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NURS 2275 > maternity terminology/assessment - week 1 > Flashcards

maternity terminology/assessment - week 1 Flashcards

1
Q

Antepartum

A

during pregnancy ( prenatal )

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2
Q

Intraptrum

A

During labour and delivary

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3
Q

Postpartum

A

After delivary of infant and placenta

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4
Q

Gravida

pregnany

A

Pregant woman

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5
Q

Gravidity

A

NUmber of times a women has beeen pregant

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6
Q

Partiy

A

The number of pregnancies a woman has completed to the stage of fetal viability, but not the number of fetuses born

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7
Q

Fetal viability

A

Capacity of fetus to live outside the uterus (usually considered to be 22-24 weeks). The legal age of viability is 20 weeks or 500 gms in Canada. This definition governs the abortion law.

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8
Q

Nullipara

A

a women who has not completed a pregnancy with a fetus or fetuses who reached the stage of viability

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9
Q

primipara

A

women who has completed one pregnancy to the stage of fetal viability

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10
Q

multipara

A

a women who has carried two or more pregnancies to vaibility (wheather they ended in live infant or still births)

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11
Q

Term

A

37-42 weeks completed of pregnany

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12
Q

pretemr

A

20-36 completed weeks of pregnancy

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13
Q

postterm

A

42 or more completed weeks of pregancy

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14
Q

GTPAL

A

Gravidity, term biths, preterm births, abortion, licing children

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15
Q

Abortion

A

Termination of pregnancy before the fetus is viable and capable of extrauterine existence, usually less than 20 weeks of gestation (or when the fetus weighs less than 500 gms)

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16
Q

miscarriage

A

spontaneous abortion; lay term ususlly referring to the spontaneous loss of the fetus

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17
Q

manda has just delivered twins from her second pregnancy. She had a miscarriage at 14 weeks during her first pregnancy. What is the number of her gravidity and parity?

A

G:2 P:2

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18
Q

Fundus

A

dome shaped upper portion of the uterus between the points of intesertion of the uterine tubes

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19
Q

episiotomy

A

Surgical incision of the perineum at the end of second stage of labor to facilitate birth and to avoid laceration of the perineum.

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20
Q

lochia

A

Vaginal discharge during the post-partum period consisting of blood, tissue, and mucus.

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21
Q

rubra

A

Blood tinged flow that last from 2 to 4 days after birth

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22
Q

serosa

A

Serous pinkish flow that lats until about the tenth after birth

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23
Q

alba

A

Thin yellowish to white vaginal discharge that may last from 2 to 6 weeks

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24
Q

afterpains

A

Painful uterine cramps that occur intermittently for approximately 2 or 3 days after birth. The pain is more severe when the infant is sucking on the breast as the Oxytocin is released. It is also more severe in multipara women.

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25
Q

colostrum

A

The fluid in the breast from pregnancy into the early postpartum period. It is rich in antibodies, which provide protection from many diseases; high in protein which binds bilirubin; and laxative acting, which speeds the elimination of meconium and helps loosen mucus.

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26
Q

engorgement

A

Distension or vascular congestion. The swelling of the breast tissue brought about by an increase in blood and lymph supply to the breast. This usually starts when the milk comes in.

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27
Q

tear

A

pernineal lacerations usuallt occurs when rhe fetal had is being born

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28
Q

first degree teaer

A

involves the skin adn structures superficial to the muscles

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29
Q

second degree tears

A

extends through the muscles

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30
Q

third degree tear

A

extends to anal spincter muscler

31
Q

fourth degree tear

A

involves the anterior rectal wall

32
Q

LMP

A

first day of normal menstrual cycle

33
Q

EDD

A

estamated date of delivary

34
Q

NAgeles’s rule

A

A pregnant women LMP was July 6, 2002. Calculate her EDD
Subtract 3 months and add seven days. It should be April 13, 2003.

35
Q

HB’s Ag

A

Tests for hepatitis B infection.

36
Q

blood group and Rh factor

A

Important to find out if mother is positive or negative.

37
Q

rubella

A

Immunity to the Rubella infection. Anything below 10 is considered not immune. What if the vaccination is given to the pregnant women?

