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Reproductive > Exam 1 part 2 > Flashcards

Exam 1 part 2 Flashcards

1
Q

total number of times a women has been pregnant

without regard to number of fetuses, including a current pregnancy

A

Gravida

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2
Q

number of births after 20 weeks whether alive or still birth
More than 1 fetus still equals only one birth

A

Para

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3
Q

Expanded system to include specific information about past pregnancies, deliveries and current number of children

A

GTPAL

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4
Q

T

A

Term infants > 37 weeks

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5
Q

P

A

preterm infants

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6
Q

A

A

abortions (spontaneous or therapeutic)

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7
Q

L

A

living children

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8
Q

pregnant more than 5 times

A

Grand multi gravida

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9
Q

means never given birth

A

Nuli para

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10
Q

pregnant for the first time

A

prima para

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11
Q

never been pregnant

A

nuli gravida

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12
Q

means pregnant for at least the second time

A

Multi gravida

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13
Q

underweight BMI

A
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14
Q

normal BMI

A

18.5-24.9

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15
Q

overweight BMI

A

25-29.5

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16
Q

obese BMI

A

> 30.0

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17
Q

morbidly obese

A

> 40.0

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18
Q

Total weight gain for BMI

A

28-40

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19
Q

total weight gain fro BMI 18.5-24.9

A

25-35

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20
Q

total weight gain for BMI 25.0-29.9

A

15-25

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21
Q

Total weight gain for BMI >30

A

11-20

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22
Q

How much does the fetus weigh

A

7-8

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23
Q

how much does the placenta weigh

A

1-2

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24
Q

how much does the amniotic fluid weigh

A

2

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25
Q

how much does the uterine mass weigh

A

2

26
Q

how much does the blood volume weigh

A

2-4

27
Q

how much do the breasts weigh

A

1-3

28
Q

how much do the maternal fat stores weigh

A

7-8

29
Q

when do you hear fetal heart tone

A

10-12 weeks

30
Q

when do you see fetal movement

A

20 weeks

31
Q

when is there cardiac visualization

A

4-8 weeks

32
Q

!st trimester labs

A 
ABO and rh 
antibody screen 
CBC
STI panel
Rubella
Genetic screening 
Urinalysis/ culture
33
Q

High frequency sound waves produced an image if tissue, organ, bone, air (based on density)

A

Ultrasonography

34
Q

Ultrasonography done in the 1st trimester

A

transvaginal

35
Q

ultrasonography that needs full bladder

A

transabdominal

36
Q

Rate and volume of blood flow between the placenta and umbilical vessels
Used in adjunct to US in any trimester
Looks at blood flow changes in maternal-fetal circulation in order to assess placenta function

A

Umbilical artery Doppler flow

Doppler velocimetry

37
Q

Indications of umbilical artery doppler flow

A

IUGR
HTN/pre eclampsia
Fetal cardiac anomaly

38
Q

Detailes radiological evaluation maternal.fetal tissues, organs, and placenta when abnormalities are suspected
Interpretation doen by radiologist

A

Magnetic resonance imaging MRI

39
Q

Indications of MRI

A

abnormal US of suspected anatomical malformation

Placental accreta

40
Q

Assess the accumulation of fluid between spine and neck
Pregnancy associated plasma protein PAPP-A
Free beta-hCG

A

Nuchal translucency

41
Q

when is a offered

A

at 11-13 weeks to all pregnant women

42
Q

increased amount of fluid

A

risk abnormalities
genetic syndromes
birth defects
poor pregnancy

43
Q

> 3mm fold

A

increase of trisomy 21

44
Q

low levels of PAPP-A are associated with what

A

Trisomy 21

45
Q

Aspiration small amount of placental tissue (chorion) for chromosomal, metabolic and DNA testing
Adjunct with US
Catheter placed through cervix/abdominal w/ US guidance then biopsy of tissue then Villi harvested and cultured for chromosomal analysis

A

Chronic Villus sampling CVS

46
Q

indications of CVS

A

Detects fetal abnormalities

High risk mothers

47
Q

risks of CVS

A

7% chance of fetal loss due to bleeding, infection, or rupture of membranes
10% chance of bleeding

48
Q

Blood used to test for metabolic, hematologic disorders, fetal infection, and genetic
Adjunct with US
Needle inserted into umbilical vein or near parental origin then small fetal blood sample obtained

A

Percutaneous umbilical blood sampling PUBS

49
Q

Indications of PUBS

A

after US detects anomaly

Fetal transfusion

50
Q

Abdomen cramp or pain in first trimester

A

Possible threatened AB, UTI, appendicitis, ectopic pregnancy

51
Q

Vaginal spotting to bleeding during 1st trimester

A

possible threatened abortion

52
Q

Absent FHT in 1st trimester

A

Possible missed abortion

53
Q

Dysuria, frequency, urgency during 1st trimester

A

Possible UTI

54
Q

fever or chills during 1st trimester

A

possible infection

55
Q

prolonged N/V during first trimester

A

Possible hyper-emesis gracidarium

>risk dehydration

56
Q

Always assess what during follow up visits

A 
BP
Weight gain
FHT
Fundal height
urinalysis
57
Q

fetal heart rate

A

110-160 bpm

58
Q

Measured form the top of the symphysis pubis to top of the uterine funds

A

Fundal height

59
Q

when is the funds at the umbilicus

A

at 20 weeks

60
Q

reasons why findings may differ for fundal height

A

Obesity
Uterine fibroids
poly- or oligo hydramnios

Reproductive (19 decks)

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