complex pregnancy and complication Flashcards

(47 cards)

0
Q

The 5 p’s that affect labor

A

Position, powers, physiological response, passageway, and passenger

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1
Q

Long, difficult or abnormal caused by any of the four variables that affect labor

A

Dystocia

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2
Q

_________ relaxes the uterus and stops preterm labor.

A

Brethine

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3
Q

What test can be done at anytime during the pregnancy that is safe for both mother and baby?

A

Ultrasound

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4
Q

Excessive amniotic fluid

A

Polydramnios

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5
Q

Deficiency of amniotic fluid

A

Oligohydramnios

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6
Q

What test is done to indicate that the fetus has adequate oxygenation and intact central nervous system?

A

Non stress test

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7
Q

BPP

A

Biophysical profile

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8
Q

What 5 assessments are made in a BPP?

A

Fetal breathing, fetal movement, fetal tone, fluid assessment, fetal reaction

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9
Q

MSAFP

A

Maternal serum Alpha fetoprotein

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10
Q

When is the AFP done?

A

16-18 weeks gestation

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11
Q

What two main things does the AFP test for?

A

Neural tube defects, and Down’s syndrome

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12
Q

Indicates fetoplacental function

A

Estriol

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13
Q

A procedure in which a needle is inserted though the abdomen into the amniotic sac

A

Amniocentesis

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14
Q

When can the amniocentesis be performed for diagnosis of genetic diseases and birth defects?

A

14-16 weeks gestation

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15
Q

Phospholipids in the lungs that lower surface tension and stabilize the alveoli so they do not collapse on exhalation

A

Surfactant

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16
Q

Test for lung maturity

A

LS ratio

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17
Q

When is there bilirubin in the amniotic fluid?

A

Rh incompatibility

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18
Q

CVS

A

Chorionic Villi Sampling

19
Q

When is CVS performed?

A

8-10 weeks gestation

20
Q

IUGR

A

Intrauterine growth retardation

21
Q

When the fetus is not able to get proper nutrients and oxygen from the mother this is called

22
Q

The drug used mostly for hyperemesis gravidarum

23
Q

What is the #1 electrolyte lost when throwing up?

24
The drug given to cause miscarriage
Methotrexate
25
When do symptoms of ectopic pregnancy begin?
3-5 weeks after first missed menstrual period
26
Another word for hydatidiform mole
Trophoblastic disease
27
The uterus is much larger than what it should be, absent FHT, tapioca discharge, these are all signs related to ?
Hydatidiform mole
28
After hydatidiform mole is removed how long should pt not get pregnant and be watched for cancer?
1 1/2-2 years
29
What is the main symptom a pt might complain of with a hydatidiform mole
Referred shoulder pain
30
If symptoms of PIH appear before 24 weeks gestation a ______ is very probable
Molar pregnancy
31
What is it called when the placenta is lying over the cervix
Placental previa
32
What drug is given to mature the lungs of a premature fetus
Celestone
33
Overstimulation of the normal clotting process
DIC
34
DIC
Disseminated intravascular coagulation
35
Another word for gestational hypertension
PIH or pregnancy induced hypertension
36
Convulsions
Eclampsia
37
Mild preeclampsia
140/90 or increases 30 systolic or 15 diastolic on two occasions at least 6 apart
38
Severe preeclampsia
160/110 or higher on 2 occasions at least 6 hours apart
39
Eclampsia
Grand mal seizure
40
Pronounced muscular contraction
Tonic phase
41
Alternate contraction and relaxation or muscles
Clonic phase
42
What drug is given for preeclampsia to increase threshold for seizure
Magnesium sulfate
43
Main sign of HELLP syndrome
Epigastric pain
44
What does HELLP stand for
Hemolysis, elevated liver enzymes, low platelets
45
Excessive amounts of amniotic fluid
Hydramnios
46
Excessive fetal growth
Macrosomia