Geriatrics And Obstetrics Flashcards
Difference between gynecology and obstetrics
Obstetrics: child birth and care of women birth
Gynecology: specializes in treating female reproductive organs w/ healthcare
Presumptive signs of pregnancy
Morning sickness
Amenorrhea
Breast changes
Lethargy
Fatigue
Frequent urination
Probable signs
Uterine enlargement
Ballotment of the uterus
Hegar’s sign (softening of the lower uterus)
Von Braun fernwalds sign (softening of uterus opening)
Contractions
Goodells sign (softening of the vaginal portion of cervix)
Positive pregnancy test
Positive signs of pregnancy
Doppler (10-12 weeks) and fetoscope( 16-18 weeks) sounds
Can see fetal pole or cardiac activity
Contractions and movement inside belly of woman
Gravid index GP form
G = # of time woman has been or is pregnant regardless of outcome
- twins/triplets count as 1
P = # of deliveries done
-twins/ triplets count as 2 and 3 respectively
Gravid index GFPAL form
G: # of total time pregnant
F: # of full term deliveries
P: # of premature deliveries
A: # of abortions under any method
L: # of living children
Naegles rule
Add 1 year, subtract 3 months and add 7 days to date of last menstral cycle (period) to approximate delivery date.
Gestational age
Based solely on the highest completed weeks (40 weeks is normal)
of weeks for early, full, late and post term pregnancies
Early: 37-38
Full term: 39-40
Late term: 41
Post term: 42+
Palpating the superior surface of the stomach/fundus feels for what?
Consistency, shape and mobility of the neonate
Palpating the inlet (posterior stomach right over labia) determines what?
Fetus mobility
Palpating both sides of uterus determines what?
Direction of fetal back, degree of fetal extension into the pelvis
Normal blood loss for vaginal delivery and C/S delivery
500cc and 1000cc respectively
indications for C/S over natural
Maternal request
Significant perineal trauma
HSV or HIV infection
Perimortem C/S
Beers criteria
Used to determine risks vs benefits of medications and inappropriate medications
