Need to know first test Flashcards by Megan Lange

Amniotomy

Amniotomy, also known as artificial rupture of membranes (AROM) and by the lay description “breaking the water,” is the intentional rupture of the amniotic sac by an obstetrical provider.

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Dilation and curettage (D&C)

Dilation and curettage (D&C) is a procedure to remove tissue from inside your uterus. Doctors perform dilation and curettage to diagnose and treat certain uterine conditions — such as heavy bleeding — or to clear the uterine lining after a miscarriage or abortion.

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Dystocia

difficult birth, typically caused by a large or awkwardly positioned fetus, by smallness of the maternal pelvis, or by failure of the uterus and cervix to contract and expand normally.

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Intrapartum

occurring or provided during the act of birth

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Parity (TPAL)

TPAL is an acronym for term births (T), premature births (P), abortions (A), and living children (L). TPAL numbers should be separated by hyphens.

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Uterine atony

Atony of the uterus, also called uterine atony, is a serious condition that can occur after childbirth. It occurs when the uterus fails to contract after the delivery of the baby, and it can lead to a potentially life-threatening condition known as postpartum hemorrhage.

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Layers of embryonic disc 3

ectoderm, mesoderm, Endoderm

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Languo and when does it develop?

Fine downy hair on infant week 20

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Chloasma

Chloasma, also known as melasma or the “mask of pregnancy,” is a pigmentation disorder of the skin characterized by darker skin patches that primarily affect the face and other sun-exposed areas.

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Linea nigra

Preg line

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Stretch marks

Striae gravidarum

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LMP and PMP

Last Menstrual period

previous Menstrual period

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Pr and Pr2 time

Para greater or equal to 20 weeks

2 deliveries of at least 20 weeks gestation

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Vertex

Head down chin flexed GOOD! If not flexed creates wider fetal decent through pelvis.

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2 fontenels of fetal skull and when do they close?

1-Diamond ant-12-18months

Triangle post-8-12 weeks

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Complete breech
Incomplete breech
Frank breech

Both thighs and knees are flexed
feet coming out first
Thighs flexed and knees extended

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Embryo time and task 2

differentiation and organ development 8 weeks gestation

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When do weeks of gestation begin?

First date of last period.

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Milestone for 4 week?

Conductivity of what will be the heart can be seen on ultrasound

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What is developed at 4 week? 5

Eyes, ears, nose throat, digestive tract, forming arms and legs

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week 5 1

Spine

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Week 6 milestone

Liver can be seen

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8 weeks formation 4 and 1 milestone

face recognition, external gen, all fingers, eye toes present, all organs
Is now called a fetus

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10 weeks formation

Amniotic sack

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10-12 weeks milestones 2 and one thing about each

Can hear heartbeat-Can figure out gestation | Placenta has developed and can secrete estrogen and progesterone and corpus lutetium can degenerate

12 weeks formations 3

teeth buds, bones are starting to ossify, fetal movement can be seen not felt.

16 weeks milestone

Fetus can react to light

4 milestones 20 weeks

1. viable fetus 2. Breathing movements can be seen 3. Quickening-sometimes sooner 4. Heart can be heard with stethoscope

2 formations at 20 weeks

eyebrows and scalp

6 months 2 things

vernax caseosa and wrinkled because of lack of fat and needs to put on fat.

2 milestones with 28 weeks

Eyes are open and will respond to sound

One thing that is happening at 32 weeks

Weight gain growth in weight will exceed growth in length

Two things about 36 weeks

Has subq better prognosis for premature baby

3 things 40 weeks

1. Full term 2. Languo is disappearing but still on back, neck and shoulders 3. caseo is disappearing but may still be there.

amniotic fluid at term amount

m500-1000ml

How many weeks is postpartum period

6 weeks

How much folic acid supplement

600mg

Infant mortality rate 2 things

Birth to first birthday and deaths per 1000 live births

neonate mortality rate and percentage of deaths that happen in this part

Number of infants who die in the first 28 days after birth per 1000 births 65%

Perinatal Mortality rate

20weeks gestation or 500gms through first 28 days of life.

By week blank of gestation blood is blank

2 50% more

BP in pregnancy

Dont really want to see it go up at all but needs to go down by second semester

Gallbladder in pregnancy name

Cholestasis so gallbladder disease

2 signs that go together when assessing if preg or not. and what are they

Hegar's sign-Softening uteren wall and goodels sign -Softening cervix

Labs normal vs preg normal for Hct, Hgb, WBC

normal then preg Hct 37-47 below 35 Hgb 12-16 below 10-11 WBC 5,000-10,000 15,000

When partner has preg signs called blank seen in blank

Couvade 1st and 3rd trimester

Premature births range

20-36 weeks

Naegle's rule

Used to calculate due date | From 1st day of LMP -3months plus 7 days

Hct and GTT checks during pregnancy

at first and at 24 weeks

Weight gain pregnancy Total 1st and 2nd

Total 25-35lbs 1st tri-3-5lbs 2nd tri-1lb a week

When is weightloss CI in preg?

1st trimester

Shot to get during each preg

Tdap prurtussus

What shots can you not have during pregnancy? 3

MMR/varicella/Herps

2 shots you cant have when breast feeding

Smallpox and yellow fever

Position how to document?

The relationship between the presenting part and moms pelvic quadrants Three letters- 1. what maternal side 2. what is presenting 3. Is post font on A or P?

Measurement of cervix and relation to effacement

The cervix is 3-4 cm so 1cm loss is about 25 percent effaced

Cardinal movements 1-3

Flexion, engagement and decent

Cardinal movement 4

Internal rotation

card movement 5

Extension

card movement 6- 2 names

External rotation restitution

Card movement 7

Expulsion

Time to go to hospital with contractions?

Every 5mins lasting one min for over an hour

3 phases in stage 1

Early, active, transition

from when to when 1st stage and how long for new and not new moms

First contraction- full dilation | 10-12 hr or 6-8hr

What can you use for hyperventilating mom 2

Non-rebreather and longer exhale

2nd stage from when to when how long for new and reg mom

Full dilation to birth of baby 30-2hr 20-1.5 hr

3rd stage from when to when and time

Birth of babe to expulsion of placenta 5-20mins

Lacerations 5

``` 1st degree- Mucus membrane and skin only 2nd degree- Perineal 3rd-anal sphincter 4th-into rectum Extension- Lap and then tear ```

blood loss normal levels for c and v

V-less than 500ml | C-less than 1000ml

Stage 4 from when to when and what happens after?

2hr after birth and ends when mom is stable | Postpartum period

Need to know first test Flashcards

(70 cards)