maternity 1 Flashcards
(258 cards)
1
Q
Awaken from REM sleep
A
Nightmare
1
Q
Falling separation toilets animals
A
1-2
2
Q
Partial awakening from non REM sleep
A
Night terror
3
Q
Loud noises
A
2-3
4
Q
Dark
A
2-6
5
Q
Monsters and ghost
A
3-5
6
Q
New situations
A
9
7
Q
War
A
10-12
8
Q
Burglars
A
12
9
Q
cervix turns blue violet
A
chadwicks sign
10
Q
cervix gets soft
A
goodells sign
11
Q
sofetening at the isthmus
A
Hegars sign
12
Q
ease flexing
A
Mcdonalds sign
13
Q
moves away from finger when touched …feels rebound
A
ballottment
14
Q
assymetric enlargement of abdomen
A
piskaceks sign
15
Q
hormone detected by prego test
A
hCG
16
Q
addition of cells
A
hyperplasia
17
Q
cells that keep expanding
A
hypertrophy
18
Q
spontanous irregular contractions early in pregnancy that stimulate blood movement
A
braxton hicks
19
Q
thick tenacious mucus that seals cancel.. expelled when dilation begins
A
mucus plug
20
Q
horomones responssible for softening and efacment
A
oxytocin relaxin nitric oxied and prostaglandin
21
Q
what hormone does changes in vagina
A
estrogen
22
Q
thick white vaginal discharge
A
leukorrhea
23
Q
hormones that deal with ovaries
A
LH and hCG
24
stretch marks may occur with growth and connective tissue changes
striae
25
creamy yellowish highly nutrias fluid
colustrum
26
what hormones effect GI
progestrone and estrogen
27
increased or excessive saliva
ptylism
28
what causes nausea and vommiting
hCG secretion and TSH
29
reflux of acidic secretions (heartburn)
pyrosis
30
gallbladder emptying time is what
prolonged
31
intestional motility is
delayed
32
gastric emptying time is
delayed.. decreased peristalsis
33
varicosities of the rectum.. descending external or internal
hemorrhoids
34
how much does pulse increase and when
14-20 weeks and 10-15 BPm
35
what hormones effects renal and urinary tract
progesterone and estrogen
36
what hormones effects integumentary
estrogen and progestrone and melanocyte
37
melasma or chlosma on forehead and checks
mask of pregnancy
38
dark line down belly
linea nigra
39
white spots on skin
mottling
40
what hormones influence musulskeltatl
relaxin progestrone
41
for posture what increases
lordosis
42
splitting of abdominal muscles
distasis recti
43
promotes breast development and the lactation process... facilitates lactogenesis
prolactin
44
where is proaction secreted
placenta
45
promotes protein synthesis... stimulates cell growth and division
Growth hormone (GH)
46
where is oxytocin and ADH released and where synthesized
posterior pituatary ... hypothalmus
47
respnisible for uterine contractions , milk ejection
oxytocin
48
what is inhibited by HCG
FSH and LH
49
where is melanocyte stimulating hormone (MSH) produced
anterior pituatry
50
changes in skin pigmentation
MSH and estrogen slightly
51
inhibits urine production and increases blood pressure
vasopressin (ADH)
52
promotes enlargement of genitals uterus and breasts... relaxation of joints ... vascular changes of skin ... ductal system of breasts
estrogen
53
supporsts the endometrium for environment for fetus to live... causes thickening of the uterine lining ... hormone of pregnancy
progesterone
54
prepares mammary glands for lactation ...antagonist of insulin... increase the amount of circulation fatty acids
hPL human placental lactogen
55
maintains corpus luteum ... early prego test
HCG.. human chorionic gonadtropin
56
increase in flexibility of pubic symohisis ... dilation of cerivix
Relaxin
57
having conflicting feelings unsure about pregnancy
ambivalence ... first trimester
58
foucsing on herself how it effects her life
introversion... first and third trimester
59
bring reality to pregnancy,,, feels move hears heartbeat
acceptance... second trimester
60
horomes, short lived.. emotional rollercoaster
mood swings... throughout pregnancy
61
low self esteem, big belly worrys of weight and change .. will go back
change in body image
62
sympathetic response to partners pregnancy
couvade syndrome
63
young toddler who gets sibling might
regress in bottle and toilet training
64
a school age child with newborn sibling may
outside activites
65
the childs fear of change in the security with parents results in
sibling rivarly
66
normal weight gain in pregnancy is
25 to 35 pounds
67
bacteria found in soil water and plants
listeria
68
what founds should you avoid with listeria
hot dogs packaged lunch meats meat spreads salads made in store
69
how many trimesters in pregnancy and how many weeks is each
13 weeks each and 3
70
plasma increases more than RBC causing decreasing in hemoglobin and hematocrit
physologic anemia of pregnancy
71
dietary reference intakes says
30mg iron and 300 to 800 mcg of folic acid a day
72
compulsive ingestion of non food substances
pica
73
fetal head begins to descend and engage in pelvis
