CHILD BEARING WOMEN - MATERNAL Flashcards

1
Q

What hormones does influence the changes in the body of women?

A

estrogen and progesterone

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2
Q

pinkish-red streaks with slight depressions in the skin—begin
to appear over the abdomen, breasts, thighs, and buttocks.
These marks usually fade to a white or silvery color, but they
typically never completely resolve after the pregnancy.

A

Stretch marks or striae gravidarum

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3
Q

a darkening of the skin on the face, known as the facial “mask of pregnancy”

A

chloasma

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4
Q

a vascular changes that is tiny red angiomas occurring on the face, neck, chest, arms, and legs of o woman during pregnancy. It occurs due to elevated estrogen levels

A

Spider nevi

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5
Q

a (a pinkish color on the palms of the hands)

A

Palmar erythema

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6
Q

is a skin disorder seen during the third trimester of pregnancy, characterized by erythematous papules, plaques, and urticarial lesions.

A

Pruritic urticarial papules and plaques of pregnancy (PUPPP)

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7
Q

is an unpredictable response
during pregnancy. t consists of
erythema, pustules, comedones, and/or cysts that appear on
the face, back, neck, or chest.

A

Acne Vulgaris

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8
Q

it is primarily responsible for the changes that occur to the pituitary, thyroid, parathyroid, and adrenal glands

A

estrogen

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9
Q

when do you usually experience hirsutism when you are pregnant?

A

experienced during the second and third trimesters of pregnancy

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10
Q

medical term for nosebleeds, common condition in which there is bleeding from one or both sides of the nasal septum due to tearing of the small blood vessels

A

Epistaxis

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11
Q

Breast changes noted by women during pregnancy

A
  • Tingling sensations and tenderness
  • Enlargement of breast and nipple
  • Hyperpigmentation of areola and nipple
  • Enlargement of Montgomery tubercles
  • Prominence of superficial veins
  • Development of striae
  • Expression of colostrum in the second and third trimester
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12
Q

False anemia, psychologic anemia. This anemia results primarily from the disproportionate increase in blood volume compared to the increased red blood cell (RBC) production

A

Pseudoanemia

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13
Q

a swollen or inflamed vein due to a blood clot.

A

Thrombophlebitis

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14
Q

what do you call the abdominal muscles that stretch as the uterus enlarge during pregnancy?

A

rectus abdominis muscles

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15
Q

what is the condition where the the rectus abdominis muscles, may stretch to the point that permanent separation occurs

A

diastasis recti abdominis

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16
Q

decreased flow and stagnation of the urine

A

hydronephrosis

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17
Q

medical term for heartburn, is a burning sensation in the central chest or upper central abdomen.

A

pyrosis

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18
Q

a gastrointestinal symptom, excessive salivation may occur in the first trimester

A

Ptyalism

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19
Q

A gastrointestinal symptom, where craving for or ingestion of non nutritional substances such as dirt or clay, is seen in all socioeconomic classes
and cultures.

A

Pica

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20
Q

is a medical term for high blood glucose (blood sugar)

A

hyperglycemia

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21
Q

means the amount of insulin in the blood is higher than what’s considered healthy.

A

hyperinsulinemia

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22
Q

An increase in the number of cells in an organ or tissue

A

Hyperplasia

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23
Q

top of uterus

A

fundus

24
Q

this occurrence refers to the dropping of fundal height measurement in the last few weeks of the pregnancy and the fetal head is engaged and descended in the maternal pelvis.

A

lightening

25
Q

painless, irregular contractions of the uterus

A

Braxton Hicks

26
Q

Cervical softening

A

Goodell’s sign

27
Q

bluish discoloration of the cervix

A

chadwick’ sign

28
Q

an increase bin the size of the cells

A

hypertrophy

29
Q

having fewer than three bowel movements a week and is a common problem during pregnancy

A

constipation

30
Q

constipation can lead into this and it refers to varicose veins in the rectum. may develop because of the pressure on the venous structures from straining to have a bowel movement

A

Hemorrhoids

31
Q

a term to describe when the spine is curving forward during pregnancy

A

gradual lordosis

32
Q

what common medicine is used to treat constipation

A

laxatives

33
Q

reproductive hormone produced by your ovaries and the placenta. It loosens and relaxes your pelvic joins and ligaments to become more flexible during pregnancy

A

Relaxin

34
Q

term refers to the pregnant woman’s gait

A

waddling

35
Q

Common neurologic complaints during pregnancy

A
  • Pain or tingling feeling in the thigh
  • Carpal tunnel syndrome
  • Leg cramps
  • Dizziness and lightheadedness
36
Q

dizziness in supine position caused by heavy uterus compressing the vena cava and aorta. This compression reduces cardiac return, cardiac output, and blood pressure

A

supine hypotensive syndrome

37
Q

this is common to during pregnancy due to estrogen induced edema and vascular congestion of nasal mucosa and sinuses.

A

Nasal “stuffiness” and nose bleeds (epistaxis)

38
Q

refers to intractable vomiting during pregnancy, leading to weight loss and volume depletion, resulting in ketonuria and/or ketonemia.

A

hyperemesis gravidarum

39
Q

the first form of breastmilk that is released by the mammary glands after giving birth.

A

colostrum

40
Q

what is GPTPAL?

A
  • Gravida = # of cpregnancies
  • para = # of pregnancies delivered at 20 weeks
  • term gestation - delivery of 38 to 42 weeks
  • pre term gestation = delivery of pregnancy after 20 weeks and before the start of 38 weeks gestation
  • abortion = termination
  • living = number of children
41
Q

a form of abnormal pregnancy, in which the formed placental-like tissue sometimes invades the wall of the uterus (womb).

A

molar pregnancy

42
Q

occurs when a fertilized egg grows outside of the uterus.

A

ectopic pregnancy

43
Q

normal bp for pregnant women

A

140/90
90/60

44
Q

normal pulse rate

A

60-90

45
Q

when does uterus is palpable?

A

10-12 weeks gestation

46
Q

Fetal movement should be felt by the mother by approximately

A

18-20 weeks

47
Q

A small amount of whitish vaginal discharge

A

leukorrhea

48
Q

excess of amniotic fluid

A

polyhydramnios

49
Q

assist in determining the fetal lie
(where the fetus is lying in relation to the mother’s back) presentation (the presenting
part of the fetus into the maternal pelvis),
size, and position (the fetal presentation in
relation to the maternal pelvis)

A

Leopold’s maneuver

50
Q

what is the range of fetal heart rate?

A

120-60 beats per minute

51
Q

inability to auscultate fetal heart tones with a fetal Doppler at 12 weeks may indicate

A

a retroverted uterus, uncertain dates, fetal demise, or false pregnancy

52
Q

Fetal heart rate
decelerations could indicate

A

poor placental perfusion

53
Q

may present with thick,
purulent vaginal discharge. A thick, white, cheesy discharge presents with a yeast
infection

A

Gonorrhea infection

54
Q

In ___________, the cervical opening has a slit-like appearance known as “fish mouth.” A small amount of whitish vaginal discharge
(leukorrhea) is normal

A

multiparous women

55
Q

(softening of the lower uterine segment)

A

positive Hegar’s sign

56
Q

Grayish-white vaginal discharge,
positive “whiff test” (fishy odor), and clue cells positive on microscopic wet prep
(epithelial cells that have been invaded by disease-causing bacteria) are evidence of

A

bacterial vaginosis

57
Q

This type of pelvis may increase the risk of cesarean delivery.

A

Anthropoid or platypelloid pelvis with an immobile coccyx may interfere with vaginal
birth