Exam 1 Flashcards
(254 cards)
1
Q
1st prenatal visit - lab tests
A
urine dipstick baseline
urine culture
bloodwork
CBC
rubella
RPR
hepatitis B
sickle cell
HIV
CF
Jewish Panel
early sequential screening
2
Q
AI
A
artificial insemination
3
Q
personal fable in middle asolescence
A
one is invincible and bad things won’t happen
one’s experiences/feelings are unique
4
Q
teaching points for perimenopausal women
A
vasomotor instability
risk of heart dx
risk of gyn cancer
vaginal atrophy
osteoporosis
5
Q
impact of teratogen depends on
A
timing
length
teratogen itself
6
Q
areas of focus in older women physical assessment
A
functional assessment
ADLs
exercise
medications
nutrition
acute/chronic pain
sexuality
incontinence
smoking/alcohol
7
Q
after 4th stage of labor
A
vitals
assess uterus
assess bleeding (~350ccs)
8
Q
moderately premature
A
between 32 and 34 weeks gestation
9
Q
global post-abortion care
A
complication of bad abortion is 3rd leading cause of maternal death worldwide
10
Q
infant mortality
A
before 1st birthday
11
Q
sexuality and aging: issues
A
outliving partners
menopause
depression
loss of community
comorbidities
access to queer community
consent
discussing sexuality
STIs
12
Q
family in early adolescence
A
privacy
independence
13
Q
GBS
A
group beta strep
GI bacteria: can make baby really sick (respiratory distress)
14
Q
gestational carrying
A
donor egg and sperm in seprate mom
15
Q
fetal development weeks 28-40
A
subcutaneous fat
skin
sleep-wake cycle
eyes
lungs - surfactant
16
Q
PMS
A
start in 2nd half of menstrual cycle and resolve with menses
breast tenderness
fullness
bloating
fatigue
headache
appetite increases
irritability
mood swings
depression
tearfulness
violence
17
Q
postpartum period
A
first 6 weeks after birth
18
Q
labor support behavior of nurses
A
older/more experienced nurses more likely to have developed labor support skills
19
Q
rapid plasma reagin
A
screening test for syphilis looks for antibodies
20
Q
herpes Tx
A
intiail outbreak: acyclovir
chronic outbreak: acyclovir or valcyclovir
chronic suppressive therapy: vacyclovir or acyclovir
21
Q
peers in middle adolescence
A
intense peer group involvement
preoccupation w/ peer culture
peers provide behavioral examples
22
Q
stress on teenage brain
A
regression
23
Q
gonorrhea patient education
A
side effects:
- vaginal discharge
- dysuria
- pharyngitis with discharge
- rectal discharge
re-test if using 2nd line tx
bring partners in (past 6 mo)
24
Q
contraception efficacy
A
real vs. ideal
ex: abstinence is 80% effective
25
physiology of menopause
atresia of ovarian follicles
FSH increases (ovaries unresponsive)
androstenedione --\> estrone
progesterone decreases
testosterone decreases
26
assisting older adults in own home
transportation
1st floor living
nutrition
home health aides (not always covered)
assitive devices
27
syphilis tx
primary: benzathine penicillin G 2.4 million units IM
doxy 100 mg bid x 14 w/ allergy
28
ovulation
progesterone production
29
Ps of labor
woman/fetus:
* power
* passageway
* passenger
* position
* psyche
providers/support persons:
* patience
* persistence
* practice/pain relief
* psyche
30
vasectomy
most effective: can prove it worked via sperm count
31
natural family planning
check cervical mucus: tacky --\> stretchy --\> tacky
temperature
no hormones
can help to get pregnant
retrospective diagnosi
cervical opening
32
warning signs during pregnancy
cramping, contractions
constant low back pain
leaking
bleeding
change in discharge
decreased fetal mvnmts
unrelieved headache
blurred vision, spots
severe swelling of face, hands
RUQ pain
33
umbilical cord
one vein with oxygenated blood and nutrients
two arteries with deoxygenated blood
34
PCOS management
lifestyle modification
OCPs
insulin sensitizers
35
genetic diagnosis
karyotype
36
nutrition during pregnancy
no cold cuts or diet soda
important for patients who either don't gain weight or are already overweight/obese when they become pregnant
37
metronidazole side effects
NO ALCOHOL
metallic taste
nausea
vomiting
dark urine
38
maternal tasks of pregnancy (Rubin)
ensuring safe passage
seeking acceptance of child by others
binding-in the child
learning to give of oneself
39
follow-up prenatal visits
BP: hypotensive at beginning and slightly hypertensive at end
urine dip: protein for preeclampsia
weight
fundal height
fetal heart tones
edema
40
paternal/partner adaptation to pregnancy
announcement phase
moratorium phase
focusing phase