lightening
74
flutters in belly
quickening
75
fundal height measurement
top of pubic bone to top of uterus
76
intermittent high frequency sound waves emitted per transducer image of fetus
ultrasound
77
side to side measurement most common
BPD biparietla diameter
78
5 biophysical virables
fetal movements.. fetal tone.. fetal breathing.. amnitotic fluid volume.. NST noraml
79
normal fetal heart rate me sure
110-160
80
glycoprotein
alpha fetal protein produced by fetal gut and fetal liver
81
if glycoprotein elevated indicator of what
neural tube defect
82
indirect measurement of uteroplacental function
non stress test
83
a reactive test indicates
at least 2 fetal movements with increase in FHR of 15 BPM for at least 15 sec over 20 minutes
84
transabdomial puncture of the amniotic safe to obtain a sample of amniotic fluid for analysis
amniocentosesis
85
ultrasound to allow assent of various parameters of fetal well being
Biophysical profile (BPP)
86
procedure for sampling chronic villi for prental evaulatuation of chromosomal disorders enzyme defiance and sex linked disorders
Chronic Villus Sampling (CVS)
87
pregnant women
Gravida
88
complicated for maternal or fetal conditions
high risk pregnancy
89
thing brown line from umbilicus to pubic symphais
linea nigra
90
number of pregnancies
para
91
promotion of health well being of abdomen and her partner before pregnancy
preconception care
92
state of being pregnant
gravid
93
cardivasulcar disorders effects offspring how
premature, LBW, RDS, IVH, death
94
cardio class 1
uncompromised, symptomatic no limitation
95
cardio class 2
slightly compromised, slight limitation of activity some fatigue , palpation or anginal pain
96
cardio class 3
markedly compromised. ordinary physical activity causes excessive fatigue dyspnea palliation anginal pain comfortable at rest
97
cardio class 4
severely compromised. unable to carry on physical activities without experiencing anginal pain . symptomatic at rest
98
can you change classes
yes
99
can go through without major complications still high risk
class 1 and 2
100
at risk for more severe complications .. bed rest.. early hospitalization
class 3
101
avoid pregnancy
class 4
102
if high risk how often appointments
every 2 weeks till 36 weeks than every week
103
most frequent cough , dsypnea, cyanosis, edema, heart murmurs , palatines rales increasing fatigue
progressiveness of classes
104
others factors that cause strain with CVD
infection anemia pylenophritits weight gain
105
what anticoagulant crosses placenta
coumadin
106
what happens postpartumly
blood flow to heart increase
extravascular fluid returns to blood stream
blood volume and cardiac output increases
107
what are the post partial complications
hemorrhage.. theromboembolism... anemia... infection
108
chronic endocrine disorder of carbs metabolism results from inadequate production or utilization of insulin
diabetes mellitus
109
where is insulin produced
beta cells of islets of langerhans in pancrease
110
what does insulin do
lowers glucose levels by enabling glucose to move from blood into muscle liver and adipose tissue cells
111
where is glucose stored
in liver as glycogen
112
type one
no insulin
113
type two
insulin resistant
114
glucose intolerance with its onset during pregnancy or first detected in pregnancy
gestational DM
115
high blood glucose leads to
cellular dehydration
glycosuria
extracellurlar dehydration
116
four classic symptoms seen are
polyuria: peeing
polydipsa: thirst
polyphagia: hunger
weight loss
117
rise in what hormones cause diabetes
progesterone
estrogen
HPL
Growth
118
what does a rise in these hormones do
increases insulin resistance
119
insulin needs what in first trimester
decrease
120
insulin needs what in second trimester
increase peak last trimester
121
red blood cells covered with glucose release of less oxygen
polycythemia
122
immature liver cannot metabolize increased bilirubin resulting from polycythemia
hyperbillrubinemia
123
cause of low calcium unknown
hypocalcemia
124
at 24-28 weeks what should fasting glucose be
less than 92mg/dl
125
HBA1C should be less than
7%
126
greater than what HBA1C risk for anomalies
10%
127
involes structural defects that are present at birth
cogential
128
conditions to aviod pregnancy
uncorrected tetralogy of fallout or transpiration of the great arteries and esienmengers syndrome
129
conditions affecting the heart and its associated blood vessels that develop during a person lifetime
aqquired disease
130
when is prego lady most common time to have complications
28-32 weeks and 48 hours post partum
131
what does drugs and alcohol cause for baby
pre-term labor, ago, IUGR, abruption of placenta, LBW, longterm childhood development problems
132
Marajuna casues
tachycardia low BP and orthostaic hypotension
