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Families > Exam 1 > Flashcards

Exam 1 Flashcards

1
Q

Hegar’s Sign

A

Softening & compressibility of the lower uterus
around 6-12 weeks

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2
Q

Chadwick’s Sign

A

Blue/purple color of the cervix & vaginal mucosa
around 4 weeks

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3
Q

Goodell’s Sign

A

Softening of cervical tip
around 6-8 weeks

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4
Q

Ballottement

A

Rebound of unengaged fetus
returning of fetus when pushed on by the doc/nurse

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5
Q

Quickening

A

fluttering sensation in the lower abdomen
“baby kicks”
around 16-20 weeks

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6
Q

Chloasma

A

increased pigmentation of face

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7
Q

Linea nigra

A

dark line from belly to the pubic area

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8
Q

Striae gravidarum

A

stretch marks related to pregnancy

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9
Q

Fetal Presentation

A

part of the fetus that is entering the birth canal first (what is visible from vag exam, hopefully head/occiput)

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10
Q

Lie

A

baby’s spine in relation to the mom’s spine

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11
Q

Parallel/longitudinal Lie

A

baby is straight up and down, parallel with mom

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12
Q

Oblique Lie

A

baby is lying diagonally across the abdomen

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13
Q

Transverse Lie

A

baby is lying straight across the abdomen

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14
Q

Attitude

A

relationship of fetal parts to one another
We want chin to be flexed (tucked to chest)

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15
Q

Station

A

how far down into the birth canal the baby is in relation to the presenting part of the baby in relation to the mom’s pelvis

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16
Q

Position

A

baby’s position

17
Q

Position:
1st letter

A

R/L
presenting part on the mom’s left or right

18
Q

Position:
2nd letter

A

O (occiput)
S (sacrum)
A (acromion process/shoulder)
M (mentum/chin)
references the presenting part
we want the occiput
sacrum is the butt = breach

19
Q

Position:
3rd letter

A

A (anterior)
P (posterior)
T (transverse)
presenting part in relation to the mom’s pelvis (which way the head is facing)

20
Q

The position letter answer is hopefully always…

A

ROA
Right, occiput, anterior

21
Q

Cervical Dilation

A

enlargement or widening of the cervical opening & canal

22
Q

Effacement

A

shortening & thinning of the cervix

23
Q

Rupture of membranes

A

labor usually occurs within 24 hours of membranes rupture (infection can occur after 24 hours)

24
Q

What should be done immediately after ROM?

A

assess FHR

25
Q

What is the pH of amniotic fluid?

A

7-7.5

26
Q

leopold’s maneuver

A

helps to determine the position of the baby (fetal lie, position, & attitude)
need to know where the baby’s back is because that’s where we listen for their HR

27
Q

Latent phase of labor dilation

A

0-3cm

28
Q

Active phase of labor dilation

A

4-7cm

29
Q

Transition phase of labor dilation

A

8-10cm

30
Q

Second stage of labor

A

full dilation to birth

31
Q

Third stage of labor

A

delivery of baby to delivery of the placenta

32
Q

Shiny schultze

A

shiny surface of the placenta that was facing the baby and touching the amniotic fluid comes out first
WANT THIS

33
Q

Dirty Duncan

A

Surface of the placenta that was attached to the uterus comes out first
we are worried about fragements left behind which leaves the mom at risk for PP hemorrhage

34
Q

Fourth stage of labor

A

delivery of the placenta to the maternal stabilization of the mom’s vital signs

35
Q

Resting tone

A

tone of the uterine muscle between ctx
If there’s not enough time for uterine relaxation (<30 sec) in between can decrease blood flow to the placenta which will cause fetal hypoxia & decrease FHR

36
Q

Duration of CTX

A

time from the beginning to end of the CTX

37
Q

Frequency of CTX

A

time inbetween the beginning of one CTX to the beginning of the next CTX

38
Q

Intensity of CTX

A

Strength of the CTX at its peak

Families (8 decks)

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