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OB Final
study guide
| Question | Answer |
|---|---|
| Disadvantage of free standing birth centers | don’t have adequate technology or medical care readily available |
| preterm labor | less than 36 weeks; contractions every 5-10 minutes lasting for at least 30 seconds and persisting for more than an hour; cervix dilated more than 2.5 cm and 75% effaced |
| sensitivity to culture | cultural competence |
| sitz baths | changes pH of vagina which leads to increased susceptibility to invading pathogens |
| Gravida | number of pregnancies, including current pregnancy |
| Para | number of births after 20 weeks’ gestation, regardless of whether the infants were born alive or dead (multifetal pregnancies are considered a single birth) |
| Vitamin K injections | given in the vastus lateralis to assist in clotting |
| menstrual pain with endometriosis | use of NSAIDS, rest periods, heat, moderate exercise, and a well-balanced diet |
| tamoxifen | blocks estrogen by binding to it; used in treatment of breast cancer |
| Newborn’s and mother’s health protection act | guaranteed a 40 hour hospital stay for normal births and a 96 hour stay after cesarean birth |
| DSHEA | reclassifies herbal medicines as dietary supplements, distinct from food or drugs |
| ritodrine for tocolysis there is an increased risk of? | fluid overload and pulmonary edema, possible myocardial infarction |
| teaching for female condom | handwashing; condom can be placed up to 8 hours before intercourse |
| reproductive structures that have erectile tissue | labia minora and clitoris |
| hormone stimulating milk production | prolactin |
| PIH in teens | young adolescents have immature vascular development in the uterus |
| NEC | acute inflammation of the bowel that leads to necrosis |
| hormone causing milk ejection | oxytocin |
| acini cells | milk producing cells of the breast |
| number of somatic cells in chromosomes | 22 autosomes |
| Nagele’s rule | method for obtaining an EDD; count back 3 months and add 7 days |
| relationship of genes and chromosomes | chromosomes are composed of genes |
| PKU | a metabolic disorder caused by an inborn error of metabolism of the amino acid phenylalanine |
| Milia | tiny white papules or cysts commonly over the bridge of the nose, chin, and cheeks of newborns that disappear in a few weeks |
| L/S ratio | Lecithin/sphingomyelin; a 2:1 ratio indicates fetal lung maturity; 3:1 is desirable for diabetic mother |
| amniocentesis vs chorionic villus sampling | chorionic villus sampling can be done earlier in pregnancy |
| erythoblastosis fetalis | aka isoimmune hemolytic disease, occurs when an Rh-negative mother is pregnant with an Rh-positive fetus and transplacental passage of maternal antibodies occurs |
| fetal presentations | left, right, occiput, sacrum, mentum, anterior, posterior |
| causes of postpartum hemorrhage | uterine atony and laceration; retained placental fragments or subinvolution |
| uterine atony | hypotonic uterus |
| hematoma | a collection of clotted blood in a confined space usually caused by breakage of a blood vessel |