133
cocaine casues
vasoconstriction, uterine rupteure anomolies, LBW,
134
neonatal withdraw symptoms
hi pitched cry, irratible, nasal stuffiness, IUGR, delayed lung development
135
nicotine causes
vasoconstriction, risk of soon, ago, maternal hypertension, placenta pre via, abruption of placenta
136
sedatives cause
cross placenta, cause birth defects, dependency, RDS, irritable, poor feeding and sleeping
137
meth causes
IUGR and anomolies
138
RAFFT stands for
relax, alone, friends family trouble
139
why must people never go off alone seek help why
methadone treatment... blocks withdrawal symptoms and craving for strew drugs
140
inadequate levels of hemoglobin .. most common condition of pregnancy
Iron deficient anemia
141
what should hemoglobin be during pregnancy
11
142
what should hematocrit be
35%
143
Probelems with anemia
infection, delayed healing, tired, depresed, pre-clampsia, LBW baby, stillborn baby,
144
how much iron a day should you have
27-30mg/day
145
how much if iron deficient
60-120
146
folic acid deficiency is linked to what
neural tube deffects
147
how much follate do you need a day
.4mg 400mcg
148
if defecitent need how much follate
1mg
149
recessive autosomal disorder .. pain in bones joints lungs and abdomen due to ischemia
sickle cell anemia
150
excessive vomitting during pregnancy begins in first trimester and goes beyond
hyperemesis gravidarum
151
stillborn
after 20 weeks
152
miscarriage/abortion
before 20 weeks
153
cervix is not dilated and the placent is still attached to the uterine wall but some bleeding
threatned ... not happened bed rest
154
placenta has separated from the uterine wall the cervix is dilated and amount of bleeding has increased
Imminent
155
fetus has passed out of the uterus however placent remains
Incomplete
156
Baby and placenta out
complete
157
still have fetus in but dead
missed
158
Reccurent loss mid pregnancy
Habitual
159
Abo occurs in presence of infection
Septic
160
what causes miscarriage in first trimester
chromosomal abnormalities
161
what causes miscarriage in second trimester
maternal disease
162
Implantaion of fertilized ovum outside uterus, blood supply drawn from site of abnormal implantaion
Ectopic pregnancy
163
most common site for exotic pregnancy
flaoppian tube... tubal pregnancy
164
proliferation of trophoblastic cells.. abnormal development of placenta results in fluid filled grape like clusters
Gestation Trophoblastic disease... Molar pregnancy
165
sign of Molar pregnancy
purple brown bleeding.. anemia.. enlargement abdomen.. FHTs absent. elevated HCG.. low alpha feta protein .. expel grape like vesicles
166
how do you fix a weekend cervix
shirodkar cerclage
167
stages of bonding
proximity
recrprocity
commitment
168
frued stages of development
```
oral infancy
anal: early childhood
phallic stage:preschool
latent: middle childhood
genital:adolescent
```
169
trust vs ms trust
infant erikson
170
autonomy vs shame and doubt
erikson early childhood
171
initative vs guilt
erikson preschool
172
industy vs inferiority
erikson middle childhood
173
identity vs role confusion
adolsecents
174
intimacy vs isolation
early adulthood
175
generativity vs self absoprtiption
middle adult
176
integerity vs despair
late adult
177
absorbing new info into existing cognitive structures
assimilation
178
modifying exsisting cognintve structures in respnocse to new info
accomadtion
179
Otterbeins caring framework
```
commitment
compassion
conscience
confidence
competence
conduct
```
180
sensorimotor period
piaget infant
181
preoperational
piaget early child toddler
182
concerte operational
midle childhood piaget
183
formal operational
piaget adolescen
184
pattern of coercive behaviors and methods used to gain and to maintain power and control by one individual over another in an intimate relationship
domestic violence
185
swearing to hit, controlling threatening humiliation destroying possessions
emotional abuse
186
hitting grabbing bitting kicking throwing things spitting pushing attacking
physical
187
preventing from getting job, controlling, failing to contribute
financial
188
forcing sex, bitting breast, putting objects in vagina, forcing to do sexual things on vagina
sexual abuse
189
women is forced to have sexual conduct
abuse
190
sexual explotation among blood relatives before victim is 18
incest
191
expression of violence not sexual act aggressive assault on body
rape
192
procedure involving any injury of the external genetial
femal genital cutting
193
enslavment of immigrants for profit in america
human trafficking
194
poor self esteem terrified trapped alone helps
victims
195
insecure powerless not macho enough
abusers
196
phases of cycle of violence
tension building
acute battering
reconcilation(honeymoon)
197
