Chapter 31: Obstetrics and Neonatal Care Flashcards Preview

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Flashcards in Chapter 31: Obstetrics and Neonatal Care Deck (57):
1

____ or womb is responsible for contractions during labor and pushes the infant through the birth canal

uterus

2

_____ is made of the vagina and cervix

birth canal

3

the ____ completes the passageway from the uterus to the outside world for the infant

birth canal

4

the _____ is disk shaped and attached to inner lining of uterus. it is connected to the fetus by the umbilical cord

placenta

5

the _____ is the lifeline of the fetus

umbilical cord

6

the umbilical cord connects the ____ and the ____ through the _____

connects the woman and the fetus through the placenta

7

the ______ carries oxygen and blood from the woman to the heart of the fetus

umbilical vein

8

the _____ carry deoxygenated blood from the heart of the fetus to the woman

umbilical arteries

9

the fetus developed in a fluid-filled membrane called the

amniotic sac

10

there is about ____-____ ml of amniotic fluid in the amniotic sac that protects the floating fetus

500-1,000

11

normal changes during pregnancy involve these three systems

CV, respiratory, and musculoskeletal

12

in pregnancy ___ shift from their normal positions

organs

13

in the ____ trimester there is rapid uterine growth

2nd

14

there is ___ resp rate and ___ TV/minute volume

INC resp rate, DEC TV/minute volume

15

blood volume rate increases by __% and heart rate increases by ___% by the end of the third trimester

BV INC by 50% and HR INC by 20%

16

in the ____ trimester there is an increased risk of vomiting and potential aspiration following trauma due to changes in the GI tract

3rd

17

braxton hicks contractions are

false labor

18

what are the three stages of labor

dilation of cervix
delivery of infant
delivery of placenta

19

the first stage of labor begins with

onset of contractions as fetus enters the birth canal

20

the first stage of labor ends when

the cervix is fully dilated

21

the ____ is usually the longest (avg of 16 hours for first delivery)

first stage

22

at the end of the third trimester is ____ when the head of the fetus descends into the womans pelvis

lightening

23

the 2nd stage of labor begins when the

fetus begins to encounter the birth canal

24

the 2nd stage of labor ends when the

fetus is born

25

in the 2nd stage of labor contractions are

closer together and longer

26

in the 2nd stage of labor the ____ bulges significantly and the top of the infant's head begins to appear at the vaginal opening (crowning)

perineum

27

the 3rd stage of labor begins with the

birth of the infant

28

the 3rd stage of labor ends with the

delivery of the placenta

29

the placenta must completely separate from the

uterine wall

30

_____ is pregnancy induced hypertension

preeclampsia

31

preeclampsia occurs around the ___ week of gestation

30th week

32

_____ involves seizures that result from hypertension

eclampsia

33

pregnant patients with eclampsia are placed on their left side to prevent

supine hypotensive syndrome

34

supine hypotensive syndrome is caused by

compression of the descending aorta and inferior vena cava by the uterus when the patient lies supine

35

____ may be a sign of an ectopic pregnancy

internal bleeding

36

leading cause of maternal death in the 1st trimester is

internal hemorrhage in the abdomen following the rupture of an ectopic pregnancy

37

____ is when the placenta separated prematurely from the wall of the uterus

abruptio placenta

38

placenta previa is when the placenta

develops over and covers the cervix

39

gestational diabetes will clear up after

delivery

40

treatment of gestational diabetes is

the same as for any other patient with diabetes

41

Prompt hospital treatment should be provided for a pregnant woman with vaginal bleeding. Which of the following should not be done in this emergency?
a.Place a sanitary pad or trauma dressing in the vagina.
b.Place her on her left side during transport.
c.Give her high-flow oxygen.
d.Save any tissue that may be passed from the vagina.

a.Place a sanitary pad or trauma dressing in the vagina.

42

An unruptured amniotic sac may contain a foul-smelling, greenish color fluid. This information must be:

relayed in your report to medical control

43

As soon as the head is delivered, use the index finger of your other hand to feel whether the umbilical cord is wrapped around the neck. This condition is commonly called:

a nuchal cord

44

Post delivery care includes drying the baby off, wrapping it immediately in a blanket or towel, and placing it on one side with:

the head slightly lower than the rest of the body

45

Once the infant is born, the umbilical cord is of no further use to the mother or infant. Post delivery care of the umbilical cord is important because:

infection is easily transmitted through the cord to the baby

46

To slow bleeding, you can massage the mother's abdomen in a firm, circular motion after the baby is delivered, stimulating the uterus to contract. You can also:

place the infant on the mothers breast to nurse

47

Excessive bleeding occurs when the bleeding exceeds:

500 ml

48

full-term fetus grows and develops inside the uterus for approximately _________ weeks.

40 weeks

49

Which of the following does not occur during the second stage of labor?
- The fetus enters the birth canal.
- Lightening occurs.
- The mother may feel pressure on her rectum.
- The perineum will begin to bulge.

- Lightening occurs.

50

Which of the following is not measured using the Apgar score?
- grimace or irritability
- pulse
- weight
- activity or muscle tone

weight

51

In what situation is it acceptable to place your sterile gloved fingers into the vagina?
- breech delivery
- limb presentation
- prolapsed cord
- both a and c

both a and c (prolapsed cord and breech delivery)

52

most serious complications of spontaneous abortion are ___ and ____

bleeding and infection

53

if a prolapsed cord is present, transport the mother in ___ position

trendelenburg/knee-chest position

54

INC ______ affect the musculoskeletal system by making joints loose

hormone levels

55

once labor has begun it cant be slowed but in the ____ there is time to transport

1st stage of labor

56

suction the ___ first when delivering an infant

mouth

57

apgar score is calculated at ____ and __ minutes after birth

1 and 5