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NUR 113 > Exam 1 > Flashcards

Exam 1 Flashcards

0
Q

of weeks since the last menstrual period?

A

Gestation

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1
Q

Delivery prior to end of 20 weeks?

A

Abortion

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2
Q

Normal duration of pregnancy from the 38th-41st week?

A

Term

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3
Q

Delivery between 20th-37th week??

A

Preterm

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4
Q

Delivery that occurs post 42nd week?

A

Post term

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5
Q

The span of time between conception and birth?

A

Antepartum

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6
Q

Span of time between onset of labor and delivery?

A

Intrapartum

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7
Q

Span of time between birth and women’s prepregnancy state?

A

Postpartum

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8
Q

Any pregnancy, regardless of gestation?

A

Gravida

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9
Q

A women who has never been pregnant

A

Nulligravida

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10
Q

A woman who’s been pregnant more than once?

A

Multigravida

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11
Q

A woman who is pregnant for the first?

A

Primigravida

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12
Q

A fetus born dead after 20 weeks gestation?

A

Stillborn

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13
Q

Span of time between point of viability through the neonatal period?

A

Perinatal

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14
Q 
G?
T?
P?
A?
L?
A 
Gravida
Term
Preterm
Abortions
Living
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15
Q

True labor_________ the cervix.

A

Changes

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16
Q

Which weeks are the 1st Trimester?

A

weeks 1-13

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17
Q

False labor_______________ the cervix.

A

Does not change

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18
Q

Which Weeks are the 2nd Trimester?

A

weeks 14-26

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19
Q

Which weeks are the 3rd Trimester?

A

weeks 27-40

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20
Q

If the top of the Fundus is at the umbilicus… How many Weeks gestation should the Pt be?
Where does the Fundus reach by Term?

A

Approx 20 Weeks

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21
Q

This sign is signified by a softening of the lower uterine segment and occurs at approx 6 weeks.

A

Hegar Sign

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22
Q

This is when the Fundal height drops as the fetus begins to decend and engage the pelvis; It occurs at 38-40 weeks.

A

Lightening

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23
Q

These contractions are painless, irregular and occur throughout pregnancy beginning about the 28th week, but do NOT change the cervix.
What is thought to be the purpose?

A

Braxton Hicks

- Helps promote O2 delivery to fetus ad is thought to be a “Practice” contraction. Usually ceases w/ walking/exersize

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24
Q

_________Female Hormone is a Vasodialator as it Relaxes smooth muscle.
_________Female Hormone is responsable for increasing maternal Blood Volume.

A
  • Progesterone

- Estrogen

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25
Q

This sign is brought about by increased vascularity, hypertrophy, and hyperplasia which leads to a softening of the cervix.

A

Goodell’s Sign

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26
Q

This sign is Characterized by a more frail/prone to bleed cervix w/a blueish color.

A

Chadwicks sign.

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27
Q

This is done 16-18 weeks gestation. The Dr gently taps the cervix and feels for the contents to float back down and “tap” his/her finger.

A

Ballottement

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28
Q

This Fetal movement or “feeling of life” starts around the 16th-20th week.

A

Quickening

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29
Q

___________ is a slightly grey/white discharge from the Vagina taht has a faint musty odor, and is completely normal.

A

Leukorhea

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30
Q

The __________ or mucus plug acts as a barrier to guard the placenta against infection.

A

Operculum

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31
Q

What are the effects of Estrogen/Progesterone on the Vagina and Vulva?

A
  1. Vaginal mucosa to thicken
  2. Connective tissue starts to loosen
  3. Smooth muscle to hypertrophy
  4. Vaginal vault starts to lengthen
  5. Assist in the formation of the operculum
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32
Q

What are the effects of Estrogen/Progesterone on the Breasts?

A
  • Fullness, Heightened sensitivity, tingling, and heaviness
  • Increased pigmentation of the nipples and areola
  • Nipples erect
  • Hypertrophy of sebaceous glands
  • Venous congestion/ Vascularization
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33
Q

During what Trimester does the maternal BP Change? How does it change? What about the 3rd Trimester?

A
  • 2nd
  • It Decreases d/t progesterone by 5-10mmHg
  • Returns to normal in 3rd
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34
Q

What do tests typically use to identify a pregnancy?

A

HCG (Human Chorionic Gonadotropin)

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35
Q

During pregnancy the EBV increasses by_____%, or ______mL.

A
  • 40-45%

- 1500mL

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36
Q

Physiological anemia or _____________ can occur during pregnancy and is a _________ finding.

