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CUI C7 M/C Vocab1

Maternity & Child Vocab #1

QuestionAnswer
AFP (alpha-fetoprotein) A fetal protein produced in the yolk sac for the first 5 weeks of gestation and then by the fetal liver. Elevated levels may indicate genetic/chromosomal abnormality.
AFI (amniotic fluid index) a method of reporting fluid volume. The AFI is calculated by dividing the maternal abdomen into four quadrants with the umbilicus as the reference point. Then the deepest vertical pocket is measured. These measurements are summed to calculate the AFI.
AROM (artificial rupture of membranes) use of a device such as an amniohook or allis forceps to rupture the amniotic membrane.
ART (assisted reproductive therapy) term used to describe the highly technologic approaches used to produce pregnancy.
BOW (bag of waters) the membrane containing the amniotic fluid and the fetus
BPP (biophysical profile) assessment of five variables in the fetus that help to evaluate fetal risk: breathing movement, body movement, tone, amniotic fluid volume, and fetal heart rate activity.
BSE (breast self exam) a manual examination conducted monthly by a woman to evaluate her own breasts for signs of masses, changes, nipple discharge, or evidence of abnormalities.
CPD (cephalopelvic disproportion) a condition in which the fetal head is of such a shape or size, or in such a position, that it cannot pass through the maternal pelvis.
CVS (chorionic villi sampling) procedure in which a specimen of the chorionic villi is obtained from the edge of the developing placenta at about 8 weeks' gestation. The sample can be used for chromosomal, enzyme, and DNA tests.
CST (contraction stress test) a method of assessing the rxn of the fetus to the stress of uterine contractions. Test may be utilized when contractions are occurring spontaneously or when artificially induced by oxytocin challenge test (OCT) or breast self-stimulation test (BSST).
C/S or RC/S Cesarean Section; Repeat Cesarean Section.
D&C (dilatation and curettage) stretching of the cervical canal to permit passage of a currette, which is used to scrape the endometrium to empty the uterine contents or to obtain tissue for examination.
EFM (electronic fetal monitoring) a method of placing a fetal monitor on the fetus in order to obtain a continuous tracing of the FHR, which allows many characteristics of the fetal heart rate to be observed and evaluated.
EDB/EDD/EDC (estimated date of birth) during a pregnancy, the approximate date when childbirth will occur: the "due date". Also documented as EDD (estimated date of delivery) or EDC (estimated date of confinement).
ECV (external cephalic version) procedure involving external manipulation of the maternal abdomen to change the presentation of the fetus from breech to cephalic.
FAST (fetal acoustic stimulation test) a fetal assessment test that uses sound from a speaker, bell, or artificial larynx to stimulate acceleration of the fetal heart; may be used in conjunction with the nonstress test.
G (gravida or gravidity) number of times the woman has had a confirmation of pregnancy.
fFN (fetal fibronectin) a glycoprotein that is produced by the trophoblast and fetal tissues whose presence between 20 and 34 weeks' gestation is a strong predictor of preterm birth associated with preterm spontaneous rupture of membranes.
FHR (fetal heart rate) the number of times the fetal heart beats per minute; normal range is 120-160.
GDM (gestational diabetes mellitus) a form of diabetes of variable severity with onset or first recognition during pregnancy.
IDM (infant of a diabetic mother) at-risk infant born to a woman previously diagnosed as diabetic or who develops symptoms of diabetes during pregnancy.
ISAM (infant of substance abusing mother) an infant born to a mother who abuses or is addicted to drugs or alcohol.
IUGR (intrauterine growth restriction) fetal undergrowth due to any etiology, such as intrauterine infection, deficient nutrient supply, or congenital malformation. A term used to describe fetuses falling below the 10th percentile in ultrasonic estimation of weight at a given gestational age.
IUPC (intrauterine pressure catheter) a catheter that can be placed through the cervix into the uterus to measure uterine pressure during labor. Some types of catheters may be used for the purpose of infusing warmed saline to add additional intrauterine fluid when oligohydramnios is present.
