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Flashcards in OB Terminology Deck (34):
1

What is Naegele's rule?

LMP + 7 days - 3mo + yr

2

What does gravida mean?

number of pregnancies despite the result

3

Does gravida # change if mom had twins?

NO

4

What is nullipara?

NO baby

5

What is primp?

given at least 1 birth

6

What is mutlip?

given at least 2 birth

7

What is the GTPAL system?

Gravida
Term births
Preterm
Abortion
Live births

8

What is term births?

deliveries AFTER 37 wks

9

What is preterm birth?

delivers 20-37wks

10

What is abortion?

losses

11

What are live births?

number of live births

12

What is important about the first trimester?

embryonic phase - the most important phase because tissues develop into different organs
MOST SENSITIVE TO TERATOGENS

13

What are the different stages during the first trimester?

embryonic phase
fetal phase

14

When are organs formed?

fetal phase

15

What does viability mean?

potential of the fetus to survive OUTSIDE the uterus after birth

16

Born at 23 wks?

low viability

17

What does normal, preterm, and postterm mean?

normal: 38-42wks
preterm: 42wks

18

What is the purpose of fundal ht?

used to check if fetal growth is appropriate/gestation age

19

Fundal ht at 12wks?

fundus

20

Fundal ht at 20wks?

umbilicus

21

Fundal ht at 35wks?

xiphoid

22

What are cx for macrosomia?

multiple pregnancy
hydatidoform mole
polyhydromions - extra amniotic fluid
maternal condition ie) diabetes

23

What are cx for microsomia (SGA)?

incorrect assessment of age - LMP was incorrect
fetal growth restriction
Oligohydramions - too little amniotic fluid
intrauterine fetal demise - fetus is not growing b/c it is not alive

24

What is considered misscarriage/abortion?

less than 20 wks

25

What is considered advanced maternal age (AMA)?

>35yo

26

What are they at risk for? Is it really accurate?

Chromosomal abnormalities ie) Down syndrome
NO b/c younger than 35yo have children w/ down sx

27

Hx/sx for diagnosing pregnancy?

missed periods
breast tenderness/enlargement
wt loss/gain

28

What are some signs/PE for pregnancy?

Chadwick sign: congestion + bluish discoloration
Hegar sign: softening of the cervix
Piskaseck's sign: lateral bulging of the uterus
Quickening : maternal perception of fetal movement
LInea nigra
Chloasma: darkening around the eyes
Stria Gravidarum: stretch marks
Braxton-Hicks contractions: false contractions

29

What are some labs to confirm pregnancy?

Urine hCG
serum B hCG
Progesterone

30

When is urine hCG accurate?

~4wks of LMP

31

What is the serum B hCG?

used to confirm after the urine hCG
should see a DOUBLING w/in 2-4days
start to decline after day 70

32

What is the progesterone lab test?

if >10ng/ml - pregnant

33

When should you detect the fetal heart?

12wks

34

When should you use the US: tranabdominal and transvaginal?

transabdominal: 5-6wks
transvaginal: 3-4wks