Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
MSC OB Test
181 test #1 3/810
| Question | Answer |
|---|---|
| What is the maternal side of the placenta called? | the dirty duncan |
| what is the fetal side of the placenta called | the shiny schultze |
| Sperm travel to the outer third of the fallopian tube by flagellation and meet w/ the ovum | Zygote contains all 46 chromosomes (23 fr sperm, 23 fr ovum) |
| What do we call the new cell that forms at fertilization | zygote |
| Name the solid mass of cells like a mulberry that forms after 3 days | morula |
| What do we call the fertilized egg until implantation | zygote |
| What is the zygote called from implantation-8 wks | embryo |
| What is the embryo called fr 9 wks – delivery | fetus |
| What are the 3 germ layers of the embryo | ectoderm, mesoderm, endoderm |
| rapid cell growth during the 1st 8 wks, all major organs and sys develop fr germ layer | sperm can fertilize an ovum for up to 72 hrs after ejaculation |
| What is the window of conception | from 3 days before to 2 days after ovulation |
| the placenta is a large red disk that is 6-10 " long and 1" thick, it can weigh 1 lb - 1 lb 5 oz. | the placenta secretes HCG, estrogen, and progesterone after the 11 wk |
| how many arteries and veins does the unbilical cord have | 2 arteries (carry deoxygenated blood back to placenta.1 vein (carries oxygenated blood to fetus) |
| What does the amniotic fluid do | cushion, re3g fetal temp, room to grow, 30 ml- 1 L at birth, alkaline, exchanged regularly, fetus drinks it and then urinates it out |
| When can the FHT or FHR be heard by doppler | by end of 1st trimester or 12 wks |
| When can the FHT or FHR be heard by fetoscope | 18-20 wks |
| fundal height is the measurment of the height of the uterus above the symphsis pubis, it assess fetal growth | during the 2nd and 3rd trimester height = approx weeks (ex 28 wks = 28 cm) |
| when and why is an early amniocentesis done | 16 weeks, for chromosomal abnormalities |
| why is an early amnocentesis done | fetal lung maturity |
| when is the antepartal period | begins with conception ends with onset of labor |
| when is the intrapartal period | onset of labor to delivery of placenta |
| when is the postpartal period | delivery of placenta to about 6 weeks after |
| when is the 1st trimester | 1-13 weeks |
| when is the 2nd trimester | week 14-26 |
| when is hte 3rd trimester | week 27- term (about 38-40 wks) |
| what are the presumptive signs of pg | amenorrhea, n/v, freq urination, breast changes, change in shape of abd, quickening, chadwicks sign (vagina, cervix and vulva may have a violet or purple doscoloration) |
| what are the probable signs of pg | hegar's sign (softening of lower uterus segment), goodel's sign (softening of cervix), ballottement, + pg test, |
| + pg signs | visualization, fetal movement felt by MD, auscultation of fetal heartbeat |
| what is nagele's rule | 1st day of last period count back 3 months then add 7 days. |
| waht is gravida | total # of pg |
| what is para | total # of births |
| what is GTPAL | gravidatermpretermabortionsliving children |
| how much weight should the average woman gain | 25-35 lbs |
| HR increases, blood volume increases by 40-50%, RBC increase, hgb and hematocrti decrease due to dilution | WBC increase in 2nd and 3rd trimester, cardiac output increases |
| What are the signs of tru labor | reg contractiosn that get closer, stronger, and last longer as time passes, start in back and travel around, don't stop, get stronger when walking, cervix softens, thins, and effaces, fetus descends into lower pelvis |
| what are signs of false labor | irreg contractions that vary in length and intensity, stop when walking or position change, contractions mostly in fundus, little or no change in cervix. |
| what are the 5 P's of labor | passagewaypasengerspowersposition of motherpsyce |
| LOT or left occipitotransverse is the best position for birth | baseline FHR needs to be min. 2 minutes 10 min is best, normal baseline is 110-160 bpm |
| what is normal FHR | 120-160 BPM |
| tachycardic FHR is | 160-180 |
| bradycardic FHR is | less than 110 for more thatn 10 minutes |
| what is variability | normal flucuation of FHR form the baseline |
| what does absent or minimal variability mean | fetal distress |
| waht are decelerations | periodic decrease in FHR in response to contractions |
| what are early decelerations | gradual decrease in FHR below baseline, occur with contraction, usually from head |
| waht are late decelerations | gradual decrease in FHR below baseline after peak of contraction, usually due to lack of O2 to baby |
| what is a variable FHR | abrupt decrease in FHR below baseline, usually cord problem |
| what usually causes fetal distress | hypoxia |
