Bioscience Flashcards
Clavicle
Colar bone
Scapula
Shoulder bone/blade
Humerus
Upper arm bone
- Radius
Bone to your thumb
Femur
Upper leg bone
Tibia
Bone to your big toe
What do you check on a newborn baby?
Skull
Clavicles
Upper limbs
Legs
Spine
Hips
acetabulum
the socket of the hip bone, into which the head of the femur fits.
Amniotomy marks
Small scratches on the baby. Check if the waters had to be broken during labour.
Scalpel marks
Need to be noted and pointed out to parents
Sturge-Weber syndrome
a congenital disorder which affects the skin, neological system, and eyes. No cure but not fatal.
Blue spots
Very common. Most disappear but some stay for life. Flat blue or blue/grey spots with an irregular shape that commonly appear at birth or soon after
Ventouse- chignon
a mark or swelling on babies delivered by ventouse
Port wine birth mark
won’t disappear when you press and release
strawberry hemangioma
Can be treated/shrunk with medication. A raised red skin growth may present at birth or develop during infancy. A hemangioma looks like a strawberry birthmark, but it’s a benign (noncancerous) tumour
Cafe au lait (cafe O laigh) (neurofibromatosis)
The development of benign growths. Note them down. If more than 5 refer to genetics and plastics.
Early Hemangioma
Can be treated/shrunk with medication.
Usually not spotted until a few weeks after the birth.
Nevus simplex
a birth mark that will eventually disappear. When pressed it will disappear and come back. This is how you differentiate between nervous simplex and a port wine stain.
sucking blister
a wound on the arm or upper arm caused by the baby sucking on its arm in utero. Will disappear in a day of two
Erythemia toxicum
Rash of the newborn. NO CREAMS. It usually appears in the first few days after birth and fades within a week. Up to half of all newborns will have erythema toxicum (air-uh-THEE-muh TOK-sih-kum)
What are the 4 types of pelvis?
gynecoid, android, anthropoid, and platypelloid
Gynecoid pelvis
Rounded, Generous,
Android pelvis
Heart-shaped, Narrow
Anthropoid pelvis
Long oval, narrowed
Platypelloid pelvis
Kidney-shaped, wide
Pelvic brim
Anteroposterior, 11cm
oblique, 12 cm
transverse, 13 cm
Pelvic cavity
Anteroposterior, 12cm
oblique, 12 cm
transverse, 12 cm
Pelvic outlet
Anteroposterior, 13cm
oblique, 12 cm
transverse, 11 cm
Symphysis pubis
a joint sandwiched between your left pelvic bone and your right pelvic bone.
congenital
means: born with
retinoblastoma
malignant retinal tumour
coloboma
malformation of the eye
aniridia
absent iris
rubella
German measles. Spotty rash. Can cause baby to be born blind.
Can not be vaccinated while pregnant.
symmetry and clarity of the cornea
a term baby should be similar to the width of
the practitioner’s little finger-tip, the roundness
and symmetry of the pupils
red reflex
Checked in the NIPE exam and 6 weeks.
This is the normal reflection of white light from the back
of the eye which is seen as a red glow in the
the pupil on ophthalmoscopy and is like the redeye effect seen in flash photography.
Congenital cataracts
Checked in the NIPE exam and 6 weeks.
When the lens of the eye is cloudy instead of clear at birth, making it hard to see
Pavlik harness
is a soft splint. It is most commonly used for treating infants with developmental dysplasia of the hip
Hyperemesis gravidarum
Severe sickness in pregnancy. This does not just happen in the morning.
Reflux oesophagitis
an inflammation of the lining of the gullet (oesophagus).
Mendelson’s syndrome
When stomach acid enters the lungs. This damages the lung tissue.
LMP
Last menstrual period
EDD
Est. due date
Centile Chart
Plot weight, length and head circumference
against age. Worried if they are below the 2nd centile.
Plantar surface
The palms of the feet. There will be creases in full-term babies.
rugae
This is the fold of the skin on the baby. Important to check the hands, feet and ears for creases and folds to check a baby has been born term.
Kernicterus-Basal
ganglia
brain damage caused by Bilirubin. Can cause hearing loss and cerebral palsy.
albumin
Is a protein made by your liver.
*Bilirubin-red blood cell
Physiological jaundice
*Days 3-5
*Extrauterine life
*Intestine re-absorption of
bilirubin if not excreted
Bilirubinometer
Used to check if a baby is jaundice after 24 hours old
Bilirubin
Is a fat-soluble substance
SBR
Serum bilirubin rate.
A blood test to check if a baby is jaundice before 24 hours
Polycythaemia
having a high concentration of red blood cells in your blood.
This makes the blood thicker and less able to travel through blood vessels and organs.
HDFN -Haemolytic disease of the newborn
(rhesus disease)
Rhesus disease is a condition where antibodies in a pregnant woman’s blood destroy her baby’s blood cells. It’s also known as haemolytic disease of the foetus and newborn (HDFN).
Conjugated hyperbilirubinaemia
Very rare
*Pale stools
*Dark urine
*Biliary atresia
Prolonged jaundice
when the yellowness of your baby’s skin and the whites of their eyes doesn’t fade after 2 weeks in a full-term baby, and after 3 weeks in a premature baby.
Visceral pain
– pain from the organs
(viscera) of the thoracic, pelvic, or
abdominal regions
*1st & 2nd stages of labour
Acute pain
has a specific cause, usually
from tissue damage, inflammation, or a
disease process.
