OB Mod III Test Review Flashcards Preview

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Flashcards in OB Mod III Test Review Deck (85):
1

Homologous

Fundamentally similar in structure and function

2

Influence the development of secondary sex characteristics

androgens and estrogens

3

stimulate the processes of spermatogenesis and maturation of ova

FSH and LH of the anterior pituitary

4

The ovary is sensitive to

FSH, LH

5

The uterus is sensitive to

estrogen and progesterone

6

Estrogens inhibit....productions and stimulate....production

FSH, LH

7

Hormone of pregnancy

Progesterone: allows pregnancy to be maintained

8

Relaxes smooth muscles and is a potent vasodilator

PGE Prostaglandin E
(Can be placed in cervical canal for cervical ripening: prepidil, cervidil, hospital prepared).

9

Potent vasoconstrictor and increases contractility of muscles and arteries

PGF Prostaglandin F

10

Two phases of the ovarian cycle

follicular phase 1-14; luteal phase 15-28

11

Hormones that cause the testes to produce testosterone

FSH, LH

12

Stimulates the glandular tissue of the uterus

Estrogen

13

Secrete a thick, sticky mucus that accumulates and forms the mucous plug

endocervical glands

14

Goodell's sign

softening of the cervix

15

Chadwick's sign

bluish discoloration of the cervix

16

Causes a thickening of the vaginal mucosa, a loosening of the connective tissue, and an increase in vaginal secretions

estrogen

17

Common in the first trimester and may result from several factors, including elevated human chorionic gonadotropin hCG levels, relaxation of the smooth muscle of the stomach, and changed carbohydrate metabolism

nausea and vomiting

18

Causes smooth muscle relaxation

progesterone

19

Promotes uterine contractility and stimulates ejection of milk from the breasts

Oxytocin

20

TPAL

t: term; number of term infants born
p: preterm; number of preterm infants born
a: abortions; number of pregnancies ending in spontaneous or therapeutic abortion
l: living; number of currently living children

21

Normal BP

<,= 120/80

22

Normal pulse

60-100

23

Normal respirations

12-20

24

Normal Temp

97-99.6

25

Skin assessment abnormal

CBC, Bilirubin level, UA, BUN

26

Mouth edema, inflammation, pale

hematocrit for anemia, dental hygiene

27

Hematocrit

38-47%

28

RBC

4.2-5.4 million/ microliter

29

WBC

5000-12,000/ mcL

30

Neutrophils

40-60%

31

Bands

up to 5%

32

Eosinophils

1-3%

33

Basophils

up to 1%

34

Lymphocytes

20-40%

35

Monocytes

4-8%

36

Marked anemia or blood dyscrasias

CBC and Schilling differential cell count

37

UA pH

4.6-8

38

Pelvic inlet Diagonal conjugate

distance from lower posterior border of the symphysis pubis to the sacral promontory at least 11.5 cm

39

Pelvic inlet Obstetric conjugate

approximately 1.5 cm smaller than the diagonal conjugate: 10cm or more

40

Pelvic outlet anteroposterior diameter

9.5 to 11.5 cm

41

Pelvic outlet transverse diameter

bi-ischial or intertuberous diameter 8-10 cm

42

Initial screening tests

Pap smear, CBC, HIV, UA, rubella titer, ABO and Rh typing, Hep B, STDs

43

Quad screen

performed on mothers serum between 15 and 20 weeks: alpha fetoprotein AFP, human chorionic gonadotropin hCG, unconjugated estriol UE, and inhibin-A; used to determine risk of neural tube defect, multiple gestation, pregnancy further along than believed if high; lower may indicate down syndrome

44

hCG levels < 1 week

5-50 mlU/ mL

45

hCG levels 12 weeks

15000-220000 mlU/ mL

46

hCG levels males and non-pregnant

<5 mlU/ mL

47

Progesterone level first trimester

725-4400 ng/ dL

48

Progesterone level second trimester

1950-8250 ng/ dL

49

Progesterone level third trimester

6500-22900 ng/ dL

50

ptyalism

excessive salivating

51

pyrosis

heartburn

52

underweight gain

bmi< 18.5: 28-40 lbs

53

normal weight gain

bmi 18.5-24.9: 25-35 lbs

54

Overweight gain

bmi 25-29.9: 15-25 lbs

55

Obese weight gain

bmi >30: 11-20 lbs

56

fetus, placenta, amniotic fluid weight

11 lbs

57

uterus weight

2 lbs

58

increased blood volume weight

4 lbs

59

breast tissue weight

3 lbs

60

Maternal stores weight

5-10 lbs

61

Calcium intake

1000 mg/ day; 1300 if < 19bmi

62

Phosphorus intake

1300 mg/ day; 1250 if <19bmi

63

Protein intake

60 gm/ day

64

Folic acid intake

400-800 mg/ day (not in women taking seizure meds)

65

Caffeine max intake

200 mg/ day

66

Pica geophagia

soil, clay

67

Pica amylophagia

laundry starch, corn starch

68

Pica pagophasia

soap, baking soda, ice

69

Vegans should take these vitamin supplements

B12, calcium, D

70

TORCH

toxoplasmosis, rubella, cytomegalovirus, herpes

71

Toxoplasmosis

raw uncooked meat, unpasteurized goats milk, cats feces

72

Most frequent cause of viral infection in the fetus

cytomegalovirus CMV; kissing, sex, breast milk

73

Iron RDA

27 mg/ day

74

Folic acid sources

Green leafy vegetables, liver, peanuts, whole grain

75

Rh immune globulin RhoGAM, RhlgG

given at 28 weeks and postpartum 300mcg

76

Rh+ blood in the US

85% white, 92-95% African American, 1-2% Asian and native american

77

Coomb's test

determines if sensitized to the Rh antigen

78

Ruq pain and tenderness, nausea and vomiting, elevated liver enzymes, low hct and platelets, high uric acid, high creatinine, coagulation abnormalities

HELLP syndrome. Hemolysis, elevated liver enzymes, and low platelet count

79

Urine specific gravity norm

1.010-1.025

80

Cervidil

10 mg timed released vaginal insert; remove 12 hours after insertion or with active labor. Prostaglandin E for cervical ripening

81

Oxytocin/ Pitocin

Labor induction
Contraction of uterus before and after birth
Let-down reflex for breast feeding

82

A tocolytic that may be used to stop effects of Pitocin

Terbutaline

83

Bishop's Score

Cervical dilatation
Cervical effacement
Fetal station
Cervical consistency
Cervical position

84

5 P's of childbirth

Powers
Passageway
Passenger
Position of the mother
Psyche

85

Three types of breech presentation

Complete (knees and hips flexed
Frank (legs extended onto abdomen and chest)
Footing (single or double feet first)