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Peds/OB > OB vocab > Flashcards

OB vocab Flashcards

(68 cards)

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1
Q

Enlargement/widening of cervical opening

A

Dilation

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2
Q

When does dilation occur?

A

Once labor has begun

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3
Q

What are the dilation examples(in order)

A

Cheerio, banana slice, cracker, soda can, bagel

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4
Q

Shortening and thinning of cervix

A

Effacement

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5
Q

Indicates largest transverse diameter of presenting part has passed thru pelvic brim/inlet into true pelvis

A

Engagement

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6
Q

Station

A

Location of presenting part in relation to ischial spines

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7
Q

As the fetus progresses thru delivery, how is the station described?

A

0=station engaged, then as baby progresses down through pelvis—> +1,2,3

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8
Q

When is the station described as -1,-2,-3?

A

When the presenting part is above the ischial spines

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9
Q

Presenting part

A

What is coming down first

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10
Q

Number of pregnancies

A

Gravida

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11
Q

Never been pregnant before

A

Nulligravida

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12
Q

Only been pregnant once

A

Primigravida

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13
Q

Been pregnant 2 or more times

A

Multigravida

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14
Q

Number of pregnancies in which the fetus reaches 20 weeks of pregnancy

A

Para

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15
Q

Nullipara

A

No pregnancy beyond stage of viability

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16
Q

Primipara

A

One pregnancy completed to stage of viability

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17
Q

Multipara

A

Two or more completed pregnancies to stage of variability

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18
Q

Braxton hicks

A

False contractions

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19
Q

Describe Braxton hicks

A

False contractions that are painless, irregular, and are relieved by walking

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20
Q

Zygote

A

Diploid cell; from fusion of two haploid gametes; fertilized ovum

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21
Q

Morula

A

Stage of development where dividing cell mass=20-30 cells, results from division of ovum

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22
Q

Infant has pink body but blue tinted hands and feet

A

Acrocyanosis

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23
Q

Acrocyanosis is an abnormal finding in a newborn T/F

A

False- normal finding in a newborn—> concerning when around the mouth and eyes

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24
Q

Small raised white spots on the nose, chin, forehead.

A

Milia

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25
How to treat milia
Leave alone, disappear spontaneously without tx
26
Fontanelle
Soft spot on infants head-where the bony plates have not come together
27
What does it mean when the baby’s fontanelle is sunken?
Severe dehydration- late sign!
28
Slight overlapping of bones in the fetal skill- occurs during childbirth
Molding
29
Why does a baby go through molding?
It allows the skull to adapt to various pelvic diameters
30
When is a group B strep culture obtained?
Between 36-37 weeks of gestation.
31
How do you test for GBS?
Perineal swab, if positive- IV prophylactic abx started when admitted for labor
32
What is the APGAR?
Quick review of systems at 1 and 5 min after birth
33
Why do we use the APGAR?
Allows for rapid assessment of extrauterine adaptation and rapid intervention
34
Scores for APGAR
0-3=severe distress 4-6=moderate difficulty 7-10=minimal or no difficulty with adjusting to extrauterine life
35
The higher the APGAR score the…
The better the baby has adjusted to life outside of the womb
36
What are the five things that the APGAR assessment looks at?
HR, RR, muscle tone, reflex irritability, skin color
37
What is the score range for the APGAR?
0-10
38
IUGR
Intrauterine growth restriction
39
What is IUGR
Fetus does not meet the expected growth rate
40
Bluish purple spots of pigmentation commonly on the shoulders, back, and buttocks
Mongolian spots
41
Localized swelling of soft tissues of scalp caused by pressure on head during labor
Caput succedaneum
42
Palpated as soft, edematous mass and can cross over suture line,r evolves within 3-4 days-does not require tx
Caput succedaneum
43
Collection of blood between periosteum and skull bone that it covers.
Cephalohematoma
44
Does not cross the suture line, results from trauma during birth, appears in first 1-2 days afterbirth, resolves in 2-3 weeks
Cephalohematoma
45
Variable transitory increase in fetal HR above baseline
Accelerations
46
Accelerations are bad T/F
False
47
Transitory, abrupt slowing of the fetal HR 15/min or more below baseline for at least 15 seconds, variable in relation to uterine contraction
Decelerations
48
What is the requirement for something to be classified as a deceleration?
Abrupt slowing of HR 15/min or more below baseline for at least 15 seconds
49
Do uterine contractions cause decorations?
Yes, they can- but not all declarations are related/correlated with/to contractions
50
BPP
Biophysical profile
51
Uses real time ultrasound to visualize physical and physiological characteristics of the fetus
Biophysical profile
52
What does a BPP observe for?
Fetal biophysical responses to stimuli. Combines fetal HR monitoring and fetal ultrasound
53
What is a biophysical profile a combination of?
Fetal HR monitoring and fetal ultrasound (real time)
54
What characteristics can be observed in a BPP?
Amniotic fluid vol NST (non stress test) Breathing Limb movement Fetal muscle tone
55
Epidural
Local anesthetic with an analgesic injected into epidural space at the fourth or fifth vertebrae level
56
Newborn’s first poop
Meconium
57
Meconium
Thick, sticky, tarry, dark green poop- made of cells, proteins, fats, and intestinal secretions (like bile)
58
Gelatinous substance within the umbilical cord
Wharton’s jelly
59
Presenting part of the fetus is the head
Vertex
60
Breech
Presenting part of the fetus is either the buttocks/feet
61
How many types of breech are there?
Three
62
What are the three types of breech?
Frank/extended breech (65-70%) Complete/flexed breech (30%) Footling breech (10%; emergency)
63
How long does it take the umbilical cord to “dry up and fall off” ?
7-14 days
64
Lochia
Post birth uterine discharge that contains blood, mucus, and uterine tissue.
65
The amount of lochia is similarly to heavy menstrual period about 2 hours after delivery then decreases gradually at a consistent rate. What are the three stages?
Lochia Rubra, Lochia serosa, Lochia alba
66
Lochia rubra
First stage Dark , red 3-4 days
67
Lochia Serosa
Second stage Pink/brown 4-12 days
68
Lochia alba
Third stage Yellow, white About 12 days

Peds/OB (12 decks)

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