Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Obstetrics > Cook Lecture > Flashcards

Cook Lecture Flashcards

1
Q

Rule used to date pregnancy

A

Nadgele’s Rule

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what does gravida refer to?

A

of pregnancies

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what does parity refer to?

A

of births

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

How do you calculate EDD?

A

count back 3 months from LMP + 7 days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

How does pseudo-gestational sac differ from the actual gestational sac?

A

lacks echogenic rim
can shape during exam
located in middle of uterine cavity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What two things are diagnostic of IUP?

A

yolk sac and embryo

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what do you screen for at 15-24 weeks?

A

neural tube defects, trisomy 21, fetal anomalites, short cervix

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what do you screen and administer at 24-28 weeks?

A

gestational DM and anemia

give anti-D immmune globin to Rh(-)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what do you screen for and administer at 28-36 weeks?

A

STI, GBS (35-37 wks), fetal growth restriction (fundal height), non-cephalic presentations
give T-dap and flu vaccine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what is the “power”?

A

uterine contractions (frequency, duration, intensity)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

in the active phase of labor what is the normal frequency of contractions?

A

2-5 min

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

how do you calculate the size of the fetus?

A

Leopold maneuvers or US

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Fetal macrosomnia is fetal size of

A

4500 g or greater

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Lie refers to

A

axis of baby

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Presentation refers to

A

fetal part over pelvic inlet (cephalic, breech, shoulder)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Attitude refers to

A

degree of flexion or extension of the head

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Flexion of the fetal head is important for

A

engagement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What does synclitism refer to?

A

parallelism between the planes of the fetal head and the maternal pelvis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

“frontom”

A

brow

20
Q

“mentum”

A

face

21
Q

“breech”

A

sacrum

22
Q

“cephalic”

A

occiput

23
Q

what does station refer to?

A

distances from ischial spine to outlet

24
Q

what is considered a fully dilated cervix?

A

10 cm

25
Q

what is effacement?

A

thickness of cervix → given as percentage

26
Q

What is the reference point for station?

A

0 @ ischial spines

27
Q

at what cervical dilation does the birthing process speed up?

A

~6 cm

28
Q

How can epidural affect labor?

A

MAY prolong 2nd stage by 15 min or so

29
Q

T or F: it matter when a woman receives epidural during labor

A

False → no difference in whether you get in latent vs active phase

30
Q

5 components of fetal heart tracings

A

baseline, variability, acceleration, decelerations, contractions

31
Q

normal fetal heart range

A

110-160

32
Q

If there is moderate FHR variabilty, what does this proove?

A

baby is not acidotic

33
Q

If there is no variability what does this say about the baby?

A

nothing → may or may not be acidotic

34
Q

what is considered moderate FHR variability?

A

6-25 beats around baseline

35
Q

what is significant about marked FHR variability?

A

unclear about acidosis

36
Q

what is an acceleration on external fetal monitoring?

A

15 beat increase above baseline for 15 seconds

37
Q

early decelerations on external fetal monitoring indicate

A

uterine contraction → head compression → vagal stimulation → heart rate slows

38
Q

late decelerations on external fetal monitoring indicate

A

utero-placental insufficiency

39
Q

variable decelerations on external fetal monitoring indicate

A

umbilical cord compression

40
Q

EFM for 20 minutes showing baseline between 110-160 with 2 accelerations (15 seconds above baseline for at least 15 seconds each)

A

reactive

41
Q

6 B’s of postpartum HPI

A

baby, bleeding, breast/bottle feeding, birth control, bowel/bladder function, boinking

42
Q

Definition of postpartum hemorrhage

A

> 500 cc vaginal

> 1000 cc C-section

43
Q

Causes of postpartum hemorrhage

A 
Uterine atony 
genital tract trauma
retained products of conception
abnormal placentations 
coagulation abnormalities
[Tone, Trauma, Tissue, Thrombin]
44
Q

sign that may indicate shoulder dystocia or impaction of posterior fetal shoulder on the sacral promontory

A

turtle sign

45
Q

risk factors for shoulder dystocia

A

maternal obesity, DM, multiparity, posterm gestation, history of macrosomic birth and shoulder dystocia, labor induction, epidural, operative vaginal delivery

46
Q

what is a C section?

A

birth via laparotomy + hysterotomy

47
Q

what are some indications for C- section?

A

breech, abnormal placenta, hx of uterine incision, non reassuring FHT, arrest of labor

Obstetrics (17 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions