OB Exam 1 Flashcards
(128 cards)
1
Q
relationship of presenting part to quadrants of maternal pelvis
A
fetal position
2
Q
How far along are you by your first missed period?
A
Already 4 week pregnant
3
Q
life-threatening heart disease, neurologic disease
A
Tertiary Syphilis
4
Q
embryo -> uterus
A
donor embryo IVF
5
Q
Days 15-28 (through day 28 of a 28 cycle)
A
Luteal Phase
6
Q
Suppress LH output as it rises
A
estrogen and progesterone
7
Q
maternal emotional response of being unsure
A
ambivalence
8
Q
transverse or longitudinal
A
fetal lie
9
Q
number of people who have died over a specific period
A
mortality
10
Q
VDRL and RPR
A
prenatal test for syphilis
11
Q
Nageles Rule
A
-First day of LMP
-Subtract 3 months
-Add 7 days
12
Q
second most reported infection in the US
A
Gonorrhea
13
Q
Goodell’s sign
A
softening of cervix
14
Q
dent around uterus that is felt
A
Hegar’s sign
15
Q
menstrual related
A
meno
16
Q
Day 14 (of a 28 days cycle)
A
Ovulation
17
Q
TORCHes definition
A
Toxoplasmosis, Other infections, Rubella virus, Cytomegalovirus, HSV, Syphilis
18
Q
maternal emotional response of being nervous and attempting to accept/ hide inside
A
introversion
19
Q
favorable pelvic shape for vaginal delivery
A
Gynecoid
20
Q
how do you prevent neural tube defects
A
an additional 400 mcg/day of folic acid for women of childbearing age (start before conception)
21
Q
2 layers of the amniotic sack
A
chorion - outer layer
amnion- under chorion later
22
Q
vertex or breech presents
A
longitudinal fetal lie
23
Q
regular uterine contractions with cervical effacement and dilation between 20 and 37 weeks gestation
A
Pre-term labor
24
Q
donor egg + sperm -> uterus
A
donor ooctye IVF
25
VEAL CHOP
Variable-Cord compression
Early-Head Compression
Accelerations-Optimal
Late-Placental Insufficiency
26
egg + sperm fertilized outside -> uterus
embryo IVF
27
A pregnant women
Gravida
28
without, none
oligo
29
endometriosis
inner inflammation
30
hours following delivery (hours vary)
Fourth stage of labor
31
mothers egg + donor sperm -> uterus
therapeutic donor insemination
32
hormones developed during pregnancy
-human chorionic gonadotropic (hCG)
-human placental lactogen (hPL)
33
- 7 or 8cm to complete 10cm
-contractions (intense, every 1-3 min, last 60-90 sec)
First stage: Transition
34
fluctuation range observed at <5 beats per minute
minimal variability
35
the number of preterm pregnancies ending >20 weeks or viability but before completion of 37 weeks
P (preterm births)
36
first-line antihypertensive for pre-eclampsia
Labetalol
37
recurrent lifelong viral infection with no cure
genital herpes
38
fluctuation range from 6-25 beats per minute
moderate (normal) variability
39
rises during pregnancy about 10x (prevents pre-term labor and contractions
Progesterone (pro-gestation)
40
what can make the ductus arteriosus stay open if given after 32 weeks
Indomethacin (can be used to decrease fetal urinary output)
41
number of infant deaths (in first 12 months)/1,000 live births
infant mortality rate
42
POOF
P: change maternal POSITION (not back)
O: OXYGEN (to mom-10L)
O: OXYTOCIN off
F: increase IV FLUIDS
43
Menstrual cycle: days 1-13 (day 1 through ovulation approximately days 10-14)
follicular phase
44
couple sperm + egg -> implanted in carrier
gestational carrier
45
enhancing ineffective contraction after labor has begun
augmentation
46
>/ 5g in 24-hour urine specimen
proteinuria
47
number of children currently living
L (living children)
48
have above-then develop proteinuria after 20 weeks and severe hypertension
pre-eclampsia superimposed on chronic hypertension
49
shows us things are getting ready for labor
Fetal fibronectin (FFN)
50
the number of pregnancies ending before 20 weeks or viability
A (abortions)
51
leading cause of life-threatening perinatal infections in the US
Group B Strep
52
Food, cat liter, or blood transfusions may cause this- treatment: Sulfamethoxazole/Trimethoprim
Toxoplasmosis
53
new onset of HTN and proteinuria after 20 weeks in normotensive
Pre-eclampsia
54
antidote for magnesium sulfate
Calcium gluconate
55
more dangerous in 1st 12 weeks: birth defects triad (petechial rash, heart defects, and cataracts)
Rubella
56
amniotic fluid <500mL
oligohydramnios
57
painful period
dysmenorrhea
58
Length of pregnancy?
40 weeks
59
After 28 days of life - first 12 months
Infant
60
preexisiting or before 20 weeks and persists longer than 12 weeks postpartum
Chronic Hypertension
61
number of fetal deaths (20 weeks or older)/1,000 live births
fetal mortality
62
diagnosing pre-eclampsia
-at least 2 readings 6 hours apart
-greater then or equal to systolic 140 and diastolic 90
63
the number of pregnancies ending >37 weeks gestation, at term
T (term births)
64
iosis
inflammation
65
most common viral infection in the US
HPV
66
most common ectopic pregnancy
Ampular
67
Begins menstrual cycle. Stimulates follicle to produce estrogen. Ovulation occurs after surge as it damages the estrogen producing cells. Surge also establishes the corpus luteum.
