ICR Obstetrical Issues

Question 1

Amniocentesis

Answer 1

Aspiration of amniotic fluid, usually transabdominally, for diagnostic or therapeutic purposes

Question 2

Amniotic Fluid

Answer 2

Fluid confined by the amnion. Amnion is the thin, tough membranous sac that encloses the embryo or fetus of a mammal.

Question 3

Ante partum

Answer 3

Before labor or delivery

Question 4

Blood flow, uteroplacental

Answer 4

Circulation by which the fetus exchanges nutrients and waste products with the mother

Question 5

Chloasma

Answer 5

mask of pregnancy. Irregular brownish patches of various sizes that may appear on the face during pregnancy or during the use of oral contraceptives, secondary to elevated levels of estrogen and progesterone

Question 6

Chorionic villus sampling

Answer 6

Transcervical or transabdominal sampling of the chorionic villi for cytogenetic evaluation of the fetus (often used to diagnose aneuploidies)

Question 7

Cordocentesis (Percutaneous umbilical blood sampling, PUBS)

Answer 7

Fetal assessment and therapeutic technique in which a needle is passed into the umbilical vessel and blood is sampled or treatment is given.

Question 8

Corpus luteum

Answer 8

The cystic structure formed in the ovary at the site of a ruptured ovarian follicle. This produces progesterone which supports the pregnancy until the placenta has developed and taken over this role.

Question 9

Culdocentesis

Answer 9

Needle aspiration of intraperitoneal fluid or blood through a puncture of the posterior vaginal fornix into the cul-de-sac.

Question 10

Curettage

Answer 10

Scraping of the interior of a cavity or other surface with a curette. Fractional or Suction

Question 11

Decidua

Answer 11

Identifiable changes in the endometrium and other tissues in response to the hormonal effects of progesterone.

Question 12

D immunoglobulin

Answer 12

Immunoprotein that prevents D sensitization. Commericially known as Rhogam. Attaches to antibodies made when an Rh negative person has been exposed to Rh positive blood

Question 13

Ecclampsia

Answer 13

Convulsive form of preeclampsia ecclampsia syndrome. Tonic-clonic seizures

Question 14

Ectopic Pregnancy

Answer 14

Pregnancy located outside of the uterine cavity

Question 15

Ectropion

Answer 15

growth of columnar epithelium of the endocervix onto the ectocervix

Question 16

Embryo

Answer 16

Conceptus from the blastocyst stage to the end of the 8th week.

Question 17

Fetal Testing (non-stress testing)

Answer 17

Evaluation of the fetus by electronic fetal heart rate monitoring, when not in labor.

Question 18

Fetus

Answer 18

Conceptus from 8 weeks until birth

Question 19

Gonadotropin, Human chorionic (HCG)

Answer 19

Glycoprotein hormone produced by the syncytiotrophoblast and is immunologically similar to LH

Question 20

Gravida

Answer 20

Pregnant Woman

Question 21

Gravidity

Answer 21

Pregnant state, or total number of pregnancies a woman has had, including the current pregnancy

Question 22

Hydatidiform mole

Answer 22

Pathologic condition of pregnancy characterized by the hydropic degeneration of the chorionic villi and variable degrees of trophoblastic proliferation.

Question 23

Intervillous space

Answer 23

Space in the placenta in which maternal blood bathes chorionic villi, allowing the exchange of materials between the fetal and maternal circulations

Question 24

Intrauterine fetal demis (IUFD, stillbirth)

Answer 24

Intrauterine death of the fetus. Fetal death prior to 500 grams is usually classified as an abortus.

Question 25

Stimulated (augmented)

Answer 25

Labor that is stimulated, usually with oxytocin. Labor is assisted after it has started on its own. (Different than induction in which labor has not started on its own.

Question 26

Karyotype

Answer 26

Photographic reproduction of chromosomes of a cell in metaphase, arranged according to a standard classification.

Question 27

Lactogen, human placental (hPL)

Answer 27

Polypeptide hormone produced by syncytiotrophoblast, similar to prolactin and somatotropin from the pitiutary, involved in carbohydrate metabolism by the mother and fetus.

Question 28

LMP

Answer 28

Last menstrual period. 1st day of LMP when used in reference to dating a pregnancy.

Question 29

LNMP

Answer 29

Last normal menstrual period.

Question 30

Membranes, premature rupture of (PROM)

Answer 30

Rupture of amniotic membranes before the onset of labor.

Question 31

Membranes, preterm premature rupture of (PPROM)

Answer 31

Rupture of amniotic membranes before 37 weeks gestational age and before onset of labor.

Question 32

Mosaicism

Answer 32

Presence in an individual group of cells of different chromosomal constitutions.

Question 33

Multigravida

Answer 33

Woman who has delivered a fetus over 20 weeks gestation before

Question 34

Parity

Answer 34

Number of pregnancies delivered by a woman in which the fetus is over 20 weeks gestation prior to delivery.

Question 35

Placenta previa

Answer 35

condition in which placenta is located in the lower portion of the uterus and covers part or all of the cervix.

Question 36

Preeclampsia

Answer 36

Specific hypertensive disorder of pregnancy with the diagnosis made of the basis of hypertension and proteinuria. Usually occurs after the 20th week of pregnancy.

Question 37

Prematurity

Answer 37

Infant born before 37 completed weeks of pregnancy.

Question 38

Primigravida

Answer 38

Woman who is pregnant for the first time

Question 39

Quickening

Answer 39

First perception by the mother of fetal movement, usually between the 16th and 20th week of gestation.

Question 40

Striae gravidarum

Answer 40

Streaks or lines seen on the abdominal skin of a pregnant woman

Question 41

Supine hypotensive syndrome

Answer 41

Hypotensive syndrome often characterized by sweating, nausea and tachycardia. Occurs in some pregnant women in the supine position when the pregnant uterus obstructs venous return to the heart.

Question 42

Trophoblast

Answer 42

Epithelium of the chorion, including the covering of the placental villi. It comprises a cellular layer (cytotrophoblast) and syncytium (syncytiotrophoblast)

Question 43

Tuburcles, Montgomery

Answer 43

Enlarged sebaceous glands of the areolae of the mammary glands during late pregnancy and lactation.

Question 44

NOB

Answer 44

New OB clinic/appt

Question 45

ROB

Answer 45

Routine OB Clinic/Appt

Question 46

COB

Answer 46

Complicated OB Clinic or appointment

Question 47

APT

Answer 47

Antepartum Testing

Question 48

NST

Answer 48

Non-stress test

Question 49

AFI

Answer 49

Amniotic fluid index

Question 50

BPP

Answer 50

Biophysical profile

Question 51

PTL

Answer 51

Pre term labor

Question 52

HSV

Answer 52

Herpes

Question 53

GBS

Answer 53

Group B Streptococcus

Question 54

CHORIO

Answer 54

Chorioamnionitis

Question 55

SROM

Answer 55

Spontaneous rupture of membranes

Question 56

AROM

Answer 56

Artificial rupture of membranes

Question 57

Preterm Contractions

Answer 57

contractions prior to 37 weeks gestation that do not lead to cervical dilation

Question 58

Premature

Answer 58

fetus has not completed development, usually seen under 34-36 weeks gestation.

Question 59

Abruption

Answer 59

Placenta separates from the uterus prior to the third stage of labor.

Question 60

Mastalgia or mastodynia

Answer 60

breast pain

Question 61

galactorrhea

Answer 61

milky discharges