Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

N395 - Maternity > QUIZZAM Terms > Flashcards

QUIZZAM Terms Flashcards

1
Q

Gravida

A

The number of pregnancies a woman has had. Always count the current pregnancy in this calculation. G1 - primigravida - first time woman pregnant

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Para

A

The number of live births

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

ECD/EDD

A

Due date. Expected Date of Confinement. Expected Date of Delivery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

LMP

A

First day of bleeding of the Last Menstrual Period

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Doula

A

Mother’s the mother for either labor or postpartum. No nursing responsibilities, supports laboring woman and her partner, offers individualized care and labor support

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

CNM

A

Certified Nurse Midwife. RN with advanced training in labor, birth, prenatal care, well woman care for women throughout the lifespan

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Perinatologist

A

Obstetrician with advanced training in high risk obstetrics

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Obstetrician

A

MD or DO with advanced training in obstetrics and gynecology care

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Family physician or GP

A

GP: General Practitioner, family MD, cares for whole family unit, rarely attends woman in birth, but in rural areas might

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Neonatologist

A

Pediatrician with advanced training in neonates, cares for extremely high risk babies from birth through discharge, doctor for premies

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

NNP

A

Neonatal Nurse Practitioner who cares for sick infants and premature

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Level I Hospital

A

Community or rural hospital, cannot care for sick babies, transports to high risk center

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Level II Hospital

A

Takes care of moderately ill neonates: Example Alamance Regional Hospital

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Level III Hospital

A

High risk tertiary hospital, the highest of the high risk, example DUKE, Wake Med Raleigh, UNC.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Birth Center

A

Site of births for very low risk women, usually attended by CNM and doulas + RN for the birth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Term Gestation

A

37-42 weeks gestation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Fetal heart tones (FHT) at birth

A

110-160 BPM

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Leopold’s maneuvers

A

4 precise maneuvers used to locate the fetal back, fetal shoulder, presenting part. This aids the nurse in the correct placement of the fetal monitor or where to listen for the fetal heart tones

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Doptone

A

Hand held ultrasonic device used to listen to fetal heart tones. Must be used with conductive gel

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Unit policy

A

Hospital or unit specific guidelines that outline the specifics of care or a procedure. The first benchmark to which care is evaluated

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Standard of care

A

What any reasonably prudent nurse would do in similar circumstances. Usually written by professional organization, has national implications and is evidenced-based.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

BOW Bag of waters

A

Amniotic sac, filled with amniotic fluid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

AROM Artificial Rupture of Membranes

A

Amniotomy. Common, induces labor, natural as it happens later spontaneously.
Risk infection, prolapse cord

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

SROM Spontaneous Rupture of Membranes

A

Generally occurs at height of intense contraction. If not engaged, danger of prolapse. Danger of infection after 12-24 hours.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

PROM

A

Premature Rupture of Membrane. ROM before labor begins.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

PPROM

A

Preterm Premature Rupture Of Membrane. PROM when gestation is less than 37 weeks.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Dilation

A

Cervical os opens, pulled apart. 1-10 cm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

Effacement

A

Cervix thins out, pulled up by contractions. In primigravidas effacement usually precedes dilation. Fully effaced is paper thin.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Station

A

How far down in pelvis engaging part of fetus has dropped. Relative to line between ischial spines. Negative is not to that line. Positive is past that line. Progress from negative to positive.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

Complete Dilation

A

10 cm, or so much it cannot be palpated

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

Placenta Previa

A

Placenta is attached low in the uterus, total blocks the cervical internal os, partial partly blocks. Contractions cause bleeding here. High risk for vaginal birth.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

Placenta Accrete (accreta?)

A

Placenta chorionic villi attach directly to the myometrium of uterus. 1 in 2000. Can be life threatening. Maternal hemorrhage and failure of placenta to separate after birth.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

Abruptio placentae

A

Separation of normally implanted placenta from the uterine wall. Can be marginal, central, or complete.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

Frank/Complete Breech

A

Fetal buttocks down, hips flexed, knees flexed or extended

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

Footling Breech

A

Fetal hips and knees extending and down

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

Double Footling Breech

A

Footling breech both feet down. Single is one foot down.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

VBAC

A

Vaginal Birth After Cesarean.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

Cesarean birth

A

Birth of an infant through abdominal and uterine incision.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

