Term
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Definition
| vulvovaginal glands~glands secrete a clear, thick, alkaline mucus that enhances viability and motility of sperm deposited in vagina |
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Term
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Definition
| control the development of female secondary sex characteristics: breast dev, widening of hips, deposits of fat tissue; amt. greatest furing proliferative phase of menstrual cycle |
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Term
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Definition
| greatest amts during secretory phase of menstrual cycle; Hormone of pregnancy because effects on uterus allow pregnancy to be maintained; cervix secretes thick, viscous mucus, breast tissue increases in size and breasts prepare for lactation |
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Term
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Definition
| days 1-14; lining is repaired & epithelial tissue builds up; under influence of FSH and LH |
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Term
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Definition
| days 15-28; uterine lining prepares for pregnancy, blood supply inc due to hormone production |
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Term
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Definition
| day 1-7 is high amts of FSH---FSH stim ovarian follicles to prod estrogen---inc estrogen causes ant pit gland to prod LH---LH causes ovulation (ovulation cannot occur w/o LH)---ovulation causes corpus luteum to prod huge amts of progesterone; if implantation does not occur w/in 7-10 days, corpus luteum stops prod progesterone |
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Term
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Definition
excessive profuse flow during menses; may be ca or tumors~~~
NSAIDS are used to treat this because they inc vasoconstriction; do not use aspirin because use will inc bleeding; need endometrial bx |
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Term
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Definition
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Term
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Definition
| 2 arteries (carry blood to chorionic villi from embryo); 1 vein (returns blood to embryo) |
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Term
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Definition
| shunts most blood into inferior vena cava; empties directly into fetal vena cava |
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Term
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Definition
week 1-13 1st trimester
week 14-26 2nd trimester
week 27-40 3rd trimester |
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Term
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Definition
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Term
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Definition
| onset of labor to delivery |
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Term
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Definition
| delivery of placenta to 6 weeks |
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Term
| antepartal visit schedule (office) |
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Definition
Q month (4 wks) -1st 28 weeks
Q 2 wks until 36 weeks
Q wk after 36 weeks until delivery
Pt. education is an integral part of each visit |
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Term
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Definition
G-inc. current (sometimes total)
F-full term pregnancies
P-premature >20 wks, <37 wks
A-abortions/ miscarriage <20 wks
L-living children |
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Term
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Definition
screening for gestational diabetes;
blood glucose monitoring or fasting blood sugar 24-28 wks. |
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Term
ultrasound
group B strep
alphafetoprotein |
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Definition
6-10 weeks
35-37 wks
16-20 wks |
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Term
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Definition
1st tri 3-5 lbs.
2nd tri 12-15 lbs.
3rd tri 12-15 lbs. |
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Term
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Definition
| bluish discoloration of cervix (presumptive S/S of pregnancy) |
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Term
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Definition
| softening of uterus (probable S/S of pregnancy) |
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Term
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Definition
| softening of the isthmus of the uterus (lower uterine segment) using a vaginal exam |
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Term
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Definition
| (16-18 wks) passive fetal movement elicited when the examiner inserts two gloved fingers into vagina & pushes back cervix~examiner feels rebound of fetal body |
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Term
| progesterone deprivation theory |
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Definition
| causes of onset of labor; progesterone secreted by corpus luteum, then by placenta; maintains preg; prog dec, estro inc (at end of preg) |
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Term
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Definition
| formed by uterine decidua(esterogen stimulates this); stim uterine contractions(we use prostaglandins to induce labor & ripen cervix) |
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Term
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Definition
| powers, passenger, passageway, psyche, position |
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Term
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Definition
uterine contr. involuntary, occur intermittently; uterus needs relaxation for recovery from bl supply;
upper seg contracts(fundus)
Lower seg relaxes
Maternal bearing down |
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Term
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Definition
| from start of contr to end of contra(same) |
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Term
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Definition
| beginning of contra to beginning of next contra |
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Term
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Definition
| strength during acme; measure manually for ex. mild feels like chin; moderate feels like bridge of nose; strong feels like forehead |
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Term
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Definition
increment(longest)
acme
decrement |
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Term
anterior fontanel
posterior fontanel |
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Definition
lg diamond shape(bregma)~~closes 18 mo.
