.. Flashcards

1
Q

What is the first sign of placental separation?

A

CALKIN’S SIGN

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2
Q

What stage of labor begins with full dilation and ends with the neonate’s birth?

A

SECOND STAGE

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3
Q

What stage of labor begins after the neonate’s birth and ends with expulsion of the placenta?

A

THIRD STAGE

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4
Q

At 20 weeks gestation, where can we locate the fundus?

A

UMBILICUS

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5
Q

At 36 weeks’s gestation where can we locate the fundus?

A

LOWER BORDER OF THE RIB CAGE

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6
Q

What type of abortion occurs when bleeding is present without cervical dilation

A

THREATENED ABORTION

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7
Q

What type of abortion occurs when all productsof conception are expelled?

A

COMPLETE ABORTION

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8
Q

How do we call the condition whereby there is excessive amniotic fluid (more than 2,000 ml in the third trimester)

A

HYDRAMNIOS/POLYHYDRAMNIOS

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9
Q

How do we interpret a nonstress test result if there are fewer than two fetal heart rate accelerations of at least 15 beats/minute occur in 20 minutes?

A

REACTIVE (NEGATIVE)

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10
Q

It is usually performed to assess fetal well being in a pregnant patient with a prolonged pregnancy (42 weeks or more), diabetes, a history of poor pregnancy outcomes, or pregnancy induce hypertension

A

NONSTRESS TEST

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11
Q

How do we call a dark line that e xtends from the umbilicus to the mons pubis, vommonly appears during pregnancy and disappears after pregnancy?

A

LINEA NIGRA

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12
Q

How do we call the condition where there is an abnormally low implantation of the placenta so that it encroaches on or covers the cervical os

A

PLACENTA PREVIA

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13
Q

It is a type of placenta previa wherein the placenta completely covers the cervical os

A

COMPLETE/TOTAL PLACENTA PREVIA

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14
Q

It is a type placenta previa wherein the placenta covers only a portion of the cervical os

A

PARTIAL/INCOMPLETE/MARGINAL PLACENTA PREVIA

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15
Q

It is a the premature separation of a normally implanted placenta which usually causes abdominal pain, vaginal bleeding, and a boardlike abdomen

A

ABRUPTIO PLACENTA

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16
Q

It is the mottling or purple discoloration of the skin. It is a transient vasomotor response that occurs primarily in the arms and legs of infants who are exposed to cold

A

CUTIS MAMORAT

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17
Q

It is an audible click or palpable jerk that occurs with thigh abduction and confirms congenital hip dislocation in a neonate

A

ORTOLANI’S SIGN

18
Q

It is the occurence of seizures that are not caused by a cerebral disorder in a patient who has PIH

19
Q

4 P’s

A

Passageway
Passenger
Power
Psyche

20
Q

Pelvis
Most Ideal: *Gynecoid

A

PASSAGEWAY

21
Q

Fetus

22
Q
  1. Relationship of the fetal body parts to one another
  2. Normal attitude
A
  1. FETAL ATTITUDE
  2. FLEXION (COMPLETE) *
23
Q

Relationship of the spine of the fetus to the spine of the mother

24
Q

Fetal lie
1. Normal Delivery
2. CS Delivery (Horizontal)
3. If uncorrected by external manipulation, prep for CS

A
  1. LONGITUDINAL LIE
  2. TRANSVERSE LIE
  3. OBLIQUE LIE
25
Presenting part - portion of the fetus whuch enters the pelvis first *
FETAL PRESENTATION
26
3 Types of Fetal Presentation
1. Cephalic 2. Breech 3. Shoulder
27
Head is the presenting part
Cephalic Presentation
28
4 types of Cephalic presentation
1. Vertex - between fontanels and occiput 2. Brow (Military) - Brow or sinciput 3. Face 4. Mentum (chin)
29
Buttocks/feet is the presenting part
BREECH PRESENTATION
30
3 types of breech presentation
1. Complete - thighs are fully flexed 2. Frank - hips/ thighs are flexed; knees are extended 3. Footling - single or double feet are the oresenting
31
Measures the process of fetal descent ; floating to crowning
FETAL STATION (insidE - nEgative; Outside - pOsitive)
32
Relationahip of assigned area of the presenting part or landmark to the maternal pelvis
FETAL POSITION
33
Fetal Landmarks
1. Occiput ( Left Occiput Anterios - Most common) 2. Mentum 3. Sacrum 3. Acromium
34
Forces to expel the fetus (FUNDAL PUSH IS A NO NO!)
Power
35
Power 1 degree 2nd degree
Uterine contraction Abd. Muscle
36
Attitude of the Mother during labor
PSYCHE
37
Causes of Abruptio Placenta
Chronic HPN Preeclampsia Hx of Abruptio PROM Cocaine, smoking Multiples Lots of pregnancies Trauma
38
Placenta Previa
> 35 age Scarring due to surgery Fibroids c-sections Multiples Already had a baby Cocaine, smoking
39
S/sx of Abruptio Placenta
D - ark red bleeding E - xtended fundal height T - ender uterus A - bd. Pain / contractions C - oncealed bleeding H - ard abd E -xperience DIC D -istressed baby
40
S/sx placenta previa
P - ainless bright red vaginal bleeding R - elaxed soft NON TENDER uterus E- pisodes of bleeding V - isble bleeding I - ntercourse post bleeding A - bnormal fetal position