It usually lasts a specific amount of time, fading as whatever caused the pain is healed or resolved
Somatic pain
pain experienced in the skin,
muscles, bones and joints
*1st & 2nd stages of labour
Chronic pain
when the sensation of pain
lasts more than 6 months
nociceptive pain
pain arising from tissue damage
neuropathic pain
pain arising from damage to the nervous system
‘other’ pain
Pain arising from neurological dysfunction, not damage. Eg. fibermialga
nociceptive receptors
pain receptors
Nociceptors
are nerve endings of small
myelinated ‘A delta nerve’ fibres and
unmyelinated, ‘C’ nerve fibres
A-delta fibres
- “First” or “fast” pain is conducted by A-delta fibres which transmit quickly once stimulated
- Instant, sharp and localised pain
DO NOT respond or opioid painkillers - pethadone
*1st & 2nd stages of labour
C fibres
- “Second” pain is conducted by C fibres which transmit impulses more slowly
- Dull, burning, aching, throbbing, more widespread pain
*1st & 2nd stages of labour
spermatozoa
lives for 1-4 days
morula
8-16 cells. All the cells are the same and haven’t differentiated yet
ovum
the egg, before it is fertalized, ‘lives for less them 24 hours
trophoblast
the outside layer of cells, which will become the placenta
how many lobes in the right and left lung
3 on the right
2 on the left because the heart is on the left
Peak flow meter (PEF)
Measures how quickly you can blow air out of your lunks. Peak expiratory flow (PEF) is measured in litres per minute. Normal adult peak flow scores range between around 400 and 700 litres per minute
Bronchi
- Smooth muscle
- Bronchodilatation-salbutamol
- Broncho constriction
Alveoli
Tiny air sacs at the end of the bronchioles (tiny branches of air tubes in the lungs). The alveoli are where the lungs and the blood exchange oxygen and carbon dioxide
Pulse
is created when the left ventricle contracts,
causing a series of pressure of waves within the arteries.
Bradycardia
below 60 beats per minute
Tachycardia
above 100 beats per minute
Amplitude
Check on the pulse rate: weak, faint, thread, strong or bounding
Pulse rate
Average 60-80 beats per minute for adults
Ductus venosus
oxygenated blood is directed from the umbilical vein
directly to the inferior vena cava
Foramen ovale
situated between the atria, through which blood flows to
bypass the pulmonary circulation
Ductus arteriosus
between the pulmonary arteries and the aorta, which further prevents blood flowing into the pulmonary circulation
Two hypogastric arteries
deoxygenated blood from the lower
extremities back through the umbilical arteries to the placenta
Slight hypoxia
Stimulates first breath
- due to the depression of placental
circulation during uterine contractions
Surfactant
A baby normally begins producing surfactant sometime between weeks 24 and 28 of pregnancy. Most babies produce enough to breathe normally by week 34.
Apgar score
*Heart rate
* Respiratory effort
* Muscle tone
* Response to stimuli
* Colour
Dimensions of a pregnant uterus
30L/23W/30D cm
Weight 1000g
dimensions of a normal uterus
7.5L/5W/2.5D cm
Weight 90g
pelvic cavity measurements
all 12cm
pelvic outlet measurements
Anterior/posterior: 13cm
oblique: 12cm
transverse: 11cm
functions of the pelvis
Locomotion (movement)
Childbirth
It supports your bladder, urethra, bowel, vagina, uterus, rectum and anus.
pelvic brim measurements
Anterior/posterior: 11cm
oblique: 12cm
transverse: 13cm
bones in the fetal skull
Parietal (back left and right)
Frontal bones (front left and right)
Occipital bone (very back of the head)
suturs in the fetal skull
Sagital (anterior/posterior)
lambdoid (back)
coroal (transverse)
metopic (top)
When do the fontanelle’s close
anterior = 18 months
posterior = 2 months
Caput succedaneum
Can cross suture lines.
Swelling of the scalp in a newborn. It is most often brought on by pressure from the uterus or vaginal wall during a head-first (vertex) delivery.
Cephalohaematoma
a minor condition that occurs during the birth process. Pressure on the fetal head ruptures small blood vessels when the head is compressed against the maternal pelvis during labour or pressure from forceps or a vacuum extractor is used to assist the birth.
External cephalic version (ECV)
when you try and flip a baby from a breech position
Tachypnoea
rapid breathing
Tachycardia
a heart rate over 100 beats a minute
Acrocyanosis
bluish discoloration of the extremities due to decreased amount of oxygen delivered to the peripheral part
Embryo
From implantation to 8 weeks
Fetus
8 weeks - 40 weeks
Meconium forms from?
13-16 weeks gestation
The fetus can begins to sallow & pass urine from?
8-12 weeks gestation
Menstruation occurs on days?
0-4
Ovulations typically occurs on day?
14
Proliferative phase
Occurs on day 4-14.
The uterus builds up a thick layer of lining.
The ovaries prepare to release an Oocyte.
Oestrogen is released to mature the graffian follicle (the egg)
Secretory phase/Luteal phase
Occurs on days 14-28.
The endrometum becomes more vascular under the influence of Oestrogen & Progesterone.
The luteinising hormone (LH) stimulates Progesterone.
Proteolytic enzymes
enzymes that break down protein. Helps to shrink the uterus back down to size