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N111 OB Terms
definitions
| Question | Answer |
|---|---|
| antepartum | period from conception until labor begins |
| intrapartum | period from onset of labor until birth of placenta and infant |
| postpartum | period from birth until body returns to essentially prepregnant condition |
| gestation | 1st day LMP-birth. in weeks. |
| abortion | birth occuring <20 wks or fetus born weighing <500 g |
| term pregnancy | 38-42 wks |
| preterm/premature labor | labor occuring >20 wks but BEFORE completion of the 37th wk. |
| posterm labor | occurs after 42 weeks |
| gravida | pregnancy |
| nulligravida | never been pregnant |
| primigravida | pregnant for 1st time |
| multigravida | in 2nd or sunsequent pregnancy. 2 or more pregnancies. |
| para | given birth after 20 wks gestation, dead or alive |
| nullipara | never given birth at over 20 wks gestation |
| primipara | given birth 1X at over 20 wks gestation |
| stillbirth | born dead after 20 wks gestation |
| TPAL | term, preterm, abortion, living. 5th number may be added to indicate # pregnancies resulting in multiple births, ie. triplets |
| risk factors | any factors shown to have a negative impact on pregnancy, either to woman or child |
| EDB, estimated date of birth | when child is expected to be born |
| EDC | expected date of confinement |
| EDD | estimated date of delivery |
| Nagele's Rule | 1 day LMP - 3 months+ 7 days----------EDB |
| normal BP pregnancy | 135/85 |
| normal pulse, pregnancy | 60-90 bpm, may increase 10 bpm during pregnancy |
| respirations, pregnancy | 12-22 breaths/min. thoracic breathing dominant. pregnancy may cause degree of hyperventilation |
| edeman, pregnancy | slight edema lower extremities normal |
| spider nevi, pregnancy | normal |
| pigmentation, pregnancy | linea nigra, stria gravidarum, melasma, cafe'-au-lait spots |
| nasal mucosa, pregnancy | redder than oral mucosaedematous due to increased estrogen (stuffy) |
| rhinitis of pregnancy | nasal stuffiness during pregnancy resulting from increase in estrogen |
| melasma | aka known as cholasma face. mask of pregnancy |
| spider nevi | aka spider angiomas. benign tumor. made of blood vessels |
| epistaxis | nosebleeds |
| abd 10-12 weeks | fundus slightly abv symphysis pubis |
| symphysis pubis | v |
| abd 16 weeks | fundus halfway between unbilicus and symphis |
| abd 20-22 weeks | fundus at unbilicus |
| abd 28 weeks | three finger breadths abv umbilicus |
| abd 36 weeks | fundus just below ensiform cartilage |
| ensiform cartilage | v |
| fetal heart rate | 110-160 BPM |
| doppler for fetal heart rate | 10-12 weekis |
| fetoscope for fetal heart rate | 17-20 weeks |
| fetal movement palpable by... | 18th week |
| ballottement | during 4th to 5th month fetus rises and then rebounds to original position when uterus tapped sharply |
| diastasis | separation between key muscles in abd after pregnancy |
| softening of cervix, goodell's sign when? | 4-6 weeks gestation |
| chadwicks sign (bluish violet tint of vagina and cervix)when? | 8-12 weeks gestation |
| McDonald's method | measuring fundal height from top of symphysis pubis to top of fundus w/cm tape measure |
| McDonalds method unreliable when? | obese, uterine fibroids, hydramnios |
| hydraminos | excessive fluid in uterus |
| quickening | fetal movements felt by mother, may mean nearing 20 wks gestation. can be felt 1st time 16-22 weeks |
| doppler | primary tool for assessing fetal heartbeat beginning at 10-12 weeks |
| fetoscope | almost always can hear fetal heartbeat by19-20 weeks, sometimes by 16 weeks. obesity may cause it to be heard later. |
| gestational sac 1st apparent during ultrasound | 5-6 weeks |
| fetal heart activity 1st apparent during ultrasound | 6-7 weeks |
| fetal breathing movement during ultrasound 1st apparent | 10-11 weeks |
| clinical pelvimetry | assess and measure vaginally to determine ample for delivery |
| who oerform clinical pelimetry | drs, advance practice nurses, nurse practitioners |
| diagonal conjugate | from lower border of symphis pubis to sacral promontory. normal measures at least 11.5 cm |
| obstetric conjugate | smallest anteroposterior diameter fetus passes through. from middle of sacral promontory top upper middle point of symphis. measured by xray, estimate it to be 1.5-2 cm shorter than diagonal conjugate. needs to be 10 cm or more for normal size ba |
| plane of least dimension aka | midplane |
| examination schedule | every 4 weeks for 1st 28every 2 weeks until 36 weeksevery week from 36 weeks on |
| 2nd semester blood pressure... | falls |
| blood pressure alterations | > 140/90 or increase of 30/15 |
| weight gain in trimesters | 1st is 3.5 - 5 lbs2nd is 12 - 15 lbs3rd is 12 - 15 lbs |
| funic souffle | hissing souffle synchronous with fetal heart sounds, probably from the umbilical cord |
Created by:
elizzabeth55
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