OB Terminology

Question 1

What is Naegele’s rule?

Answer 1

LMP + 7 days - 3mo + yr

Question 2

What does gravida mean?

Answer 2

number of pregnancies despite the result

Question 3

Does gravida # change if mom had twins?

Answer 3

NO

Question 4

What is nullipara?

Answer 4

NO baby

Question 5

What is primp?

Answer 5

given at least 1 birth

Question 6

What is mutlip?

Answer 6

given at least 2 birth

Question 7

What is the GTPAL system?

Answer 7

Gravida
Term births
Preterm
Abortion
Live births

Question 8

What is term births?

Answer 8

deliveries AFTER 37 wks

Question 9

What is preterm birth?

Answer 9

delivers 20-37wks

Question 10

What is abortion?

Answer 10

losses

Question 11

What are live births?

Answer 11

number of live births

Question 12

What is important about the first trimester?

Answer 12

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

Question 13

What are the different stages during the first trimester?

Answer 13

embryonic phase

fetal phase

Question 14

When are organs formed?

Answer 14

fetal phase

Question 15

What does viability mean?

Answer 15

potential of the fetus to survive OUTSIDE the uterus after birth

Question 16

Born at 23 wks?

Answer 16

low viability

Question 17

What does normal, preterm, and postterm mean?

Answer 17

normal: 38-42wks
preterm: 42wks

Question 18

What is the purpose of fundal ht?

Answer 18

used to check if fetal growth is appropriate/gestation age

Question 19

Fundal ht at 12wks?

Answer 19

fundus

Question 20

Fundal ht at 20wks?

Answer 20

umbilicus

Question 21

Fundal ht at 35wks?

Answer 21

xiphoid

Question 22

What are cx for macrosomia?

Answer 22

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

Question 23

What are cx for microsomia (SGA)?

Answer 23

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

Question 24

What is considered misscarriage/abortion?

Answer 24

less than 20 wks

Question 25

What is considered advanced maternal age (AMA)?

Answer 25

>35yo

Question 26

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

Answer 26

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

Question 27

Hx/sx for diagnosing pregnancy?

Answer 27

missed periods breast tenderness/enlargement wt loss/gain

Question 28

What are some signs/PE for pregnancy?

Answer 28

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

Question 29

What are some labs to confirm pregnancy?

Answer 29

Urine hCG serum B hCG Progesterone

Question 30

When is urine hCG accurate?

Answer 30

~4wks of LMP

Question 31

What is the serum B hCG?

Answer 31

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

Question 32

What is the progesterone lab test?

Answer 32

if >10ng/ml - pregnant

Question 33

When should you detect the fetal heart?

Answer 33

12wks

Question 34

When should you use the US: tranabdominal and transvaginal?

Answer 34

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