1 Flashcards

(33 cards)

1
Q

Round ligament pain

A

The round ligament connects uterus to groin. As the baby grows, it stretches and can strain, causing normal pain

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2
Q

What can you teach to help with round ligament pain?

A

Flex your hips, exercise, avoid sudden movements, stretch hips, take medicine, apply warmth

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3
Q

4 phases of menstrual cycle

A

Menstrual, follicular, ovulation, luteal

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4
Q

What is the hormone of pregnancy?

A

Human chorionic gonadotropin (hCG)

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5
Q

Functions of amniotic fluid

A
  • Maintains constant body temp
  • Cushions fetus
  • Symmetric growth
  • Movement for muscle development
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6
Q

When does ovulation occur?

A

Day 14

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7
Q

Causes of amenorrhea

A
  • Pregnancy
  • Medications
  • Emotional stress
  • Strenuous exercise
  • Eating Disorder
  • Drug abuse
  • Endocrine disorder
  • Problem in central hypothalamic-pituitary axis
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8
Q

What is the difference between primary and secondary amenorrhea?

A

Primary is associated with ovulation and does not have underlying pathology. Secondary develops later in life and is associated with a pelvic patho

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9
Q

S/S of menopause

A

Hot flashes, night sweats, painful intercourse bc dry vag, anxiety/irritability

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10
Q

Risk factors for osteoporosis

A
  • Increase in age
  • Postmenopause without hormone replacement
  • Small frame, thin bones
  • Caucasian or asian
  • Rheumatoid arthritis
  • Family hx
  • Sedentary life
  • Smoking/alcohol
  • Less calcium and vit D
  • Caffeine
  • Eating disorder
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11
Q

Mammary duct ectasia

A

-Inflammation of ducts behind nipple. Discharge is thick, sticky, white, brown, green , or purple. Burning pain and itching or a palpable mass behind nipple

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12
Q

Intraductal papilloma

A

-Rare and benign condition developing within the terminal nipple ducts, unknown cause, lesion too small to be palpated

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13
Q

Causes for male and female infertility

A

Male: hormone disorder, testicle factors, sperm transport

Female: ovarian, tubal/peritoneal, uterine, vaginal/cervical

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14
Q

Treatments for infertility

A

Nonmed: life change, nutrition, alcohol and drug cessation, weight
Meds: Clomid, FSH, hCG, GnRH, progesterone
Surgical: removal of ovary tumor, hysterosalpingopraphy, fallopian tube repair

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15
Q

Fertility awareness methods

A

Natural family planning, calendar rhythm method, standard days method, basal drop of body temp, cervical mucus ovulation detection method (mucus thin/stretchy)

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16
Q

Cervical cap

A
  • Must be fitted

- Angle of uterus, vag muscle tone, and shape of cervix is important for proper fit

17
Q

Transdermal contraceptive

A

Applied to lower abdomen, upper outer arm, buttocks, upper torso, not breasts, must be 198 pounds or less

18
Q

Contraceptive ring

A

A ring inserted into vagina to release hormones for three weeks, then taken out for a week

19
Q

Intrauterine device

A

“T-shaped” devices made of flexible plastic. A health care provider inserts an IUD into a woman’s uterus to prevent pregnancy.

20
Q

Reactive Nonstress Test

A

Indicates that blood flow and oxygen to the fetus is adequate

21
Q

Should fundal height equal weeks gestation?

A

Yes, in centimeters

22
Q

Why are pregnant pts at risk for DVTs?

A
  • Inactivity or injury to veins after delivery
  • Changes in hormones and blood
  • Decreased blood flow, fetus pushes on veins
23
Q

BPP

A

Reliable predictor of fetal well-being, maybe considered a physical exam of fetus, including determination of vitals, used frequently in late 2nd and 3rd trimesters

24
Q

Components of a BPP

A

Fetal breathing movements, fetal tone, fetal HR pattern by means of a nonstress test, amniotic fluid index

25
When is an amniocentesis performed and why?
After 14 weeks of pregnancy, to obtain amniotic fluid with contains fetal cells to assess pulmonary maturity or diagnose a fetal hemolytic dz
26
When is a CVS performed and why?
Between 10 and 13 weeks, removes tissues form fetal portion of placenta to reflect genetic makeup of fetus
27
When is a PUBS performed and why?
2nd and 3rd trimester, used for fetal blood sampling and transfusion to diagnose inherited blood disorder, infection, assess and treat isoimmunization and thrombocytopenia in fetus, karyotyping of malformed fetus
28
What pts need a nonstress test?
Diabetes, HTN, IUGR, multiple gestation, oligohydramnios, renal dz, decreased fetal movement, previous fetal death, postterm pregnancy, lupus
29
In what pts is a contraction stress test contraindicated?
Preterm labor, placenta previa, reduced cervical competence, multiple gestation, previous classical C-Section
30
Mammary duct ectasia usually occurs in who?
Perimenopausal women
31
Intraductal papilloma usually occurs in who?
Women ages 30-50
32
Characteristic sign of inarticulate papilloma
Spontaneous, unilateral nipple discharge that is serous, serosanguinous, or bloody.
33
Diaphragm
- Must be fitted for effectiveness and reevaluated annually | - Refitted after weight loss/gain, term birth, 2nd trimester AB, abdominal or pelvic surgery