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NURS 330 > Obs > Flashcards

Obs Flashcards

(84 cards)

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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
what is considered childbearing age
15-40+ when menstruating and sexually active
26
what is a underweight BMI range
\< 18
27
what is a normal BMI range
18 - 24.9
28
what is an overweight BMI
25-29.9
29
what is an obese class 1 BMI
30-34.9
30
what is an obese class 2 BMI
35- 39.9
31
what is an obese class 3 BMI
40+
32
what is a normal weight gain expectancy for someone who is underweight
28-40 lbs
33
what is a normal weight gain expectancy for someone who is normal weight
25-35 lbs
34
what is a normal weight gain expectancy for someone who is overweight
15-25 lbs
35
what is a normal weight gain expectancy for someone who is obese
11-20 lbs
36
how long dose the first trimester last
weeks 0-13
37
how long does the second trimester last
weeks 14-27
38
how long does the third trimester last
weeks 28-40 +/- 2 weeks
39
what is Hegar's sign
softening of the lower uterine segment of the isithmus
40
what is Goodell's sign
softening of the cervix
41
what is Chadwicks sign
bluish purple colouration of the vaginal mucous and cervix
42
what is ballotment
when examiner pushes cervix during pregnancy and can feel a rebound from the floating fetus
43
what is the first pregnancy biochemical marker
hCG
44
what are braxton hicks contractions
spontaneous, irregular, painless contractions
45
what is linea nigra
skin in the middle of the abdomen that develops a pigmented line during pregnancy
46
what causes physiological anemia of pregnancy
state of hemodilution due to the changes in RBC volume and increased erythroproteins
47
how do vital signs change during pregnancy
temp can increase pulse can increase resps can increase blood pressure can
48
what is a nuchal scan scanning for
examines the collection of fluid under the skin at the back of the fetus's neck
49
what does a nuchal scan measure
measures the thickness of fluid behind the fetuses neck to determine risk of chromosomal abnormalities
50
when is a nuchal scan done
between 11-14 weeks
51
what is maternal serum screening done for
assess the risk of neural tube deficits, downs syndrome and other inherited diseases through a blood test
52
what is tested for during a maternal serum screening in the first trimester
downs syndrome only
53
what is tested for during a maternal serum screening in the second trimester
all available inherited diseases
54
what does an amniocentesis check for
chromosomal abnormalities
55
when is an amniocentesis most commonly done
2nd trimester
56
what is an amniocentesis checking for when completed during the first trimester
diagnoses of chromosomal abnormalities for high risk mothers while still having the options to abort
57
what is an amniocentesis checking for when completed during the second trimester
abnormal chromosomal abnormalities
58
what is an amniocentesis checking for when completed during the third trimester
checking for maturity of organs to ensure viability for delivery
59
what causes varicosites
increased venous stasis in legs from pressure from pelvis and vasodilation from increased progesterone levels relaxing the veins and causing pooling
60
when is GBS screened for
in the third trimester
61
what is GBS
common bacteria found on vagina, rectum and bladder
62
what are risk factors for GBS
preterm unexplained fever during labour previous infection
63
what does FFN stand for
fetal fibronectin
64
what is FFN
glycoprotein released in response to inflammation or separation of amniotic membrane
65
where is FFN found
cervico-vaginal secretions until 22 weeks and then again near labour
66
what does a positive FFN test indicate
FFN is present an labour is near
67
what does a negative FFn test indicate
FFN not present
68
what are the 6 P's of labour
passage passenger power position psychology people
69
what does the passage P of labour mean
ability of pelvis and cervix to accommodate fetus
70
what does the passenger P of labour mean
ability of fetus to complete the birthing process
71
what does the power P of labour mean
uterine contractions and pushing
72
what does the position P of labour mean
the maternal and fetal postions
73
what does the psychology P of labour mean
stress/relaxation of entire labour process
74
what does the people P of labour mean
the support people available
75
what are the different types of pelvic shapes
gynecoid android anthropoid platypelloid
76
what does molding mean
when the cranial bones of the fetus overlap under pressures of labour
77
what is station
the relationship of the fetal presenting part to the imaginary lines between the ischial spines of the maternal pelvis
78
what does fetal lie mean
the relationship of the fetal spine to the maternal spine
79
what are the different types of fetal lie positions
longitudinal transverse oblique
80
what is fetal atitude
relationship of fetal parts to one another
81
what are the different types of fetal attitude
extended brow flexed
82
what are the different types of fetal presentation
breech cephlocaudal shoulder compound
83
what is engagement
when the largest presenting part passes through the pelvic inlet
84
what are the different types of cephalic presentations

NURS 330 (2 decks)

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