| what are primary powers | involuntary unterine contractions (labor)cause effacement |
| waht are secondary powers | voluntary bearing down effort that helps primary contractions, pushing |
| how are contractions timed | from the beginning of one to the beginning of next |
| we measure length, intensity, and duration of contractions | once the cervix is completely dilated a women can begin pushing efforts |
| what happens during the 1st stage of labor and what are the 3 parts of the 1st stage of labor | dilationearly (0-3 cm)mid or active (4-7 cm)transition (7-10 cm) averages 10-12 hrs for 1st 6-8 for multipara |
| what is the 2nd stage of labor | pushingaverage 30 min-2 hrs for nulli or 20-90 min for mulitpara |
| what is the 3rd stage of labor | delivery of placentalasts 5-20 min |
| what is the 4th stage of labor | stabilization |
| estimated blood loss is 200-300 mlgreater than 500 ml is to much | 10-30 units of pit or methergine usually given after delivery of placenta, helps minimize blood loss |
| what is monitored after birth | vitals, uterine tone, vaginal drainage, perineal tissueassess every 15 x 4, every 30 x 2, every hr x2, more if needed |
| when is the apgar score done | at 1 and 5 min after birth, it measures the physical condition of newborn at birth |
| what is measured with an apgar score | heart rateresp effortmuscle tonereflex irritabilityskin color |
| what is a percipitous labor | a labor that progresses very quickly |
| what is AROM | artifical rupture of membranes |
| what is SROM | spontaneous rupture of membrane |
| what is PROM | premature rupture of membranes |
| what are the basic interventions during labor | IV bolusposition changeO2 |
| What are the 4 medical interventions used during labor | forceps, vacuum assisted, c-section |
| why might a c-section be done | FTP, infection of vaginal canal, previous c-section |
| what does oxytocin do | causes the uterus to contract |
| where is the uterus at imediately after birth | midway between symphsis pubis and umbilicus |
| where is the uterus at after 12 hrs | at the umbilicus |
| after 24-48 hrs where is the uterus | has been gradually descending until ar symphysis pubis |
| where is the uterus at by 6 wks after birth | back to its pre-pg size |
| waht is the shrinking of the uterus called | involution |
| what is lochia | the vaginal discharge that consists fo blood, tissue, and mucus |
| what is lochia rubra | bright red drainage seen for 1st day or 2 after delivery |
| what is lochia serosa | pinkish-brown until 7th day |
| what is lochia alba | slightly yellowish to white after day 7 to and continues for about 10 days to 2 wks more |
| what are characteristics of lochia bleeding | it is usually a trickle may gush upon massage and then return to trickle |
| s/s of postpartum hemorrhage | persistent and significant bleedingc/o feeling weak, lightheaded, sick to stomach, funnymay be anxious or show signs of air hungerpale or gray skincool clammy skinincreased pulse decreased BP |
| what should you do for postpartum hemorrhage | massage uterus if soft, give pit, start 2nd line, O2 by mask at 8-10 L/min, turn to side and elevate legs, Bolus LR or NS, give blood as ordered, monitor VS, insert foley, prepare for surgery, |
| Post delivery the cervix may appear edematous and have bruising, the vagina will be thin and dry unitl estrogen production begins, perineum may have edema and bruising | striae gravidarium (stretch marks) do not go away. |
| how deep is a 1st degree laceration | extends through skin and structures superficial to muscles |
| how deeo is a 2nd degree laceration | extends through muscle or perineal body |
| how deeo is a 3rd degree laceration | laceration continues though sphincter muscle |
| how deep is a 4th degree laceration | also invloves the anterior rectal wall |
| what are interventions for an eposiotomy, laceration, or hemorroids | cleansing, ice pack, squeeze bottle, sitz bath, topical applications |
| what is colostrum | the 1st milk, secreted for 1st 2-3 days, thin, watery, yellow, rich in protein, calories, antibodies, and lymphocytes |
| what is foremilk | thin watery breast milk that is secreted at the beginning of a feeding, low in calories but high in vitamins |
| what is hindmilk | thick, high fat breast milk secreted at the end of feeding, highest concentration of calories, takes about 10-15 min to tb ejected. |
| what does prolactin do with breast feeding | it stimulates the anterior pituitary gland and stimulates milk production |
| what does oxytocin do with breast feeding | is secreted by the posterior pituitary fland in response to infant sucking and stimulates milk let down |
| what does diuresis and diaphoresis do post delivery | it helps rid the body of excess fluid |
| chilling common after birth | pt should be afebrile by 24 hrs post delivery, report T over 100.4 |
