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Peds > Conception,complications, Bc > Flashcards

Conception,complications, Bc Flashcards

1
Q

How long does pregnancy last?

A

280 days / 40 weeks

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2
Q

Pregnancy is not a disease but a?

A

Alteration in health and life cycle

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3
Q

Fertilization occurs when ___ penetrates ___. Sperm and ovum contain____ chromosomes

A

Sperm
Egg
23

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4
Q

Ovum survives how many days

A

24hours

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5
Q

Sperm survives how many days

A

5

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6
Q

Monozygotic/ identical

A 
Union of single ovum and sperm
Fetus same sex
One placenta
One chorion
Two amnions
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7
Q

Dizygotic/fraternal

A 
More then one ovum and sperm
Same or different sex
2 placentas
2 chorions
2 amnions
Repeat in families
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8
Q

Stages of fetal development

A

Zygote
Blastocyst
Trophoblast

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9
Q

Implantation occur when the

A

Trophoblast attach to the uterine wall

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10
Q

Function of the amniotic fluid

A 
Allows symmetrical growth
Maintain environment temperature 
Protects fetus from injury
Allows freedom to move / buoyancy
Prevents fetal adherence
Promote lung maturity
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11
Q

Embryonic stage 3 layers

A

Ectoderm- outer
Mesoderm- middle
Endoderm- inner

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12
Q

Fetal circulation 3 major bypasses

A

Ductus venosus- bypass blood from liver to placenta. Closes temp when cord is cut

Ductus arteriosus- diverts blood from pulmonary artery to aorta. Closes 15h after birth

Foramen ovale- diverts blood from RA into LA. Closes temp 2 hr after birth and fully by 3 month

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13
Q

EDD

A

Estimated due date

1st day of LMP
-3 from month
+ 7 for day
Anything after march year increase by 1

Nagele’s rule

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14
Q

Presumptive s/s of pregnancy

A 
Amenorrhea (no cycle)
N/v
Frequent urination
Chloasma
Breast change
Fatigue
Drowsiness
Linea nigra( dark line down abdomen)
Quickening( may be gas)
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15
Q

Probable s/s

A 
Abdomen changes(weight gain/tumor)
Positive pregnancy test
Hegars sign
Goodells signs
McDonald's sign
Chadwick's sign( purplish or bluish discoloration of vagina,cervix,vulva)
Braxton hicks(fibroids)
Fetal outline(tumor)
Ballottement(cervical polyp)
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16
Q

Positive s/s

A 
Fetal heart beat(110-160)
Uterine soufflé 
Funic soufflé 
Fetal movement
Visual of fetus
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17
Q

Weighs 2 oz becomes temporary abdominal organ.expands gradually reaches xyphoid process.

A

Uterus

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18
Q

Barrier method BC

A

Condoms
Sponge
Diaphragm
IUD

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19
Q

Chemical method BC

A 
BCP
Depo
Nuva ring
Implant
Patch
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20
Q

Surgical method BC

A

100%effective

BTL
Vasectomy
Hyst
Essure

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21
Q

How to measure fundal height

A

Assess from pubis to top of fundus
Record in cm
Each week of pregnancy equal 1 cm

22
Q

Circulation system is increased by ___% body receives what?

A

45
Nutrients
Oxygen

23
Q

Leukorrhea

A

Increase vaginal discharge

24
Q

Do maternal insulin cross placenta

A

No

25
Q

Streptococcal B..GBS

A

Normal bacteria can cause complications if baby pass through it.
Vagina is swiped to rectum

26
Q

Calcium is not taken from mothers___ but from long bones.

A

Teeth

Tums calcium supplement

27
Q

Shiny and grey side of placenta

A

Schultze

28
Q

Beefy red side of placenta

A

Dirty Duncan

29
Q

Umbilical cord consist of

A

AVA
2 arteries
1 vein

30
Q

Fetal portion develops from the

A

Chorionic villi

31
Q

Increase nutrition by

A

300/day

32
Q

NTD

A

Neural tube defect
(Spinabifida)
Test done AFP

33
Q

How much folic acid a day to prevent NTD

A

400 mcg

Orange juice

34
Q

Major complications

A 
DM
Increase BP
Increase asthma 
Increase uti
Increase sickle cell crises
Previa placenta(sit near cervix)
Abruption placenta
35
Q

G,P,T,P,S,T,L

A 
G-pregnancies
P- births
T-term births 
P- preterm
S- spontaneous abortions
T- therapeutic abortions
L-living births
36
Q

Amniotic sac fluid should be

A

Clear, mild odor,contains bits of vernix, lanugo

Fluid is recycled by fetal urination

37
Q

Delivery settings

A

Hospital- quick access to emergency care

Birth center- homelike, lower cost, slight delay emergency access

Home- total control, no risk of nosocomial infection delay in care

38
Q

4 p’s of birthing process

A

Power (contractions and pushing)
Passage(passage for baby)
Passenger( fetus)
Psyche(emotional part of birth)

39
Q

Risk with labor and delivery

A

Grand multiparty
Intense labor contractions
Blunt abdominal trauma
VBAC

40
Q

Hydatiform mole

A

Malignant cells
Clumps of blood in uterus
Looks like a tv screen lose signal

Increase risk for developing uterine cancer in life

41
Q

Circlage

A

Weak cervix
Dr. Stitch one string to hold uterus in
Remains in place about week 36

42
Q

Labor is determined by

A

Dilation and effacement change over time

43
Q

Effacement

A

Thinning of the cervix

44
Q

Dilation

A

Measured in cm

45
Q

Corpus Ludlum

A

Attach to uterus and form placenta

46
Q

Pica

A

Craving for food not edible

For the nutrients and elements in side

47
Q

Circlage

A

Uterus is weak, dr. Makes 1stitch around to hold it in place til 36weeks of pregnancy then Md. cuts the string

48
Q

The test used to check for diabetes

A

GTT- glucose tolerance test

49
Q

The test used to determine NTD neural tube defects

A

AFP

Alpha fetal protein

50
Q

Gynecoid pelvic position is

A

The most favorable for birth

51
Q

Leopholds

A

Palpated fetal position without ultrasound

52
Q

Labor and delivery is influenced by

A

Culture

Peds (3 decks)

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