41
exercise during pregnancy
nothing new
42
PCOS and obesity
insulin resistance
adrenal hyperandrogenism
abnormal androgen to estrogen ratio
risk for metabolic syndrome
43
genetic counseling
discussion about family and personal Hx/risk
44
fetal circulation
three shunts:
* ductus venosus
* ductus arteriosus
* foramen ovale
bypass lungs and liver
45
PMDD
premenstrual dysphoric disorder
more severe: can impair fxn
46
abnormal uterine bleeding
outside of normal volume, duration, regularity, frequency
47
family in middle adolescence
control/independence
struggle for acceptance of greater autonomy
48
thirst mechanism in older women
decreased
also:
decreased mobility
urinary incontinence
nocturia
49
placental development
by 10 weeks
formed by joining of decidua basalis (maternal) and chorionic villi (fetal)
50
frequent barrier to providing labor support
unnecessary medical interventions
51
gonorrhea overview
neisseria gonorrhoeae
often asymptomatic (sometimes mimics UTIs)
dirty urine catch: nucleic acid test for bacterial DNA
52
depo-provera
large dose of progesterone
effective 6-10 mo after last dose
weight gain
decrease sex drive
depression
no period (thin endometrium)
bone loss
53
how does teen brain make decisions?
experiences hypersensitive to social/emotional information
extremely responsive to rewards and emotions
exaggerated response to rewards and novel information: bias decisions to get more rewards
54
artificial initiation of labor
cervical exam
stripping of membranes
prostaglandins
artifical rupture of membranes
sex
nipple stimulation
55
peers in late adolescence
peer group and values recede in importance
intamcy/possible commitment takes precedence
56
psyche
health care provider
support persons
woman giving birth
57
sexuality in adolescence
interest in sexual anatomy
anxiety about genital changes
dating and intimacy?
58
self concept identity formation in late adolescence
more stable body image
attractiveness
emancipation complete?
firmer identity
59
sexuality in late adolescence
consolidation of sexual identity
focus on intimacy and formation of stable relationships
planning for future and commitment
60
treatment for menopausal S/Sx
HRT: progesterone and estrogen (increases breast cancer and heart dx)
ERT: estrogen only. less risk but uterine hyperplasia
61
initiation of labor: maternal factors
progesterone
estrogen
oxytocin
prostaglandin
psyche
62
urinary discomfort tx during pregnancy
water: 8-10 glasses
vitamin C or cranberries
urinate frequently
63
human error in birth control
higher rate of pregnancy
64
secondary amenorrhea overview
absence of menses for 6 mo after establishing regular cycles or missing 3 cycle intervals if Hx of irregularity
begin evaluation after 90 days in adolescents
65
hippocampus
learning and memory WHEN safe
66
no corpus luteum
no progesterone support
67
where OW live
community
less multigen. living
moving towards aiding independent living
68
surrogacy
sperm donor + surrogate's egg (baby goes to sperm donor)
69
dissolving contraceptive
film of spermicide that melts inside vagina (use w. condom)
70
breastfeeding with HIV
in developing countries more likely to die of diarrhea from bad water than to contract HIV through breastfeeding
71
initial prenatal education
visit schedule
nutrition counseling
lifestyle changes
sex
exercise
HIV counseling
childbirth education classes
prenatal vitamin prescription
72
progesterone
smooth muscle relaxation
slow GI: increase nutrient absorption, relax uterus
relax venous valves: varicose veins
73
emergency contraception
within 72 hrs
75% effective
74
maternal death
during pregnancy or within 42 days of termination of pregnancy related to/aggravated by pregnancy/management of pregnancy
75
self-concept identity formation in early adolescence
changing body
appearance/attractiveness
fantasy/present oriented
76
no mid cycle LH surge
no ovulation
77
victims of IPA during pregnancy
reported not being screened for emotional abuse
78
initiation of labor: fetal factors
fetal cortisol
79
gastrointestinal system during pregnancy
pressure of uterus on stomach, relaxation of cardaic sphincter = heartburn
pressure of uterus on intestines and decreased intestinal motility = flatulence
decreased tone and mobility of GI tract muscles = constipation
80
physical changes in brain structures by end of adolescence
corpus callosum thickens: links btwn L and R brain
hippocampus and frontal area develop stronger links: integrate memory, experience, decision-making