| what does BUBBLE-HE stand for | Breasts, Uterus, Bowels, Bladder, Lochia, Episitomy, Homans sign, Emotional status |
| name the meds for newborns | vit k, erythromycin ophthalmic ointment, hep vaccine, lanoling cream for mom's nipples |
| what is breast engorgement | uncomfortable fullness of breasts that occur after milk comes in |
| what is mastitis | is an infection of the breast caused by staph aureus |
| what are the s/s of mastitis | redness, warmth, swelling, pain, possilbe fever, HA, maliase, achiness, |
| what are interventions for mastitis | freq breastfeeding, use breast pump, warm compresses, completely empty breast, proper latch, increase fluid, analgesics |
| what are the interventions for engorgement for a breast feeding mom | express small amount of milk prior to nursing |
| what are the interventions for engorgement for a botle feeding mom | supportive bra, avoid direct shower spray, ice packs in axilla and on breasts, cabbage leaves, do not express milk |
| when is breast feeding C/I | HIV, hep c, chemo, substance abuse or ETOH |
| what is vernix caseosa | white cream cheese like substance that protects infants skin from amniotic fluid |
| what is laguno | layer of soft ahir, delvelops after 20 wks |
| what is the normal heart rate for a newborn | 120-160 |
| what is the normal respiratory rate | 30-60 |
| what is the moro reflex | infants head is lowered arms flail out and then are pulled back in, thumb and forefinger form C |
| what si the tonic neck reflex | when infants head is turned quickly to one side, leg and arm on that side extend and opposite side flexes |
| what is the crawling reflex | when placed on abd infant will make crawling movements with arms and legs |
| what is the stepping reflex | it infant is held so that one leg touches a hard surface they will make walking like motion |
| what is the babinski reflex | when sole is stroked along side from heel to big toe, toes fan out |
| what is the grasp reflex | when a finger is placed in palm of hand the infants fingers curl around it |
| what is the plantar reflex | when fingers placed at base of toes the toes curl downward |
| when should the baby void and stool by | 24 hours |
| what is group beta strep (GBS) | group b strep that for some women is normal flora in vagina, is not harmful, test usually done at 36 wks, mom given ABX during labor to supress the GBS so it is not passed to infant during delivery |
| what is monozygotic | 2 babies fr one egg |
| what is dizygotic | 2 babies from 2 eggs |
| what is a salpingectomy | removal of a fallopian tube |
| what is a salpingostomy | repair of a fallopian tube |
| what may methotrexate do to a fallopina tube | may destroy the growing cells in the fallopian tube |
| what is the main symptom of spontaneous abortion | BLEEDING |
| what is a threatened abortion | unexplained bleeding and cramping, fetus may or may not be alive, cervix is closed and bag of water is intact |
| what is an enevitable abortion | bleeding increases and cervix begins to open, BOW may break |
| what is a complete abortion | all products of conception are expelled fr uterus |
| what is an incomplete abortion | some but not all products of conception are expelled |
| what is a missed abortion | fetus dies and growth stops but fetus does not come out, uterus may decrease in size |
| what is habitual abortion | abortion of 3 or more consecutive pg |
| what is cerclage | the closure of the cervix with sutures |
| what is placenta previa | the implantation of the placenta in the lower segment of the uterus |
| what is complete placenta previa | placenta is over cervical os completely |
| what is partial placenta previa | placenta is over part of the cervical os |
| what is marginal placenta previa | edge of placenta covers cervical os |
| what is low implantation placenta previa | placenta is in lower uterine segment but away from internal os |
| what is abruptio placentae | premature seperation of teh normally implanted placenta from the uterine wall causing bleeding |
| what are signs of abruptio placentae | sudden severe bleeding with uterine ridgity |
| what are the 3 main signs of PIH (pg induced HTN) | hypertension, albuminuria (pro in urine), and edema |
| Preeclampsia is before a seizure | eclampsia is after a seizure |
| with PIH mag sulfate is used to control seizures and as a SE lowers BP | calcium gluconate is the antidote for mag sulfate toxicity |
| define preterm | baby born at 0-37 wks |
| define term | baby born at 38-41 wks |
| define post dates | baby born 42 wks + |
| what does SGA mean | small for gestation age |
| what does AGA mean | average for gestational age |
| what does LGA mean | large for gestational age |
Created by:
shellyrbrooks
Popular Nursing sets