Primary cesarean birth

A

Cesarean on a woman who has not had a cesarian before.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

Repeat cesarean birth

A

Cesarian on a woman who has had a previous cesarian

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
41
Q

Emergent cesarean birth

A

Performed when there is an unexpected delay, complication, etc in labor and a C-section is indicated. Not an emergency.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
42
Q

Emergency “crash” cesarean birth

A

Cesarean done when vaginal was planned, due to some issue with mother or baby

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
43
Q

Classic cesarean birth

A

Upper uterine vertical incision, formerly done always, now almost never. More bleeding, more trouble with rupture on next pregnancy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
44
Q

Low transverse cesarean birth

A

Preferred method, low on uterus and transverse, within pubic hair so does not normally show. Takes more time.

45
Q

LGA and SGA

A

LGA - Large for Gestational Age - at or above 90th percentile
SGA - Small for Gestational Age - less than 10th percentile

46
Q

Meconium

A

Thick tarry initial defecation of infant, formed in utero, amniotic.

47
Q

Apgar score - what is it and why done

A

Score 0-10 1 and 5 minutes after birth. 0-2 on 5 scores. Heart rate, Respiration, Muscle Tone, Reflex Response, Skin color.

48
Q

IUPC

A

Intrauterine Pressure Catheter - measures contractions - electronic pressure transducer inserted through os.

49
Q

Fetal Scalp Electrode (FSE)

A

Fetal scalp electrode is the most accurate for fetal heart rate, as it provides ECG for fetus, analysis of PQRST waves

50
Q

External Version

A

External Cephalic Version for breech - using hand motions on woman’s abdomen to turn baby from breech to head down position to allow for vaginal birth

51
Q

FTP Failure to Progress

A

Prolonged labor, lasting more than 20 (or 18-24) hours (first time mom) or 14 for experienced mom. May be called prolonged latent labor.

52
Q

IUGR

A

Intrauterine Growth Restriction - advanced gestation and decreased growth potential of the fetus

53
Q

HELLP

A

Hemolysis, Elevated Liver enzymes and Low Platelet count. 10-20% severe preeclampsia cases, pre-term 1/2 of time. Fibrin-like material in liver causes lesions, necrosis, swelling, pain, may rupture. Very serious, tertiary care center.

54
Q

DTR’s

A

Deep Tendon Reflexes as a tool to determine need to start, adjust, or stop magnesium infusion. Low magnesium causes increased DTRs. Magnesium administered to prevent eclampsia.

55
Q

Clonus

A

Series of abnormal reflex movements of the foot, induced by sudden dorsiflexion. Indicates hyperflexion, nervous system excitability, indicates risk of seizure eclampsia.

56
Q

Hemorrhage by definition of cc’s

A

> 500 ml after vaginal delivery
1000 ml after cesarian
Traditional

57
Q

Laboring Down

A

Waiting to push. Rather than start pushing at 10 cm dilation, wait for an hour or more, letting contractions do all the work. When baby fully down in the birth canal, then push. Decreases pushing time, saves mother, good for baby in terms of oxygen and heart rate deceleration.

58
Q

Prodromal labor

A

Pre-labor, false labor. Contractions and other signs that begin much the same way as labor, but do not end with the birth of a baby.

59
Q

Latent labor

A

First stage of labor divided into three parts, latent and active labor and transition. Latent is 0-3 cm dilation, little or no descent, regular contractions every 3-30 minutes, 20-40 second duration, mild to moderate.

60
Q

Active labor

A

Second part of first stage, contractions 2-5 min, 40-60 second duration, 4-7 cm dilated, moderate to strong contractions.

61
Q

Transition

A

8-10 cm dilation. Contractions every 1.5-2 minutes, 60-90 seconds duration, strong.

62
Q

First stage of labor

A

Beginning of true regular contractions through 10 cm dilation of cervix.

63
Q

Second stage of labor

A

Begins at 10 cm dilation and ends with birth of infant.

64
Q

Third stage of labor

A

Begins with birth of infant and ends with expulsion of placenta.

65
Q

Water birth

A

Part of your labor, delivery, or both happen while you are in a birth pool filled with warm water.

66
Q

Epidural

A

An injection that goes into the space outside the dura mater in the spine. Usually local anesthetic in lumbar. Provides a continuous pain block.

67
Q

Local

A

Provide pain relief for a local area, not general overall.

