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NUR 201-Exam 1 > Antepartum Care > Flashcards

Antepartum Care Flashcards

1
Q

What produces hormones and what hormones does it produce?

A

Corpus luteum: progesterone and estrogen

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2
Q

What does progesterone and estrogen feed and for how long?

A

Placenta, 11 wks

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3
Q

Which hormone allows pregnancy to be maintained?

A

Progesterone

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4
Q

What hormone increases secretions, relaxes connective tissue, loosens up connective tissues for an easy labor and controls the development of female sex characteristics and the thickening of the vaginal mucosa making it thick, white, and acidic?

A

Estrogen

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5
Q

What’s the pH of the vagina that helps it prevent bacterial infections?

A

3.5-5

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6
Q

What are the 2 parts of the placenta?

A

Maternal and fetal portion

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7
Q

What portion of the placenta consist of decidua basalis and has a red flesh like surface?

A

Maternal portion

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8
Q

What portion of the placenta has chorionic villi covered by the amnion and gives a shiny gray appearance?

A

Fetal portion

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9
Q

During pregnancy what enlarges, has an increase in blood supply and has Braxton hicks contractions?

A

Uterus

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10
Q

What contractions are in a upward motion in delivery, are painless, and irregular and usually caused by dehydration?

A

Braxton Hicks contractions

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11
Q

What is the term used to describe the thinning of the cervix and needs to be 100% in order to deliver?

A

Effacement

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12
Q

What is a egg, white discharge that protects the entrance to the uterus and is lost 3-4wks prior to delivery?

A

Mucus plug

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13
Q

What is egg, white ovulation in the cervix that lasts for about 3-4 days?

A

Mucorrhea

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14
Q

What increases in the cervix bc of mothers increase in blood supply?

A

Vascularity

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15
Q

BP decreases during pregnancy, but when is it the lowest and when does it go back to preterm levels?

A

2nd trimester, 3rd trimester

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16
Q

By how much percent does RBC increase by during pregnancy?

A

30%

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17
Q

By how much percent does plasma increase during pregnancy?

A

50%

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18
Q

Bc plasma is increased more than RBC what can it cause?

A

Pseudoanemic

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19
Q

Pressure to the vena cava when laying supine can cause what?

A

Supine hypotension

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20
Q

By how much does leukocytes increase to during pregnancy?

A

15,000/mm3

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21
Q

What clotting factors are increased during pregnancy?

A

7,8, 9 and 10

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22
Q

What is the term used to describe fluttery movements when the baby moves?

A

Quickening

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23
Q

What is the maternal heartbeat known as?

A

Uterine soufflés

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24
Q

What is the fetuses heartbeat known as?

A

Funic soufflés

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25
Symptoms the woman experiences and reports that can be caused by other conditions is what?
Subjective (presumptive)
26
Changes perceived by the examiner that can be caused by other causes is what?
Observable (probable) changes
27
What proves conclusively that the woman is pregnant?
Diagnostic (positive) changes
28
Nagele's rule is the most common way to determine the expected date of delivery, how do you calculate it?
subtract 3mon. from moms last day of period then add 7days
29
If moms last period was on Dec. 26th, using Nagele's rule, what's the expected date of delivery?
Oct. 3rd
30
When a baby's head is posterior what exercises should the mother do that looks similar to when an angry cat arches their back?
Pelvic tilt
31
Having triplets/twins, an incompetent cervix, STD's or previous preterm delivery means what?
No sex during pregnancy
32
An increase in vascularity can do what to dental care?
Bleeding gums and nosebleeds
33
Quickening is usually felt during how many wks gestation?
Sometimes 16, mostly 20
34
Stillbirth, fetal hypoxia, growth restriction, preterm birth, and fetal death can be identified by what?
Decrease or cessation in fetal movement
35
What 5 tests are used for assessment of fetal well-being?
Ultrasound, Non Stress Test (NST), Fetal Biophysical Profile (BPP), Contraction Stress Test (CST), and Amniocentesis
36
What takes 20min, needs a full bladder to see baby easier, uses high frequency sound waves, and allows early diagnosis of complications?
Abd ultrasound
37
What is more accurate, especially if a pregnant woman is obese, needs an empty bladder, and detects ectopic pregnancy, abnormalities and gestational age?
Transvaginal ultrasound
38
A 2 in a BPP means what? What about a 0?
Reactive, nonreactive
39
If the amniotic fluid volume does not receive a BPP score of 2 what is done STAT?
C-section
40
Fetal breathing movements w/ 1 episode greater than 30sec in 30min indicates what BPP score?
2
41
In order to receive a BPP score of 2 for fetal tone what is needed?
1 episode of flexion/extension of extremities
42
What is the most common evaluation of fetal well-being?
Non stress test (NST)
43
In NST 2 belts are used for what?
Fetal activity and fetal heart rate
44
What are the 2 most important factors for a reassuring NST?
2 accelerations of fetal HR w/ fetal movement that increases to 15BPM in 15sec for a period of 20min
45
When should you start a NST?
30-32wks
46
What medication is given to initiate a contraction?
Pitocin
47
What test analyzes FHR in response to contractions in order to see how well the fetus will tolerate the stress of labor?
CST
48
A pattern of at least 3 contractions in a 10min period and no late decelerations of the FHR is what type of CST finding?
Negative (normal finding)
49
A persistent and consistent late decelerations w/ 50% of contractions is what type of CST finding?
Positive (abnormal finding)
50
What evaluation test is used for aspiration of amniotic fluid analysis to see if their are fetal abnormalities or lung maturity in 3rd trimester?
Amniocentesis
51
What protein is produced by the baby's liver?
Alpha-fetoprotein
52
Alpha-fetoprotein can be measured from what?
Amniotic fluid
53
High levels of alpha-fetoprotein is associated w/ what?
Neural tube defects
54
Low levels of alpha-fetoprotein is associated w/ what?
Chromosomal disorders
55
Fetal respirations, nutrition,and excretion of broken down products are all what?
Placental functions
56
What is the term used to describe a vitamin thats required for normal growth, reproduction and lactation and that prevents the macrocytic, megaloblastic anemia of pregnancy?
Folic Acid
57
What is the term used to describe the act of tightening the perineal muscle in order to strengthen the pubococcyges muscle and increase its elasticity?
Kegal exercises
58
What is the term used to describe vegetarians who include milk, dairy products and eggs in their diet?
Lacto-ovovegetarians
59
What is the term used to describe vegetarians that include dairy products in their diet but no eggs?
Lactovegetarians
60
What is the term used to describe an exercise that helps prevent or reduce back strain as it strengthens abd muscles?
Pelvic tilt
61
What is the term used to describe the craving for and persistent eating of nonnutritive substances not ordinarily considered to be edible of nutritional valuable, like soil, clay and soap?
Pica
62
What is the term used to describe excessive often bitter salvation?
Ptyalism
63
What is the term used to describe specialized cells that control surface tension and keep alveoli from collapsing and sticking to themselves?
Surfactant
64
What is the term used to describe any chemical that has the potential to harm the fetus, including pesticides, viruses, and meds?
Teratogen

NUR 201-Exam 1 (12 decks)

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