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OB Test #1
Antepartum
57
Nursing
Graduate
09/13/2011

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Cards

Term
Oligohydraminos
Definition
less than 300ml of fluid in amniotic sac
Term
polyhydraminos
Definition
greater than 2000ml of fluid in amniotic sac
Term
Duncan side
Definition
rough
maternal side
Term
Schultze
Definition
soft
fetal side
Term
Cleavage
Definition
mitotic cellular replication begins as the zygote travels the length of the uterine tube into the uterus
Term
Trophoblast
Definition
outer layer
nourishing layer
turns into the placenta
Term
ampulla
Definition
outer third of the uterine tube
Term
Blastocyst
Definition
developing embryo
Term
Ectoderm
Definition
Trophoblast
Placenta, integument, neural tissue, and glands
Term
Endoderm
Definition
epithelium lining of the respiratory tract, digestive tract, and parts of GU system
Term
Mesoderm
Definition
Bones, teeth, muscles, dermis and connective tissue, CV system, and UG system
Term
Ductus Arterious
Definition
bypasses the babies lungs
O2 rich blood from the placenta flows rapidly through the umbilical vein into the fetal abdomen
Term
Ductus venosus
Definition
most blood goes into the inferior vena cava where is mixes with deoxygenated blood from the fetal legs and abdomen on its way to the right atrium
Term
Foramen ovale
Definition
opening in the left atrium
oxygenated blood mixes with the small amount of blood returning deoxygenated from the fetal lungs through the pulmonary veins
Term
gravida
Definition
number of total pregnancies
Term
term
Definition
38 weeks and above
Term
preterm
Definition
before 38 weeks
Term
sexual history
Definition
-number of sexual partners
-STI
-sexual abuse
-methods of contraception
-condom use
Term
social history
Definition
-use of recreational drugs
-Smoking
-domestic abuse
-educational level
-economic level
-insurance
-need for community referrals
Term
McDonalds technique
Definition
non absorbable ribbon is placed around the cervix beneath the mucosa to constrict the internal os of the cervix
this is done to inhibit premature uterine contractions
Term
Quickening
Definition
-16-20 weeks
-mothers first perception of fetal movements
Term
true labor
Definition
cervix dilates
contractions increase
leaking amniotic fluid
bloody show
Term
false labor
Definition
cervix unchanged
irregular and decreased contractions
vaginal discharge or changes
Term
para
Definition
number of infants delivered after 20 weeks gestation
Term
spontaneous abortion
Definition
when fetus dies prior to 20 weeks and then she has to give birth
Term
Hegars sign
Definition
softening of lower uterine segment
Term
Goodells sign
Definition
softening of the cervix
Term
ballottement
Definition
medical sign which indicates increased fluid in the suprapatellar pouch over the patella at the knee joint
Term
chadwicks sign
Definition
blueish discoloration of cervix, vagina, and vulva
Term
what does increased estrogen cause
Definition
mucosa and smooth muscles to thickens and joints to relax
Term
leukorrhea
Definition
susceptibility to yeast
thick whitish yellow vaginal discharge
Term
Abx that can be given during pregnancy
Definition
PCN
Ancef
Gentamycin
Term
hirsutism
Definition
excessive hair growth
Term
Linea nigra
Definition
dark line from umbilicus to symphysis pubis
Term
estrogen
Definition
increases uterine muscles mass
increases blood flow to the uterus
prepares breasts for lactation
Term
progesterone
Definition
relaxes venous walls
inhibit uterine contractions
Term
hCG
Definition
human chorionic gonadotrophin
stimulates estrogen and progesterone
Term
relaxin
Definition
discourages uterine contractions
remodeling of collagen
Term
prolactin
Definition
maturation of breast ducts/alveoli
stimulates lactation
Term
human placental lactogen
Definition
insulin antagonist
allow adequate glucose for fetal demand
Term
pica
Definition
-consumption of nonfood substances
-ex. corn starch, red dirt, flour, soap, ice, etc
Term
Ambivalence
Definition
having conflict feelings simultaneously, which is normal for new role
Term
Acceptance
Definition
reflected in woman's emotional responses
Term
introversion
Definition
focusing on self and infant
Term
couvade
Definition
behaving in specific ways and respecting taboos associated with pregnancy and giving birth
Term
Rhogam
Definition
destroys fetal RBC before antibodies
Term
What can an ultrasound determine
Definition
1. confirm and date pregnancy
2. verify location/position
3. cardiac activity
4. fetal anomalies
5. measure amniotic fluid index
6. cervical length
7. full bladder
Term
BPD
Definition
biparietal and crown rump length
fetal growth and IUFR
Term
BPP
Definition
biophysical profile
combined ultrasound and EFM
fetal breathing movements, body movements, and tone
reactive HR
measures amniotic fluid
external monitoring
normal 8-10 abnormal <6
Term
Doppler flow velocity
Definition
blood flow to the placenta
poor perfusion if S/D remains > 3 post 30 weeks
Term
beta methazone
Definition
matures babies lungs every 12 hrs up to 3 doses
accelerates fina; surfactant into fetal lungs
Term
amniocentesis
Definition
-aspiration of fluid from sac after the 14th week
-measure AFP, billirubin, lung maturity, chromosomal abnormalities
Term
L/S ratio
Definition
lectitchin/sphingomyeline
Term
non stress test
Definition
-electronic fetal monitoring
-monitors fetal response to movement
-records VS, FHR
-norm: 2 accelerations within 20 min at least 15 bpm and last for 15 seconds
Term
contraction stress test
Definition
-side lying posistion
-records vital signs, FHT
-shows early signs of fetal distress
-stimulates uterine contractions until 3 ctx occur within 10 min lasting 40 sec each without the presence of decelerations
-negative = normal
Term
chorionic villi sampling
Definition
-done at 10-12 weeks
-chromosomal analysis for downs and sickle cell
Term
kick count
Definition
fetal stimulation which leads to fetal movement and kicking
-< 3 in an hour report
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