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Ivy Tech Nursing > OB Mod III Test Review > Flashcards

OB Mod III Test Review Flashcards

1
Q

Homologous

A

Fundamentally similar in structure and function

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2
Q

Influence the development of secondary sex characteristics

A

androgens and estrogens

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3
Q

stimulate the processes of spermatogenesis and maturation of ova

A

FSH and LH of the anterior pituitary

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4
Q

The ovary is sensitive to

A

FSH, LH

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5
Q

The uterus is sensitive to

A

estrogen and progesterone

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6
Q

Estrogens inhibit….productions and stimulate….production

A

FSH, LH

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7
Q

Hormone of pregnancy

A

Progesterone: allows pregnancy to be maintained

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8
Q

Relaxes smooth muscles and is a potent vasodilator

A

PGE Prostaglandin E

Can be placed in cervical canal for cervical ripening: prepidil, cervidil, hospital prepared

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9
Q

Potent vasoconstrictor and increases contractility of muscles and arteries

A

PGF Prostaglandin F

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10
Q

Two phases of the ovarian cycle

A

follicular phase 1-14; luteal phase 15-28

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11
Q

Hormones that cause the testes to produce testosterone

A

FSH, LH

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12
Q

Stimulates the glandular tissue of the uterus

A

Estrogen

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13
Q

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

A

endocervical glands

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14
Q

Goodell’s sign

A

softening of the cervix

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15
Q

Chadwick’s sign

A

bluish discoloration of the cervix

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16
Q

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

A

estrogen

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17
Q

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

A

nausea and vomiting

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18
Q

Causes smooth muscle relaxation

A

progesterone

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19
Q

Promotes uterine contractility and stimulates ejection of milk from the breasts

A

Oxytocin

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20
Q

TPAL

A

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

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21
Q

Normal BP

A

<,= 120/80

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22
Q

Normal pulse

A

60-100

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23
Q

Normal respirations

A

12-20

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24
Q

Normal Temp

A

97-99.6

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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)

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