A
  • Hemodilution

- Normal

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37
Q

Dependant edema is ____, but edema in the face could be a S&S of _________.

A
  • OK

- Preeclampsia

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38
Q

What 2 things DO NOT revert postpartum??

A
  • Striae Gravidarum (Stretch marks)

- Increased Rib cage size

39
Q

Normal Volume of bladder is 250-300mL’s.

In pregnant women this can increase upto ______mL’s.

A

1500mL

40
Q

Hyperpigmentation occurs and can lead to what??

A

-darker under arms, Nipples, and eyes (mask of pregnancy)

41
Q

A Pigmented line at the mid-line that extends from the symphysis pubis to the top of the fundus.

A

Linea Nigra

42
Q

In order to compensate for a heavier load in the front the maternal body compensates through the formation of a waddling gait and____________.

A

Lordosis (Curving of lower spine)

43
Q

Increased Progesterone decreases tone/motility of smooth muscle including the stomach which can cause _______, and the GI which can lead to _________.

A
  • Pyrosis (Heartburn)

- Constipation

44
Q

According to Ruben’s Psychological changes of pregnancy, what should the 1st trimester entail?

A

Concern for self; “Sick or Pregnant”?
Q’s about what must be Given up
Q’s about if she can Give them up
Acceptance of self as pregnant

45
Q

According to Ruben’s Psychological changes of pregnancy, What should the 2nd Trimester entail?

A

Concern for Baby
Engages in self care activities
Learns delayed gratification
Attachment to baby;feels good/attributes it to baby

46
Q

According to Ruben’s Psychological changes of pregnancy, what should the 3rd trimester entail?

A

Concern for self AND baby
Q’s about safety of labor
Becomes fearful of baby being taken
Develops fantasy image of baby

47
Q

What is the Formula for determining the Due date?

A

Date of Last period -3 months +7 days= due date

48
Q

What is the Dr’s visit schedule?

A
  • Once per month up to 26 weeks
  • Every 2 Weeks at 27 weeks
  • Every week at 37 weeks
49
Q

During pregnancy, Limit caffine to________.

A

3 cups per day

50
Q

________ is given if mother is suspected to have Rh- Blood.

A

Rhogan (Considered a Blood product)

51
Q

One should refrain from becoming pregnant for 1 month after receiving the ________ Vaccine.
What ratio in the titer = immunity?

A
  • Rubella

- >1:8

52
Q

In this test the Pt ingests 50g of Glucola; 1hr later shes tested if she’s >140 she fails the test.
Does she need to be NPO prior to test??

A
  • 1hr blood glucose test (O’Sullivan Test)

- No

53
Q

For a Normal Pregnant female… What should be her weight gain during pregnancy?

A

First Trimester: 2-4lbs gain
Second Trimester: 1lbs/wk gain
Third trimester: 1lbs/wk gain

54
Q

3 S&S of preterm Labor?

A

➢ Uterine Activity/may be painless
➢ Any kind of Discomfort
➢ Change in Vaginal Discharge (PROM)

55
Q

what can a mother be taught to do when preterm labor is suspected?

A

➢ Drink two or three glasses of water or juice (Dehydration?)
➢ Lie down on her left side for an hour
➢ If signs do not go away or if fluid begins to leak from vagina-call the doctor or clinic immediately

56
Q

Medication catagory that help stop/slow preterm labor?

A

Tocolytics

57
Q

________ is a Steroid that speeds up fetal lung maturity/Leads to Increased Surfactant in fetal lungs

A

Betamethasone

58
Q

_________ Bronchodilator; Vasodilator and relaxes uterus.

A

Terbutaline

59
Q

____________ Can Kill the Pt if OD’d; Relaxes Smooth Muscle.

A

Magnesium Sulfate

60
Q

__________ Smooth muscle relaxant; can cause valvular problems in fetus.

A

Prostaglandin Synthetics-Motrin/naproxen

61
Q

Test where mother indicates when HR goes up at the same time as Fetal activity goes up; r/t CNS activity

A

Non-Stress Test

62
Q

A test that is Done the day an NST is non-reactive; Intentionally stresses Fetus.

A

Contraction Stress Test

63
Q

This is Done on day of non-reactive NST; Tells if Fetus is Hypoxic; Determines next course of action it is often used in litigation.

A

Biophysical Profile

64
Q

This can be done 35th wk and Determines Lung Maturity; determines if it can be delivered safely; >2 = baby can be born safely.

A

L/S Ratio

65
Q

This procedure involves removal small portion of placental cells and studies are done on it. Done on High risk Pt.

A

Chorionic Villi Sampling

66
Q

What are the 4 P’s?