prefrontal cortex developed and fxning: executive fxning
81
most effective person talking to teen about STI prevention
adult person in life
82
cognitive/moral processing in early adolescence
concrete operations
unable to see long-term outcomes
conventional morality
83
PMS tx
NSAIDs
diuretics
agnus castus fruit
84
BUBBLE PLEB
* breasts
* uterus
* bladder
* bowels
* lochia
* episiotomy
* pain
* legs
* emotional status
* bonding
85
stages of maternal development (Tanner)
1. pregnancy validation and acceptance
2. fetal embodiment
3. fetal distinction and role transition
86
when/how to screen for IPA
list of screening questions
conscience vs law
referral and responses
take pictures
87
most common causes of death among older women
non-communicable diseases regardless of country's economic development
88
+4 station
labia separation and top of head
89
GNRH
stimulates estrogen and LH, leading to ovulation
90
24-28 wks prenatal visit
glucose tolerance: gest. diabetes
human placental lactinogin peaks at this time
family Hx
91
post-partum contraception
need progesterone-only or local estrogen estrogen
can affect breast millk and aggravates clotting
92
fetal development weeks 11-12
external genitalia
facial development
93
early sequential screening
genetic at 10-13 wks via ultrasound
blood work at same time and repeated later for Downs and neural tube defect
94
supine hypotension
stay off vena cavas and descending aorta
lying on L side relieves hypotension (R side also ok)
95
placental membranes
chorion
amnion
96
plan of care for older adults
quality of life
maintain safety ideally in own home
97
36-40 wks prenatal visit
group beta strep: bacteria in vagina of 10-30% pregnant women
antibiotics during pregnancy if positive
98
microperforate hymen
small opening in hymen
99
average fluid intake for older women
1500 ccs water
100
menopausal Sx in other cultures
fewer/less severe Sx in culture that venerate elders
101
after 3rd stage of labor
massage uterus to make it contract
102
age-associated changes
most pronounced at 85 years and above
103
adolescent risk taking
drive to be independent and take risk (feel rewards) in front of peers and friends
adaptive behavior: transition from childhood to adulthood
104
trich Tx
metronidazole 2 gm x 2 OR 500 gm bid x 7
105
contraindications for HRT
endometrial cancer
estrogen dependent tumor
unexplained vaginal bleeding
recent MI
recent thromboembolic event
stroke
pancreatic dx
active gall bladder dx
106
chlamydia overview
friable cervix: oozes on touch
dirty urine catch: nucleic acid test for bacterial DNA
complications: ascending infection, septic joint, epididymitis, blood infection
abnormal vaginal discharge
burning w. urination
painful intercourse
Tx: azithromycin 1g PO x 1 OR doxy 100mg PO bid x 7
107
minor's access to confidential healthcare in PA
contraception w.o parental consent
pregnancy test and healthcare related to pregnancy w.o parental consent
reportable disease testing
108
N/V tx during pregnancy
IV fluid
if bad check for ketones
small, frequent meals
potato chips and lemonade
109
pregnancy-related cause of maternal death
maternal death during pregnancy or w/in 42 days of termination regardless of cause of death
110
syphilis overview
primary and secondary infections
rash (2nd) can imitate other things
111
fetal development weeks 13-27
kidneys
GI system
hematologic system
hair
senses
fetal movement
brown fat
112
vaginal atrophy
vagina holds up bladder - important for urinary continence
113
HIV/AIDS
PReP: antiretroviral for people at risk but w.o HIV screening
114
peers in early adolescence
same sex peer affiliation
115
gonorrhea tx
2 antibiotics
ceftriaxone 250 mg IM x 1 azithromycin 1 g PO x 1
can't take meds to partner anymore
116
imperforate hymen
completely covers vaginal opening
117
1st prenatal visit - physical exam
full history
last menstrual period
vital signs, height, weight
pelvic exam
pap smear
baseline cervical cultures (STIs)
118
trich diagnosis
wet mount
rapid trich test
119
position
common: semi-sit
best: squat, whatever makes descent happen
worst: flat
120
syphilis diagnosis
serologic blood tests: venereal disease
research lab and rapid plasma reagin AND treponemal tests
121
patch
localized
122
0 station
baby at ischial spines
123
middle adolescence
15-17
124
why not juice for UTI during pregnancy
sugar - insulin resistance (caused by human placental lactogin)
125
bleeding too much postpartum