Any method that prevents conception or childbirth
Conrtraception
198
soft latex dome surrounded by metal spring use spermicide
Diaphragm
199
Continuous contraceptive protection inflammatory reaction inhibits sperm and ovum from netting
ICUS
200
Inhibit ovulation thickens cervical Muslims to prevent sperm from entering the uterus ....ACHES
Combined hormone contraceptives
201
Aches
```
Abdominal pain
Chest pain
Headaches
Eye probs
Sever leg pain
```
202
Pains
```
Period late
Abdominal pain
Infection
Not feeling well
String
```
203
What meds given for PROM
Betamethasone and dexamethasone corticosteroids
204
Contraception shot
Depoprovea .. Every 12 weeks
205
time from the onset of true labor to the birth of infant and placenta
intrapartal period
206
series of processes by which the products of conception are expelled from uterus
labor
207
optimal diamters in all three phases.. true pelvis
gynecoid pelvis
208
inlet is heart shaped.. male pelvis.. posterior segments reduced.. c section birth
android pelvis
209
wider transverse diamter
Pelvic inlet
210
wider from front to back
pelvic outlet
211
diamond shape
anterior fontanell
212
triangular shape
posterior fontanell
213
overlapping of cranial bones
molding
214
relationship of the cephalcaudal axis of the fetus and the asxis of the pregnant women
LIE
215
relationship and positioning of the fetal parts to one and another
fetal attitude
216
what is normal fetal attitude
full flexion of all joints back rounded chin on chest
217
body part of fetus that enters the maternal pelvis first
fetal presentaion
218
head first
cephalic presentaion
219
butt first
breech presentation
220
relationship of a landmark on the fetal presenting part to four imaginary quadrants in pelvis
position
221
what are the four quadrants of pelvis
right anterior right posterior left anterior left posterior
222
what is the most common postition
occiput anterior
223
relationship of the presenting part to an imaginary line drawn between the ischial spine
station
224
below the ichsical spine.. in inlet
postivite numbers
225
above spin.. outlet
negative numbers
226
largest diameter of the presenting part reaches or passes through the pelvic inlet
engagement
227
flexed in a cephalic presentation largest part of fetal skull to pass through pelvis
biparietal diamter
228
largest are to pass through the inlet in a breech postition
intertrochanteric diamater
229
fetal head is freely movable about inlet
floating
230
just before true engagement occurs the head begins to descend in inlet
dipping
231
period of increase in intestnsity ... the builup
increment
232
period of greatest intensity of contraction... peak
acme
233
decreasing lepton go period of contraction.. descent/relaxtion
decrement
234
timed from beginning of one contraction to the beginning of the next... how oftern
frequency
235
timed from beginning of one contraction until it ends.. how long
duration
236
strength of contraction
intensity
237
decrease in fetal HR that occurs at peak of contraction
early declarations
238
FHR drops after the peace of the contraction
Late decelerations
239
abrupt decreases in FHR below baseline no consistent relationship
variable decelerations
240
Rupture of membranes prior to labor before 37 weeks
Preterm premature rupture of membranes (PPROM)
241
ROM prior to onset of labor after 37 weeks but prior to onset of labor
PROM Premature Rupture of Membranes
242
hypertensive disorder of pregnancy cause unknown develops after 20 weeks with protenuria
Preclampsia
243
seizures that occur in woman with preeclampsia
Eclampsia
244
hypertension existis prior to pregnancy
chronic hypertension
245
BP elevated after 20 weeks gestation higher than 140/90 no protenuira results after postpartum for 12 weeks
gestaional hypertension
246
HELLP syndrome
hemolysis
elvated liver enzymes
low platelet count
247
when and how much RHogam do you give
300mcg...28-32 weeks gestation and 72 hours after birth
248
TORCH
```
Toxoplasmosis
other
rubella
cytomegalovirus
herpes simplex virus
```
249
caused by parasite raw uncooked meats
Toxoplasmosis
250
Used to arrest preterm labor
Tocolytics ... Ritrodrine
251
What is antidote of magnesium sulfate
Calcium gluconate
252
In low risk preganacy how after do assment
Every 30 min first stage 15 min stage 2 and 3
253
Most precise method of monitoring it is derive ECG of the FHR .. Most precise
Fetal scalp electrode (FSE)
254
What monitors contractions after Rom
Intrauterine catheter
255
Glycoproteins produced by trophoblast and other fetal tissues .,, strong predictor of preterm delivery
Fetal fibronection
256
What does apgar score look at
```
HR
respiratory
Muscle tone
Reflex irritability
Skin color
```
257
How often is apgar done
1 and 5 min sometime 10 if bad ... Svore schould be better than 7