A
  • Passenger: Fetus/Placenta
  • Passageway: Birth Canal
  • Powers: Primary (Involuntary) & Secondary Contractions
  • Phsyche
67
Q

___________ Is the relationship of the long axis (spine) of the fetus to the long axis (spine) of the mother. (Spine to Spine)

A

Lie

68
Q

____________Relationship of the fetal body parts to each other. Characteristic posture (attitude) in utero-normally back rounded, chin flexed on chest, thighs flexed on abd., legs flexed at knees.

A

Attitude

69
Q

___________Refers to part of the fetus that enters the pelvic inlet first and leads through the birth canal during labor at term

A

Presentation

70
Q

_______________Is the relationship of the presenting part to the four quadrants of the mother’s pelvis.

A

Position

71
Q

The position of the passenger during labor is stated using a 3 digit system. What do the 3 digits stand for?

A
  • 1st letter indicates whether the occipital is facing Lft or Rt in comparison to the mothers pelvis.
  • 2nd Letter indicates which part is presenting
  • 3rd letter describes which way the occipital is rotated in the pelvis. Anterior/Posterior/Transverse.
72
Q

___________Is the relationship of the presenting part of the fetus to an imaginary line drawn b/w the maternal ischial spines and is a measure of the degree of descent

A
  • Station

- Ischial Spines are 0. above is -. and + is below

73
Q

__________Term used to indicate that the largest transverse diameter of the presenting part has passed through the maternal pelvic brim

A

Engagement

74
Q

___________ are Involuntary uterine contractions; signal beginning of labor and are Responsible for effacement (Thinning of Cervix), dilation (Opening up of cervix) and descent (Station) of fetus

A

Primary Powers

75
Q

________Voluntary bearing down (Pushing) effort of the pregnant woman during the force of the contraction once the cervix is fully dilated.

A

Secondary Powers

76
Q

__________The time that elapses between the onset and the end of a contraction

A

Duration

77
Q

___________beginning of the contraction to the beginning of the next contraction.

A

Frequency

78
Q

____________the time interval between the end and the beginning of a contraction.

A

Resting Tone

79
Q

____________The strength of the contraction at its peak. Mild, Moderate and firm.

A

Intensity

80
Q

Stage of labor where mother exhibits Excited Behaviors, Talkative/Open to Instruction (Get forms filled out/teaching done), Pain managed well.

A

1st stage/Phase 1

81
Q

Stage of labor where mother exhibits More Doubtful Behaviors, Desires companionship/ Encouragement, Has difficulty Following Directions.

A

1st stage/Phase 2

82
Q

Stage of labor where mother exhibits More severe pain, Fear of Loss/Control, Irritable/Frustrated

A

1st Stage/Phase 3

83
Q

Stage of labor where mother exhibits Sense of Relief/accomplishment

A

2nd Stage/Latent Phase

84
Q

Stage of labor where mother exhibits  Urge to Push, Grunts, frequent repositions, altered respiratory patterns.

A

2nd Stage/Decent Phase

85
Q

Stage of labor where mother exhibits the Urge to push is greatly increased, Contractions close to one another, “Ring of Fire” (V is on fire: Stretching/Tearing of skin is occuring)

A

2nd Stage/Transition Phase

86
Q

Stage of labor that spans from Birth of fetus until placenta is delivered

A

3rd Stage

87
Q

Stage of labor that involves the First hour after delivery of placenta

A

4th Stage

88
Q

A Deceleration where the fetal heart acceleration begins with the contraction.

A

Early Deceleration (Good)

89
Q

A Deceleration where the fetal heart acceleration begins after the beginning or towards the peak of the contraction.

A

Late Deceleration (Bad)

90
Q

A Deceleration where the fetal heart acceleration with no defining characteristics.

A

Variable (Has to do with Fetal Chord)

92
Q

A test where speculum placed, clear fluid below cervix is swabbed and exposed to a litmus paper; fluid is Alkalitic; Determines whether PROM has started.

A

Nitrozine Test

92
Q

This childbirth prep method Focuses on information/education about pregnancy

A

Dick-Read Method

93
Q

Test where a glass slide swabbed with fluid from below cervix Amniotic and it crystalizes in a fern-like pattern; Determines whether PROM has started.

A

Ferns test

94
Q

This childbirth prep method that is the Most widely known; Health insurance pas for it; focus point/breathing

A

Lamaze Method

95
Q

This childbirth prep method where the Husband Coaches child birth; room is darkened, and environment is quiet.

A

Bradley Method

NUR 113 (4 decks)

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