massage fundus
breastfeed
void bladder
get help
BP will decrease, HR will increase
126
nuvaring
localized
increased clotting risk
127
primary dysmenorrhea Tx
NSAIDs
combined hormonal contracptives
exercises
128
chloasma
mask of pregnancy
129
etiology of STIs in adolescents
access to condoms
physiological development (vagina in transition)
cognitive development
access to info
adolescent health-seeking behaviors
confidentiality
power differential
homelessness
abuse/violence
130
urinary system during pregnancy
bladder compressed by uterus
increased vascularity and edema of bladder (estrogen)
compression of ureters by uterus increased kidney size - urine stasis
UTI risk
increased GFR to clear toxins
131
estrogen
secondary sex characteristics (adolescence and pregnancy - enhanced breast tissue)
increased vascularization
132
diaphragm
spermicide: leave in a few hours after sex
133
adrenarche
pubic hair growth 2-6 mo after thelarche
134
Tanner sequence intervals
first breast bud (Tanner 2) to menarche is ~ 2 yrs
menarche to complete adult height and physical maturation: 2-2.5 yrs
135
hematological changes during pregnancy
fibrin and plasma fibrinogen rise AND decreased fibrinolytic activity
increased risk for phlebitis, clots
estrogenic effect: vascular inflammation
increased blood volume (150%) that peaks at 28 wks (serum increases)
136
pregnancy outcomes: hospital vs. home
hospital better in developing countries
home better in developed countries
137
power: influences
uterine force
nutrition and fluids
rest/fatigue
138
model of hormonal changes
changes in body, system by system
changes support or maintain pregnancy
each change causes a common discomfort of pregnancy
requires Tx and education
139
sequence of pubertal events: female
* breast 2
* pubic hair 2
* PHV
* breast 3
* pubic hair 3
* pubic hair 4
* breast 4
* menarche
* pubic hair 5
* breast 5
140
1st method of birth control
Egyptian
sea sponge in vagina + alligator dung (changed pH)
141
why teens feel out of control
amygdala unfamiliar to growth spurt
testosterone receptors form on amygdala
prefrontal cortex not fully attached
142
PID
abdominal pain (sometimes back) - worse when walking
fever
many S/Sx
Tx: outpatient w/ antibiotics (ceftriaxone 250 mg IM x 1 + doxy +/- metronidazole)
143
effect of decreased progesterone
endometrial hyperplasia
144
trichomoniasis overview
vaginitis/urethritis Sx:
frothy yellow green discharge w. strong odor
burning w. urination
painful intercourse
itching
145
18-20 wks prenatal visit
anatomy and ultrasound tests
146
constipation tx during pregnancy
water, exercise
147
linea nigra
black marks on belly
148
amygdala
concerned w/ safety
149
pregnancy breast changes
estrogen (size)
prolactin (milk)
melanin (toughens and darkens skin (areola))
150
complete dilitation
feel top of baby's head
151
indications for HRT
osteoporosis prevention/Tx
urogenital atrophy
vasomotor Sx
menopausal with amenorrhea 3-6 mo post oophorectomy
menorrhagia
menopausal Sx w. FSH
152
body wants estrogen for as long as possible
testosterone converts to estrogen as ovaries atrophy (aromatizing)
need estrogen to protect skin, bones, etc.
153
IUGR
intrauterine growth restriction
need 10lbs weight gain by 20 wks to decrease risk
154
late premature
between 34 and 36 weeks gestation
155
ROM
rupture of membrane
156
neurocircuitry
90 second rule
thoughts - emotions - physiologic response
157
ovarian unresponsiveness to gonadotropins
decreased estrogen
vaginal dryness/atrophy
hot flashes (vasomotor insufficiency/instability - vascular system dilates/contracts randomly)
158
perimenopause
transition from normal ovulation to anovulation to loss of ovarian fxn
5-7 years
159
prenatal visit schedule
monthly
then every 2 wks after 30 wks
then every wk in last month
160
pubertal growth spurt
20-25% of linear growth
50% of ideal adult body weight
earlier in girls: stops 2-2.5 yrs after menarche
161
Erikson's stages of development: adolescence
identity vs role confusion
intimacy vs isolation
162
HPV tx
3 dose vaccine can cause fainting
genital warts won't reappear after Tx: podofilox
imiquimod (aldara)
podophyllin
trichloroacetic acid
cryotherapy
163
IVI
intrauterine insemination
164
menorrhagia
excessive amount and increased duration of uterine bleeding occurring regularly
165
urine dipstick during pregnancy
ketones for hydration
protein for kidney fxn
nitrates for infection
166
why is progesterone considered hormone of pregnancy?