Luteinizing Hormone (LH)
68
what does HELLP stand for? (related to preeclampsia)
-Hemolysis
-Elevated Liver enzymes
-Low Platelets
69
connects the main pulmonary artery to the aorta (bypasses the lungs)
ductus arteriosus
70
true labor to complete cervical dilation
First stage of labor
71
annual number of deaths from any cause during pregnancy or within 42 days of termination/100,000 live births (rates highest in African American women)
maternal mortality rate
72
blueish/purple discoloration of cervix
Chadwicks sign
73
abdominal pain with spotting 6-8 week after menses
ectopic pregnancy
74
helps babies lungs mature
betamethasone
75
-0-3 or 4cm
-contractions (milder, shorter 20-50 sec, less frequent 5-20 min)
First Stage:Early/Latent
76
placenta previa: covers os
complete/total
77
First 28 days after birth
Neonatal
78
curable bacterial infection cause by spirochete Treponema pallidum
syphilis
79
egg + mobile sperm -> fallopian tube
gamete IVF
80
surrogate egg + fathers sperm -> uterus of surrogate
surrogate
81
difficult birth
dystocia
82
positive NST
15 beats above baseline for 15 seconds-need 2 of them in a 20 minute period
83
- 3 or 4 cm-7 or 8 cm
-contractions (stronger, longer 60-70 sec, every 3-5 min)
First Stage: Active
84
anatomic opening between the right and left atrium (bypasses right ventricle)
foramen ovale
85
stimulating contractions via medical or surgical means
induction
86
HTN without proteinuria
gestational hypertension
87
a women who has produced one or more viable offspring carrying a pregnancy 20 weeks or more
Para
88
Chancre, painless bilateral adenopathy
primary syphilis
89
most common bacterial STI in the US (majority asymptomatic)-leading cause of infertility
Chlamydia
90
produces estrogen and progesterone
corpus luteum
91
birth of infant to placental separation (placental separation and placental expulsion)
Third Stage of labor (around 5-10 min or 30 min)
92
shoulder presents
transverse fetal lie
93
amniotic fluid >2,000 mL
hydramnios (polyhydramnios)
94
development of gran mal seizures with pre-eclampsia or gestational hypertension
eclampsia
95
hPL, hCS, estrogen, progesterone, chorionic gonadotropin (stimulates corpus luteum), prolactin, and relaxin
Hormone produced by the placenta
96
placenta previa: lower border is 3cm from os
marginal
97
what two hormones cause heartburn in pregnancy
relaxin and progesterone
98
spreads via GI tract
hepatitis A
99
spread via saliva, blood, semen, menstrual blood, and vaginal secretions
Hepatitis B
100
Five P's
-Passageway
-Passenger
-Powers
-Position
-Psychological response
101
number of infant deaths (in first 28 days)/1,000 live births
neonatal mortality rate
102
absence of manifestations, positive serology
Latency syphilis
103
flu-like symptoms, rash on trunk, palms, and soles, alopecia, adenopathy
Secondary syphilis
104
rupture of membranes in women less than 37 weeks gestation
PPROM
105
cervix 10 cm dilated to birth of baby
Stage 2 of labor
106
SAVE Model
-Caring for abused women
-S=screen all
-A=ask direct question (nonjudgmental, normalize, don't lead)
-V=validate (no blame, she is brave)
-E=evaluate and educate (is she in danger, resources, consequences for violence)
107
below linea terminalis
true pelvis
108
division of false and true pelvis
Linea terminalis
109
placenta previa: within 3 cm of os
partial
110
111
fluctuation range >25 beats per minute
marked
112
above linea terminalis
False pelvis
113
within, inner
endo
114
Best way to help vena cava syndrome
side-lying position
115
flow
rhea
116
pain
dys
117
only breech deliveries that can deliver vaginally
Frank (kinda folded in half)
118
baseline FHR range
110-160 bpm
119
Infertility for people 35 or older
inability to conceive for greater than 6 months (geriatric pregnancy)
120
normal weight gain in pregnancy
25-35 lbs
121
relation of the fetal parts to one another
fetal attitude (good attitude is when the baby is nice and scrunched up)
122
excess or abnormal
Rhagia
123
emphasis on health promotion and disease prevention
healthy people 2030
124
increases steadily throughout pregnancy
estrogen
125
connects the umbilical vein to the inferior vena cava (bypasses the liver)
ductus venosus
126
prevents seizures
Magnesium Sulfate
127
fluctuation range undetectable
absent variability
128
ABCDES
-Caring for abused women
-A=reassure not ALONE
-B=BELIEF it is not acceptable
-C=CONFIDENTIALITY (worried about retaliation)
-D=DOCUMENTATION (clear, quotes, accurate, photos)
-E=EDUCATION (about cycle and it will escalate; posters)
-S=SAFETY (most important intervention; resources and a plan for when SHE decides)