68
Q

Spinal

A

Spinal block - local into subarachnoid space for cesarean or other acute obstetrical emergencies

69
Q

Episiotomy

A

Surgical incision to perineal body, midline or mediolateral. To prevent tears.

70
Q

Preterm birth

A

Infant born prior to 37 weeks gestation

71
Q

Neonatal jaundice

A

Yellowing of skin in newborn caused by bilirubin that should be excreted by the liver.

72
Q

Acrocynosis

A

Normal at birth, first Apgar score. Where extremities are blue while rest of body is pink.

73
Q

Engorgement of the breast

A

Breast is hot, swollen, painful. Happens gradually.

74
Q

Mastitis of the breast

A

Sudden swelling on one side of breast, red and hot, intense pain. Usually after about 10 days. Fever and flu symptoms.

75
Q

Abscess of the breast

A

Painful collection of pus that forms in the breast due to infection (mastitis).

76
Q

Hematuria

A

Blood in the urine

77
Q

Dysuria

A

Painful of difficult urination

78
Q

Dysmeorrhea

A

Painful menstruation

79
Q

Dyspareunia

A

Difficult of painful sexual intercourse

80
Q

Gestational diabetes

A

During pregnancy, develop type II diabetes, where you have high blood sugar and your body has trouble using sugar.

81
Q

Zygote

A

Fertilized egg with diploid DNA.

82
Q

Embryo

A

Starts about day 15 and goes through week 8. Main external features and start of organs present.

83
Q

Blastocyst

A

After several divisions of zygote, there is differentiation of cells. Contains inner cell mass and trophoblast.

84
Q

In-vitro fertilization

A

Ovaries stimulated, eggs harvested, fertilized in laboratory, then placed into uterus

85
Q

Gould’s definition of labor

A

Normal labor naturally follows a SEQUENTIAL pattern. The woman experiences PAINFUL, REGULAR uterine contractions stimulating PROGRESSIVE effacement and dilation of the cervix and descent of the fetus, culminating in a spontaneous vaginal BIRTH of a healthy baby and the expulsion of placenta and membranes with no apparent complications in the mother or baby. It is STRENUOUS work. MOVEMENT has a critical role.

86
Q

Mons Pubis

A

Swelling anterior, fatty

87
Q

Labia Majora

A

Outer lips

88
Q

Prepuce of clitoris

A

Area anterior to clitoris, extension of labia minora, covers glans clitoris

89
Q

Clitoris (head of)

A

Very rich blood and nerve, erectile, primary erogenous organ

90
Q

Vestibule

A

Boat shaped area inside labia minora

91
Q

Urethral meatus

A

Opening to urethra

92
Q

opening of Skene’s gland

A

Posterior wall of urethra, secretions help lubricate vestibule for sexual intercourse

93
Q

Hymen

A

Thin elastic collar surrounding vaginal opening.

94
Q

Orifice of vagina

A

Border between external and internal genitals

95
Q

Opening of Bartholin’s glands

A

Under constrictor muscles of vagina, secrete mucus to enhance viability and motility of sperm

96
Q

Labia minora

A

Folds of skin within labia majora with sebaceous glands for waterproof, lubrication, bacterial secretions

97
Q

Fourchette

A

Posterior of labia minora, near anus

98
Q

Perineal body

A

Between anus and vagina, site of episiotomy

99
Q

Pouch of douglas

A

Separates rectum and upper vagina / uterus

100
Q

Fornix

A

Hollow around cervix, sperm pools here just outside cervix

101
Q

Ovary

A

Contains eggs

102
Q

Fallopian tubes

A

Sperm, zygote travel in

103
Q

Fimbriae

A

Fingers that reach from fallopian tubes to ovaries to catch eggs

104
Q

Fundus of uterus

A

Rounded uppermost part of uterus

105
Q

Uterine cornua

A

Elongated part where fallopian tubes enter

106
Q

Isthmus of fallopian tube

A

Part that enters into uterus

107
Q

Layers of uterus - 3

A

Perimetrium / myometrium / endometrium

108
Q

Parts of uterus, sections - 3

A

Fundus
Corpus (body)
Isthmus

109
Q

5 P’s

A

Passenger - fetus and placenta. Presentation, lie, attitude, fetal position
Passageway
Powers
Position - mom, movement, change position, gravity
Psychological response

N395 - Maternity (1 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions