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NURS 330 > Obs > Flashcards

Obs Flashcards

1
Q

what does Para mean

A

total number of pregnancies carried > 20 weeks

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2
Q

what does nullipara mean?

A

not yet given birth

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3
Q

what does primipara mean?

A

given birth once

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4
Q

what does multipara mean

A

given birth more than once

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5
Q

what does Gravida mean

A

total number of pregnancies at any gestation

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6
Q

what does T mean in TPAL

A

total number of pregnancies > 37 weeks

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7
Q

what does P mean in TPAL

A

total number of preterm births (< 37 weeks)

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8
Q

what does A mean in TPAL

A

total number of abortions (< 20 weeks)

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9
Q

what does L mean in TPAL

A

number of living children

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10
Q

what does presumptive changes of pregnancy mean

A

subjective changes experience by the patient that can mean something other than pregnancy

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11
Q

what are examples of presumptive changes of pregnancy

A

nausea and vomiting

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12
Q

what does objective changes of pregnancy mean

A

signs that can be perceived by the examined but can still indicate something other than pregnancy

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13
Q

what are examples of objective signs of pregnancy

A

enlargement of abdomen positive pregnancy test

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14
Q

what does positive changes of pregnancy mean

A

signs that are completely objective that only indicate pregnancy

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15
Q

what are examples of positive signs of pregnancy

A

ultrasound conformation fetal heart beat heard

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16
Q

what does antpartum mean

A

period of pregnancy, generally last 20 weeks

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17
Q

what does intrapartum mean

A

period of labour

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18
Q

what does postpartum mean

A

6 weeks after birth

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19
Q

what is nagele’s rule

A

date of LMP + 1 year - 3 months + 7 days = EDC

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20
Q

when should prenatal care be started

A

3 months before conception

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21
Q

what is the first Leopold’s maneuver detect

A

identifying the part of the fetus in the upper pole of the fundus

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22
Q

what is the second Leopold’s maneuver detect

A

identifies the location of the fetal back and extremities

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23
Q

what is the third Leopold’s maneuver detect

A

identifies the presenting part of the fetus in the pelvis

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24
Q

what is the fourth Leopold’s maneuver detect

A

determines the altitude or degree of flexion of presenting part

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25
Q

what is considered childbearing age

A

15-40+ when menstruating and sexually active

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26
Q

what is a underweight BMI range

A

< 18

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27
Q

what is a normal BMI range

A

18 - 24.9

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28
Q

what is an overweight BMI

A

25-29.9

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29
Q

what is an obese class 1 BMI

A

30-34.9

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30
Q

what is an obese class 2 BMI

A

35- 39.9

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31
Q

what is an obese class 3 BMI

A

40+

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32
Q

what is a normal weight gain expectancy for someone who is underweight

A

28-40 lbs

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33
Q

what is a normal weight gain expectancy for someone who is normal weight

A

25-35 lbs

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34
Q

what is a normal weight gain expectancy for someone who is overweight

A

15-25 lbs

35
Q

what is a normal weight gain expectancy for someone who is obese

A

11-20 lbs

36
Q

how long dose the first trimester last

A

weeks 0-13

37
Q

how long does the second trimester last

A

weeks 14-27

38
Q

how long does the third trimester last

A

weeks 28-40 +/- 2 weeks

39
Q

what is Hegar’s sign

A

softening of the lower uterine segment of the isithmus

40
Q

what is Goodell’s sign

A

softening of the cervix

41
Q

what is Chadwicks sign

A

bluish purple colouration of the vaginal mucous and cervix

42
Q

what is ballotment

A

when examiner pushes cervix during pregnancy and can feel a rebound from the floating fetus

43
Q

what is the first pregnancy biochemical marker

A

hCG

44
Q

what are braxton hicks contractions

A

spontaneous, irregular, painless contractions

45
Q

what is linea nigra

A

skin in the middle of the abdomen that develops a pigmented line during pregnancy

46
Q

what causes physiological anemia of pregnancy

A

state of hemodilution due to the changes in RBC volume and increased erythroproteins

47
Q

how do vital signs change during pregnancy

A

temp can increase pulse can increase resps can increase blood pressure can

48
Q

what is a nuchal scan scanning for

A

examines the collection of fluid under the skin at the back of the fetus’s neck

49
Q

what does a nuchal scan measure

A

measures the thickness of fluid behind the fetuses neck to determine risk of chromosomal abnormalities

50
Q

when is a nuchal scan done

A

between 11-14 weeks

51
Q

what is maternal serum screening done for

A

assess the risk of neural tube deficits, downs syndrome and other inherited diseases through a blood test

52
Q

what is tested for during a maternal serum screening in the first trimester

A

downs syndrome only

53
Q

what is tested for during a maternal serum screening in the second trimester

A

all available inherited diseases

54
Q

what does an amniocentesis check for

A

chromosomal abnormalities

55
Q

when is an amniocentesis most commonly done

A

2nd trimester

56
Q

what is an amniocentesis checking for when completed during the first trimester

A

diagnoses of chromosomal abnormalities for high risk mothers while still having the options to abort

57
Q

what is an amniocentesis checking for when completed during the second trimester

A

abnormal chromosomal abnormalities

58
Q

what is an amniocentesis checking for when completed during the third trimester

A

checking for maturity of organs to ensure viability for delivery

59
Q

what causes varicosites

A

increased venous stasis in legs from pressure from pelvis and vasodilation from increased progesterone levels relaxing the veins and causing pooling

60
Q

when is GBS screened for

A

in the third trimester

61
Q

what is GBS

A

common bacteria found on vagina, rectum and bladder

62
Q

what are risk factors for GBS

A

preterm unexplained fever during labour previous infection

63
Q

what does FFN stand for

A

fetal fibronectin

64
Q

what is FFN

A

glycoprotein released in response to inflammation or separation of amniotic membrane

65
Q

where is FFN found

A

cervico-vaginal secretions until 22 weeks and then again near labour

66
Q

what does a positive FFN test indicate

A

FFN is present an labour is near

67
Q

what does a negative FFn test indicate

A

FFN not present

68
Q

what are the 6 P’s of labour

A

passage passenger power position psychology people

69
Q

what does the passage P of labour mean

A

ability of pelvis and cervix to accommodate fetus

70
Q

what does the passenger P of labour mean

A

ability of fetus to complete the birthing process

71
Q

what does the power P of labour mean

A

uterine contractions and pushing

72
Q

what does the position P of labour mean

A

the maternal and fetal postions

73
Q

what does the psychology P of labour mean

A

stress/relaxation of entire labour process

74
Q

what does the people P of labour mean

A

the support people available

75
Q

what are the different types of pelvic shapes

A

gynecoid android anthropoid platypelloid

76
Q

what does molding mean

A

when the cranial bones of the fetus overlap under pressures of labour

77
Q

what is station

A

the relationship of the fetal presenting part to the imaginary lines between the ischial spines of the maternal pelvis

78
Q

what does fetal lie mean

A

the relationship of the fetal spine to the maternal spine

79
Q

what are the different types of fetal lie positions

A

longitudinal

transverse

oblique

80
Q

what is fetal atitude

A

relationship of fetal parts to one another

81
Q

what are the different types of fetal attitude

A

extended

brow

flexed

82
Q

what are the different types of fetal presentation

A

breech

cephlocaudal

shoulder

compound

83
Q

what is engagement

A

when the largest presenting part passes through the pelvic inlet

84
Q

what are the different types of cephalic presentations

A

NURS 330 (2 decks)

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