smaller, triangle shape(occiput is beneath post fontanel~~closes 3 mo. |
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Term
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Definition
biparietal-9.25cm(largest)
bitemporal-8cm(smallest) |
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Term
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Definition
way the baby is lying in mom;
relationship of fetal back to maternal back (longitudinal or transverse) |
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Term
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Definition
| relation of fetal parts to one another; flexion--head is flexed forward w/chin almost resting on chest w/ arms & legs flexed. |
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Term
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Definition
cephalic(head)
vertex(normal, but could be face/brow)
breech(full, frank, footling)
shoulder(transverse lie) |
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Term
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Definition
chin to chest
occiput is presenting part
suboccipitobragmatic presents to maternal pelvis |
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Term
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Definition
dilation-cervix dialates 1-10 cm
expulsion-from complete dilation to birth of infant
placental-from birth of infant to del. of placenta
first 4 hrs. after feeding(breastfeeding) |
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Term
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Definition
A-appearance
P-Pulse
G-Grimace(reflex irritability)
A-Activity(muscle tone)
R-Respiratory Effort
2 pts for each=10 total |
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Term
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Definition
via diagonal conjugate(an external exam)
measures dist between sacral prominitory & lower margin of symphysis
If >11.5 cm, inlet assumed OK |
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Term
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Definition
biischial diameter(between ischial tuberosities);
external exam;
IF >8cm, outlet considered OK;
transverse dim of outlet |
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Term
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Definition
Post aspect of symphysis
to estimate true conjugate, subtract 1.5-2cm from diagonal conjugate;
EX. 11.5-2=9.5(true conjugate) |
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Term
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Definition
| blood-tinged vaginal discharge~~usually means mucous plug has passed |
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Term
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Definition
*latent phase(0-3cm of dilation;
*active phase(4-7cm of dilation);
*transition phase(8-10cm of dilation) |
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Term
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Definition
for production of milk in acini cells
(anterior pituitary) |
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Term
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Definition
| stim uterine contractions and "letdown reflex" (posterior pituitary) |
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Term
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Definition
| from corpus luteum/placenta; prevents uterine contractions; relaxation of pelvic bones for delivery |
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Term
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Definition
| mucous discharge that forms mucous plug- prevents ascending infections~~~do not douche |
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Term
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Definition
| heard over symphysis pubis synchronous with maternal heartbeat from inc blood flow |
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Term
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Definition
| soft blowing sound heard over umbilical cord & synchronous with fetal heartbeat |
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Term
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Definition
| "mask of pregnancy"; worse in sun, mask will fade after delivery |
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Term
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Definition
pregnancy hematocrit=33-34;
hgb 1st tri=11.6;
hgb 3rd tri=12.5 |
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Term
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Definition
| inc saliva; astringent mouth, chew gum, support |
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Term
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Definition
heartburn;
esophageal reflux; avoid eating & reclining/elevate HOB; small freq meals/low fat; avoid caffeine |
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Term
| danger signs of pregnancy |
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Definition
*visual changes; *sudden, severe cont headaches; *edema(non-dependent); *rapid wt gain; *ab or epigastric pain;
*S/S of infection; *vag bleeding/drainage; *persistant vomiting; *musc. irritability/seizures; *absence or dec in fetal movements |
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Term
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Definition
| fetal head compressed, cerebral bl flow dec=vagal stimulation; onset occurs before onset of uterine contraction; NO intervention |
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Term
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Definition
| caused by uteroplacental insufficiency resulting from dec bl flow & oxygen transfer to fetus during uterine cont; onset of deceleration occurs after onset of the uterine cont; uniform shape, requires nursing intervention |
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Term
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Definition
| occur when umbilical cord becomes compressed, thus reducing bl flow between placenta & fetus; onset varies in timing with onset of uterine cont & variable in shape; requires nursing intervention |
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