of pregnancies
The number of pregancies carried to the point of viability re…
Whether born dead or alive the baby reached age
Woman who has been pregnant more than once.
GRAVITY
Total number of pregnancies
PARITY
The number of pregancies carried to the point of viability re…
222 terms
Obstetrics
Gravidity
Obstetric Hx
Obstetric exam
Cervical ripening
No. of pregnancies that a woman's had to any stage
EDD... Obstetrical summary parity gravidity... Presenting complaint…
Systematic approach ... Start at hands ... Head down to abdo legs…
Bishop score ... Softer shortens more anterior dilated.
Gravidity
No. of pregnancies that a woman's had to any stage
Obstetric Hx
EDD... Obstetrical summary parity gravidity... Presenting complaint…
59 terms
Obstetrics
How is Down's screening performed?
When is the first USS screening and wh…
When is the second USS scan?
What pre-natal tests are available?
Combined test: generally first line... NT + B-hCG + PAPP-A + age…
11-13+6: mainly for dating & viability... - heartbeat... - location…
20 week anomaly scan... - placenta (?praevia = if <2cm from os,…
Aminocentesis: generally more sensitive & sensitive. >15 wks,…
How is Down's screening performed?
Combined test: generally first line... NT + B-hCG + PAPP-A + age…
When is the first USS screening and wh…
11-13+6: mainly for dating & viability... - heartbeat... - location…
28 terms
obstetrics
what are signs of imminent delivery?
what support should be provided to the…
what important procedure must be perfo…
how should the baby be guided during c…
- contractions 2-3 mins apart... - crowning... - urge to push... - ana…
MOTHER: Coach to breathe deeply, push during contractions and…
ensure cord is not wrapped around the neck... - if it is loose t…
1- downwards to deliver upper shoulder... 2- guide head upwards…
what are signs of imminent delivery?
- contractions 2-3 mins apart... - crowning... - urge to push... - ana…
what support should be provided to the…
MOTHER: Coach to breathe deeply, push during contractions and…
46 terms
Obstetrics
screening at 9-14 weeks
screening `5-22 wks
what is in quad screen?
screening 18-20 weeks
PAPP-A, nuchal translucency, free Bhcg, +/- CVS
MSAFP, or quad screen
AFP, estril, Bhcg, inhibin A +/- amniocentesis
u/s full anatomic screen
screening at 9-14 weeks
PAPP-A, nuchal translucency, free Bhcg, +/- CVS
screening `5-22 wks
MSAFP, or quad screen
11 terms
Obstetrics
Amniocentesis can be performed at...... M…
CVS can be performed at...... Has miscarr…
Increased nuchal translucency (>11mm)…
Absence of the nasal bone can identify…
16-17 weeks gestation... 1%... 3 weeks... Termination is usually restr…
11-13 weeks gestation... 1%... 2 weeks... 1-2% of positive results are…
77%, with false-positive rate of 4.2%
69%... False-positive rae of 1.4%
Amniocentesis can be performed at...... M…
16-17 weeks gestation... 1%... 3 weeks... Termination is usually restr…
CVS can be performed at...... Has miscarr…
11-13 weeks gestation... 1%... 2 weeks... 1-2% of positive results are…
222 terms
Obstetrics
Gravidity
Obstetric Hx
Obstetric exam
Cervical ripening
No. of pregnancies that a woman's had to any stage
EDD... Obstetrical summary parity gravidity... Presenting complaint…
Systematic approach ... Start at hands ... Head down to abdo legs…
Bishop score ... Softer shortens more anterior dilated.
