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NBS Part 2 Boards > ACS: Female, pregnancy, Neonate > Flashcards

ACS: Female, pregnancy, Neonate Flashcards

1
Q

Skene’s Glands

A

paraurethral, female only

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2
Q

Bartholins Glands

A

vulvovaginal, female only

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3
Q

prolactin

A

milk production

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4
Q

Oxytocin

A

Uterine concentraction, milk let down

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5
Q

Monophasic

A

no ovulation, progesterone

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6
Q

Corpus leuteum

A

estrogen and progesterone

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7
Q

Corpus albicans

A

fibrosus of corpus luteum

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8
Q

Corpus atretica

A

shrink (undeveoped eggs that recess)

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9
Q

Placenta previa

A

low lying placenta (painless)

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10
Q

Placenta abrupto

A

detached placenta (trauma - painful)

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11
Q

Placenta accreta

A

retained placenta

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12
Q

Placenta increta

A

in uterine muscle

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13
Q

Placenta percreta

A

through uterine muscle

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14
Q

Operculum

A

Mucus plug in gravid cervix

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15
Q

Female bimanual evaluation

A

Tenderness, tumor, fetus position, ovary, tubes, uterus

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16
Q

Female speculum evatuation

A

discharge, vagina, cervix

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17
Q

Cystocele

A

Weakness of anterior vaginal wall (causing bulge) from bladder tissue, -cele=weak wall

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18
Q

Rectocele

A

Herniation of rectum into posterior wall of vagina

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19
Q

Cervical shape

A

round, oval, slit-like are normal. Transverse and stellate suggest delivery

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20
Q

Cervidal conditions

A

warts, polyps, retention cysts, cervicitis (discharge) and cancer

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21
Q

PID

A

Pelvic inflammatory disease, multiple agent causes from poor hyginese and STDs, ectopic pregnancy

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22
Q

Ruptured tubal preganancy

A

usually caused by previous infection and scarring of cilia in fallopian tubes accompanied with unilateral adnexal pain and tenderness. Usual signs of preganacy, absent or low HCG

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23
Q

Ovarian cysts and tumors

A

often asymptomatic until rather large. Alternate monthly adnexal pain.

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24
Q

Mastitis

A

Red streaks caused by staph.

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25
Q

Fibrocyctic disease

A

Mutiple tender nodules that regress after each menstrual cycle

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26
Q

Middleschmerz

A

ovulation pain, middle of the cycle

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27
Q

Dysmenorrhea

A

difficult menses (progressive)

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28
Q

Dyspareunia

A

difficult intercourse

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29
Q

Dystocia

A

difficult delivery

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30
Q

Procidentia

A

prolapse uterus

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31
Q

Endometriosis

A

ectopic endometrium, progressive dysmenorrhea, late period

32
Q

Toxemia of pregnancy

A

dependent edema and 1 Pre-eclampsia - HEP, 2 Eclampsia - HEP and convusions

33
Q

Involution melancholia

A

menopause (shrinkage) (atrophic vaginitis/vulvitis), hot flashes, (progestrone) Decrease in estrogen and prostaglandin

34
Q

Increased HCG conditions

A

twins! (hydatiform mole - benign problem) and (choriocarcinoma - cancer problem)

35
Q

EDC

A

estimated day of confinement

36
Q

Nagels rule

A

LMP + 7 days + 9 months

37
Q

Conjugate

A

measurement of pelvic birth canal (pubis to sacrum)

38
Q

Ampulla

A

fertilization of egg here

39
Q

Implantation

A

7-10 days

40
Q

HCG

A

causes persistence of corpus luteum and prevents menstruation, chorion, trophoblast, (seminoma in males)

41
Q

Chadwicks

A

Bluish congested vagina is first sign

42
Q

Chadlins

A

soften cervix

43
Q

Chloama aka melasma

A

facial mask

44
Q

Linea nigra

A

belly pigmentation

45
Q

Braxton-hicks

A

false congractions after 3 months

46
Q

quickening

A

mother feels baby move

47
Q

station

A

fetal descent during labor, ischial spine is zero

48
Q

lightening

A

descent two weeks before labor

49
Q

effacement

A

thinning of cervix

50
Q

cesarian

A

active vaginal infeciton

51
Q

Labor 1st stage

A

1st contraction to full dialation 10cm (longest stage)

52
Q

Labor 2nd stage

A

Dialation to delivery of fetus (vertex presentation)

53
Q

Labor 3rd stage

A

expel placenta

54
Q

Puerperium

A

4-6 wks post partum, usuall 3 months, after delivery mother is vulnerable to hemorrhage and infection, (puerperal sepsis). Lochia (1 to 2 weeks) - discharge through puerperium: 1st lochia rubra then lochia serosa then lochia alba.

55
Q

APGAR

A

done 1 min and 5 min after birth: appearance, pusle, grimmace, activity, respiration. 2 points each for a total of 10.

56
Q

Pulse rate in: Infant, school age, adult

A

120-160, 70-110, 50-90

57
Q

Blood pressure: infant, school age, adult

A

Infant 60-90/30-55, school age 90-100/50-70, adult 110/70

58
Q

Respiration: infant, school age, adult

A

25-40, 15-25, 15-20

59
Q

Temperature: infant, school age, adult

A

99, 98.6, 98.6

60
Q

Birth weight

A

normal: <3 weeks, smoker, extension, ears not rolled out (decreased cartilage)

61
Q

meconium

A

fetus feces

62
Q

Vernix Caseosa

A

cheesy sticky lotion

63
Q

Lanugo

A

soft body hair

64
Q

Cephalhematoma

A

unilateral bruise

65
Q

caput succedaneum

A

crossing suture

66
Q

Anterior fontanelle closes when?

A

closes ~18 mo. (to never)

67
Q

Posterior fontanelle closes when?

A

~2months

68
Q

Pyloric stenosis

A

projectile vomiting, RUQ olive mass, String sign on xray (pyloric channel)

69
Q

Jaundice

A

Less than 24 hours is life threatening, More than 3 days is self limiting

70
Q

Cradle cap

A

Infant seborrheic dermatitis

71
Q

Primitive reflex: grasp

A

Most primitive reflex

72
Q

Primitive reflex: Suckling

A

tap under lip and baby purses lips (disappearance variable but often soon after birth)

73
Q

Primitive reflex: rooting

A

touch cheek, turn toward stimulus (dissappears within 3-4 months

74
Q

Reflex: Tonic neck

A

aka fencers, present at birth, lay the baby supine, turn their head, arm and leg extend onthe ipsilateral side, flex on the contralateral side (disappears within 2-6 months)

75
Q

Reflex: Moro’s

A

aka startle reflex, baby raises arms bilaterally in response to loud noise, (dissapears in 4-6 mo.) pathological if persists.

76
Q

Reflex: Babinski’s

A

Stroke ball of foot and dorsiflexion occurs, normal for up to 2 years

77
Q

Reflex: Chvostek

A

tap cheek, test for tetany (CN VII)

NBS Part 2 Boards (10 decks)

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