IUFD or FD (intrauterine fetal demise) fetal death prior to delivery (intrauterine)
IVF (invitro fertilization) procedure during which oocytes are removed from the ovary, mixed with spermatozoa, fertilized, and incubated in a class petri dish; then up to four viable embryos are placed in the woman's uterus.
LGA (large for gestation age) excessive growth of a fetus in relation to the gestational time period.
LMP (last menstrual period) the last normal menstrual period experienced by the woman before pregnancy sometimes used to calculate the infant's gestational age.
L/S ratio (lecithin/sphingomyelin ratio) lecithin and sphingomyelin are phospholipid components of surfactant; their ration changes during gestation. When the L/S ration reaches 2:1, the fetus will have a low risk of respiratory distress syndrome (RDS) if born at that time.
MSAFP (maternal serum alpha-fetoprotein) screening test performed between 16 and 22 weeks; utilizes multiple markers (the "triple screen") of alpha-fetoprotein (AFP), human chorionic growth hormone (hCG), and urine estriol (uE3) to screen for neural tube defect, Down's syndrome, and trisomy 18.
MAS (meconium aspiration syndrome) respiratory disease caused by inhalation of meconium or meconium-stained amniotic fluid into the lungs; characterized by mild to severe respiratory distress, hyperexpansion of the chest, hyperinflated alveoli, and secondary atelectasis.
NTE (neutral thermal environment) an environment that provides for minimal heat loss of the newborn.
NST (nonstress test) an assessment method by which the reaction (or response) of the fetal heart rate to fetal movement is evaluated.
OCT (oxytocin challenge test) See contraction stress test (CST)
OP (occiput-posterior position) malposition of the fetus in which the fetal head is posterior in the maternal pelvis.
OT (occiput-transverse position malposition of the fetus in which the fetal head lies transversely within the pelvis.
P (para or parity) number of times woman has delivered an infant > 20 weeks of gestation (live or dead).
PG (phosphatidylglcerol) a phospholipid present in fetal surfactant after about 35 weeks' gestation.
PIH/Pre-Eclampsia/Toxemia Pregnancy Induced Hypertension; a condition in pregnancy marked by HTN and proteinuria. May also include Severe PIH/Pre-Eclampsia or HELLP Syndrome.
PROM (premature rupture of membranes) see ROM (rupture of membranes); also very expensive dance in high school
RDS (respiratory distress syndrome) respiratory disease of the newborn characterized by interference with ventilation at the alveolar level, thought to be caused by the presence of fibrinoid deposits lining the alveolar ducts.
RhoGam (Rh immune globulin) An anti-Rh (D) gamma globulin given after birth to an Rh- negative mother of an Rh-positive fetus or child. Prevents the development of permanent active immunity to the Rh antigen.
ROM (rupture of membranes) rupture may be PROM (premature), SROM (spontaneous), or AROM (artificial). Some clinicians may use the abbreviation RBOW (rupture of bag of waters).
SAB (spontaneous abortion) “miscarriage”
SGA (small for gestational age) inadequate weight or growth for gestational age; birth weight below the 10th percentile.
SVE or VE sterile vaginal exam or vaginal exam
SROM (spontaneous rupture of membranes) the breaking of the "water" or membranes marked by the expulsion of amniotic fluid from the vagina.
TAB (therapeutic abortion) elective termination of pregnancy.
UC (uterine contraction) tightening and shortening of the uterine muscles during labor, causing effacement (thinning) and dilatation (opening) of the cervix; contributes to the downward and outward descent of the fetus.
VBAC (vaginal birth after cesarean) practice of permitting a trial of labor and possible vaginal birth for women following a previous cesarean birth for nonrecurring causes such as fetal distress or placenta previa.
VAS (vibroacoustic stimulation) application of 90dB of sound & vibration for 1-3 seconds to the mother's abdomen to stimulate movement in the fetus, thereby accelerating the fetal heart rate. i.e. FAST (Fetal Acoustic Stimulation Test) or VST (Vibroacoustic Stimulation Test).
Created by: ultraRNner
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