Chapter 33- Obstetrics And Neonatal Care Flashcards
Endometrium
The lining of the inside of the uterus
Embryo
The stage from 0 to 10 weeks after fertilization
Fetus
The stage from 10 weeks to delivery
Birth canal
Made up of the vagina and cervix. It It the path the fetus travels through
Cervix
Narrowest portion of the uterus that opens into the vagina
Bloody show
Pink tinged mucous. The small amount of bloody discharge often signals the beginning of labor
The area between the vagina and the anus
Perineum
Placenta
A disc shaped structure attached to the uterine wall that provides nourishment to the fetus, develops wall attached to the inner lining of the wall of the uterus and is connected to the fetus by the umbilical cord
Umbilical chord
Lifeline of the fetus
Amniotic sac
A sack in which the fetus develops inside of, it contains about 500 to 1000 mL of amniotic fluid, which helps insulate and protect a fetus
Term gestation
A pregnancy that has reached full term. A pregnancy is considered full-term once it reaches 39 weeks but is not going to be on 40 weeks and six days
What happens to the diaphragm when there’s a fetus inside?
It gets forced up
Anemic
A condition where people have too few red blood cells, resulting in a decreased ability to perfuse the body
Gestational diabetes
Diabetes that develops during pregnancy in women who may not have had diabetes previously
Signs and symptoms of Prececlampsia or pregnancy induced hypertension
- Severe hypertension
- Severe or persistent headache
- Visual abnormal tea such as seeing spots, blurred vision, or sensitivity to light
- Edema in the hands and feet
- Anxiety
Eclampsia
Characterized by seizures that occur as a result of hypertension
Supine hypotension syndrome
This condition is caused by compression of the inferior vena cava by the pregnant uterus when the patient lying supine, reducing the amount of blood is returned to the heart
Ectopic pregnancy
When an embryo develops outside of the uterus, most often in a fallopian tube.
Abruptio placenta
The placenta separates prematurely from the wall of the uterus
Placenta pervia
The placenta develops over and covers the cervix
Fetal alcohol syndrome
A condition caused by the consumption of alcohol by a pregnant woman, characterized by growth and physical problems, mental retardation, and a variety of congenital abnormalities
What guidelines do you follow while treating a pregnant trauma patient?
Maintain an open airway
Administer high flow o2
Ensure adequate ventilation
Assess circulation
Transport considerations
Meconium
Fetal stool, it’s a green fluid when a woman’s water has broken
What are the three stages of labor?
- Dilation of the cervix
- Delivery of the fetus
- Livery of the placenta
Primigravida
A woman who is experiencing her first pregnancy
Multigravida
A woman who is experienced previous pregnancies
Lightening
The movement into the pelvis by the of the fetus, positioning it for birth
Crowning
When the head of the fetus begins to appear at the vaginal opening
What is it called when a fetus is positioned headfirst in the birth canal?
Cephalic presentation
Nuchalchord
When the umbilical cord is wrapped around the neck
Vernix caseosa
White, cheesy substance that the newborn baby covered in
Fundus
Hey Sam, grapefruit sized mass in the lower abdomen. It is the upper end of the uterus
Apgar score
Standard scoring system used to assess the status of a newborn
The five areas of activity of a newborn
Appearance Pulse Irritability Activity or muscle tone Respiration
Presentation
The way in which an infant is born
Vertex presentation
An infant born headfirst
Breech position
An infant born buttocks first
Limb presentation
When a single limb sticks out first
Prolapse of the umbilical cord
Where the cord comes out of the vagina before the fetus
Spina bifida
They develop mental defect in which a portion of the spinal cord and meninges may protrude outside of the vertebrae and possibly outside of the body