Gravidity
No. of pregnancies that a woman's had to any stage
Obstetric Hx
EDD... Obstetrical summary parity gravidity... Presenting complaint…
412 terms
Obstetrics
at each natal visit check
primary form of estrogen in pregnant w…
visits q1 mo until
biweekely until
fetal HR, BP, ht, urine dipstick, funal height (from top of p…
estriol (E3)
32 wks
32-36 wks
at each natal visit check
fetal HR, BP, ht, urine dipstick, funal height (from top of p…
primary form of estrogen in pregnant w…
estriol (E3)
22 terms
obstetrics
most common cause of postpartum fever
risk factors for endometritis
what organisms cause endometritis?
post-partum blues
endometritis
c-section, vaginal delivery (low SES, pROM, multiple exams, i…
mixed aerobes and anaerobes (staphylococcus aureus and strept…
depression less than 2 weeks
most common cause of postpartum fever
endometritis
risk factors for endometritis
c-section, vaginal delivery (low SES, pROM, multiple exams, i…
195 terms
Obstetrics
The nurse is performing an assessment…
The nursing instructor asks a nursing…
The nurse should include which stateme…
Which explanation should the nurse pro…
3... Rationale: The fetal heart rate {Fl IR) depends on gestati…
1,2,3,4... Rationale: The amniotic fluid surrounds, cushions, a…
2... Rationale: A gynecoid pelvis is a normal female pelvis and…
3... Rationale: The placenta provides an exchange of oxygen, nu…
The nurse is performing an assessment…
3... Rationale: The fetal heart rate {Fl IR) depends on gestati…
The nursing instructor asks a nursing…
1,2,3,4... Rationale: The amniotic fluid surrounds, cushions, a…
48 terms
Obstetrics
Abortion
afterbirth
amniotic fluid
crowing
Termination of pregnancy before the 20th week of gestation. T…
The placenta and accompany membranes that are expelled from t…
clear, watery fluid that surrounds and protects the developin…
the bulging of the fetal head past the opening of the vagina…
Abortion
Termination of pregnancy before the 20th week of gestation. T…
afterbirth
The placenta and accompany membranes that are expelled from t…
151 terms
Obstetrics
Physiologic process of developing fetu…
Time elapsed since the first day of th…
How many weeks before ovulation is the…
age of conception calculated from the…
Pregnancy
Gestational Age
2 weeks
Developmental or fetal age
Physiologic process of developing fetu…
Pregnancy
Time elapsed since the first day of th…
Gestational Age
162 terms
Obstetrics
How much blood is "squeezed" out of th…
How does pregnancy effect the use of v…
What is the primary treatment for aort…
How much will the WBC count increase d…
300-500 ml
vasopressinase (metabolizes vasopressin) is increased dramati…
left uterine displacement (at least 15˚ elevation of right hi…
WBC will usually be around 30,000
How much blood is "squeezed" out of th…
300-500 ml
How does pregnancy effect the use of v…
vasopressinase (metabolizes vasopressin) is increased dramati…
97 terms
Obstetrics
Abruptio Placentae
Placenta Previa
Abruptio Placentae vs Placenta Previa
Severe Preeclampsia
Late 3rd trimester c/o sudden onset of vaginal bleeding with…
A multipara who is late 2nd to 3rd trimester c/o new onset pa…
Abruptio is later, painful, and presents with hard, tender ut…
A primigravida who is late 3rd trimester c/o sudden onset hea…
Abruptio Placentae
Late 3rd trimester c/o sudden onset of vaginal bleeding with…
Placenta Previa
A multipara who is late 2nd to 3rd trimester c/o new onset pa…
86 terms
Obstetrics
The process by which an oocyte dies
The narrowest portion of the uterus
The top of the uterus
Junction of the cervix and the vagina
atresia
cervix
funds
external os
The process by which an oocyte dies
atresia
The narrowest portion of the uterus
cervix
60 terms
Obstetrics
Q37 - The APGAR scoring system is usef…
Q37 - Assessment of a newbon indicates…
Q37 - Assessment of a newborn indicate…
Q37 - You have been dispatched to a re…
status of overall condition.
2
1
Roll her onto her side.
Q37 - The APGAR scoring system is usef…
status of overall condition.
Q37 - Assessment of a newbon indicates…
2
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