maintains uterus for implantation of fertilized egg
167
station
baby's relationship to ischial spines
168
false labor
braxton-hicks contractions
do not lead to progressive cervical change
169
social teen brain
medial prefrontal cortex more active in adolescence and decreases by adulthood
mid adolescence: remember rule and apply it BUT ability to see other perspective not fully developed
170
after 2nd stage of labor
10 units pitocin after baby and before placenta
171
sexuality in middle adolescence
testing ability to attract partner
initiation of relationships and sexual activity
questions sexual orientation
172
latent syphilis
untreated can last for years 10-20 yrs after acquired
damage to organs
paralysis
blindness
numbness
dementia
difficulty coordinating muscle movements
death
173
TPAL
T: # term pregnancies
P: # preterm pregnancies
A: # abortions
L: # living children
174
most important considerations in choosing birth control for women
privacy
locus of control
175
brain remodeling in adolescence
massive reorganization (back to front)
synaptic pruning
cortex becomes thinner and faster and more sophisticated
176
cervical ectopy
increased estrogen causes increased epithelial lining and increased resistance to some infections but also decreased resistance to others
2 cell types on ectocervix border:
squamous columnar jxn
increase GC susceptibility and ascending infection
177
edema during pregnancy
increased fluid
pressure on vessels
valve relaxation (progesterone)
mucosal inflammation (estrogen)
178
primary amenorrhea causes
chromosomal
congenital
chronic illness
polycystic ovarian syndrome
pregnancy
179
male condom
only one that really protects against STDs human error
180
biological process of puberty
pulsatile release of GnRH, LH, and FSH during sleep
corresponding increases in gonadal androgens and estrogens
181
cycle beads
not every woman has 28 day cycle
can get pregnant outside of peak ovulation period
182
relationship to society in middle adolescence
gauging skills and opportunities
183
relationshp to society in late adolescence
career decisions
184
suspecting STI
signs of abuse
sex w/o protection
zip code matters
access to healthcare
4+ partners especially
185
late maternal death
more than 42 days after termination of pregnancy from direct/indirect obstetrical cause
186
true labor
contractions lead to cervical change and encourage fetal descent through pelvis
187
increased plasma during pregnancy
increased circulation to/from baby (efficiency)
leads to: anemia, increased BP, SOB, varicose veins
188
primary amenorrhea overview
no spontaneous bleeding by 16 yo
absence of menses within 3 yrs of thelarche
referral to genetics/endocrine/adol GYN necessary
189
anovulation
leads to deceased progesterone production
bleeding problems (endometrial hyperplasia)
cause of majority of AUB in adolescents --painless (organic causes won't be)
190
primary dysmenorrhea overview
painful menstrual cramps
prostaglandins from endometrium cause vasoconstriction and myometrial contraction which results in pain
191
intimate partner abuse during pregnancy
3x more likely of becoming a victim of attempted or successful homicide during pregnancy
192
15-18 wks prenatal visit
genetic screening
193
GIFT
gamete intrafallopia transfer
not common anymore b/c of risk of ectopic pregnancy
194
cognitive/moral processing in late adolescence
future oriented w/ sense of perspective
idealism, absolutism
think things thru independently
195
obesity risk during pregnancy
diabetes
C section (big baby)
baby gets stuck
tough to monitor FHR and growth
fertility issues (too much estrogen)
196
Piaget's theory of development: adolescence
concrete operational to and through formal operations
197
imaginary audience in middle adolescence
self-consciousness in which they believe everyone is as focused on their own behavior as they are
198
passenger
size
number
position
cardinal movements
descent
flexion
199
septate hymen
septum in middle of hymen
200
effects of decreased testosterone
decreased:
* libido
* sexual fantasies
* masturbation
* muscle mass
201
passageway
clinical pelvimetry
soft tissues: cervix, vagina, perineum
202
heartburn tx during pregnancy
small, frequent meals
stop eating by 4:30 pm
203
primary challenge for independent older adults
chronic illnesses:
CHD
HTN
cancer
arthritis
DM
204
gender equality
more education = fewer babies
205
hormones during menopause
less responsive to gonadotropins which leads to less ovulation and less progesterone (first hormonal decrease)
206
immature HPO axis
poor feedback system
207
HPV overview
most prevalent viral infection
80% sexually active women will acquire it
after 11 times, 100% of all types passed to partner
208
rubella testing during pregnancy
can be teratogenic if positive
209
considerations in choosing contraception method
risk
efficacy
locus of control
health
personality
culture
privacy
210
sex during pregnancy
acceptable until water breaks
211
effects of decreased estrogen
hot flashes
sleep disturbances
mood swings
cognitive difficulties
joint aches
perimenstrual headaches
palpitations
loss of lipido
212
location of STIs
vagina
urethra
cervix
pharynx
anus
skin lesion
213
condom use in Philly
trending down slightly
214
main goal of adolescence
to develop into independent, thinking, responsible adult
215
postpartum nursing role
promote mother/baby well-being
are we moving forward? why/why not
216
tubal ligation
most popular worldwide permanent
can be private
217
thelarche
appearance of breast bud
9-13.5 yo
218
female condom
expensive
less liked by male partners
219
fundal height
uterus is growing measured each visit after 20 wks in cm
(should = gestation)
fetal growth
220
cognitive/moral processing in middle adolescence
emergence of abstract thought
may perceive future implications but may not apply in decision-making
questioning mores
221
unopposed estrogen
continued proliferation
222
PCOS symtpoms
hirsutism
cystic acne
acanthosis nigricans (marks on neck - insulin resistance)
223
ART
assistive reproductive technology
224
VLBW
less than 1500 g
225
secondary amenorrhea causes
pregnancy
stress
chronic illness
PCOS
anorexia nervosa
meds
substance abuse
thryoid disease
athlete triad
226
PEGT
preembryonic genetic testing
227
indirect obstetric death
due to preexisting disease or disease that develops during pregnancy with no direct obstetrical cause
likely aggravated by pregnancy
228
effacement
length of cervix
229
lactation amenorrhea
sole breastfeeding may result in no ovulation for 5-6 mo
family spacing
230
prenatal care
promote healthy outcome
ritual vs. evidence
culturally appropriate
women don't need/want to be seen as often as they are
231
lochia
vaginal discharge
232
oral contraception pill
90% efficacy
increase clotting risk
high attrition rate
233
spermicidal suppositions
w. condom
inside vagina
increases risk for micro tears and HIV
234
fxn of placenta
metabolism
endocrine
exchange and transfer
235
menstrual cycle changes during menopause
irregular close/skipped periods
heavier flow
prolonged menses
intermenstrual spotting
236
HPL
human placental lactogen
insulin resistance
237
abnormal uterine bleeding tx goals
stop/prevent bleeding
identify underlying disease
prevent long-term sequelae
provide reassurance
anemia management
238
integumentary system during pregnancy
increased sweat and oil
increased hair/nail growth
striae
linea nigra
chloasma
239
early adolescence
11-14
240
cardiovascular changes during pregnancy
heart size
heart position (up and left)
heart rate (+10-15bpm)
heart murmur (by 2nd trim.)
241
other causes of abnormal bleeding
pregnancy
infection
meds
242
prenatal vitamins during pregnancy
all should have a prescription + folic acid
243
relationship to society in early adolescence
middle school adjustment
244
IOL
induction of labor
245
type of organisms in STI
bacterial
viral
protozoa
246
late adolescence
18-25
247
losses that older adults face
physical control of body
vision/hearing
community
contact w. family
intimacy
248
family in late adolescence
emotional/physical separation from family
increased autonomy
249
direct obstetric death
complications during pregnancy, labor/birth, and/or postpartum from interventions, omission of interventions, or incorrect tx
250
genetic screening
marker screen
sequential screen
251
secondary syphylis
rash
sore throat
fever
swollen glands
patchy hair loss
headache
weight loss
fatigue
252
pimary syphylis
chancre: single or multiple firm, round, painless, small
heals w/o tx
253
best predictor of when you will enter menopause
when your mother did
254
LBW
between 1500 and 2500 g