38
Q

maternal serum screen

A

Quad screen marker: This test is a screening test used to screen for neural tube defect and Down Syndrome. The three markers are: Alphafetoprotein, Unconjugated estriol, and Human Chorionic Gonadotropin

39
Q

STS

A

Swabs are taken to identify the following: Gonorrhea, Chlamydia, and Herpes Simplex.

40
Q

HIV

A

test for ecposure to the AIDS virus

41
Q

gestational diabetes screen

A

Routine serum glucose at 24-28 weeks gestation diabetes screening. This is a one-hour post 50-mg oral glucose test. If the test exceeds 7.8 mmol/L then a glucose tolerance test is recommended.

42
Q

GBS screen (35- 37weeks)

A

Group B Streptococcus are a group of bacteria commonly found in the rectum, and vagina, usually cause no symptoms or complications. However, during pregnancy GBS has been identified as a problem because it can cause infection in the neonate, usually as a result of transmission from mother to baby during or shortly after birth. A lot of pregnant women are screened during the last few weeks of pregnancy. Vaginal swabs are taken.

If woman is tested GBS positive, antibiotics are ordered during the labor. A minimum of two doses are considered ideal. This would decrease the chances of the neonatal sepsis. If only one dose is given due to fast delivery, the infant is monitored closely for 48 hours before discharge.

43
Q

fundal height

A

The measurement of the upper curve of the fundus to the symphysis pubis. This gives the rough estimate of fetal growth.

44
Q

presentation

A

That part of the fetus that first enters the pelvis and lies over the inlet: may be head, face, breech, or shoulder.

45
Q

vertex or cephalic

A

fetal head

46
Q

what is tested during urine samples during pregnany

A

Protein, Ketone, Glucose, Leukocytes

47
Q

augmented

A

Stimulation of ineffective uterine contractions after labour has started spontaneously but is not progressing satisfactorily

48
Q

ARM

A

The amniotic membrane is artificially ruptured

49
Q

induced

A

Stimulation of uterine contraction before the spontaneous onset of labour.

50
Q

meconium

A

First stools of the infant: viscid, sticky, dark greenish brown, almost dark, sterile, odourless.

51
Q

VBAC

A

vaginal birth after caesarian section

52
Q

assisted delivery vacuum

A

Applying vacuum pressure on the fetal head to facilitate the delivery of the fetus.

53
Q

forceps assisted delivary

A

An instrument with curved blades is used to assist in the birth of the fetal head.

54
Q

N202/O2:N

A

Half nitrous and half oxygen, this is used to decrease the perception of pain.

55
Q

local anestia

A

the anesthetic agent is injected to the immediate perineal tissue where the episiotomy incision is made.

56
Q

epidural

A

introduction of local anesthetic agent into the epidural space between the fourth and fifth lumbar vertebrae.

57
Q

oxytocin: why is this drug used in labour and delivary? when is it used

A

It is used to stimulate uterine contraction and can be used to induce or augment labor.
It is also used after the delivery of fetus to stimulate uterine contraction to assist in the expulsion of the placenta and to control post-partum hemorrhage.

58
Q

first stage of labour

A

onset of regular uterine contractions to full dilation of the cervix

59
Q

average length of time for nullipara (1st stage)

A

Nullipara: 10 to 16 hours

60
Q

average time for multipara (1st stage)

A

Multipara: 6 to 10 hours

61
Q

second stage of labour

A

From full cervical dilation to the birth of the fetus

62
Q

nullipara average length (2nd stage)

A

1-2 hours

63
Q

multiparous average time (2nd stage)

A

less than an hour

64
Q

third stage of labour

A

From the birth of the fetus to the delivery of placenta

65
Q

average time for nullipara and multipara (this stage)

A

up to one hour is consider normal

66
Q

EBL

A

estaminated blood loss

67
Q

gestional age from anetnatal history

A

Gestational age: In fetal development, the number of completed weeks counting from the first day of the last normal menstrual cycle.

68
Q

gestational age from examination

A

This is determined by looking at the various newborn characteristics.

69
Q

APGAR score

A

The Apgar score describes the condition of the newborn infant immediately after birth and, when properly applied, is a tool for standardized assessment

it permits rapid assessment of the need for resuscitation based on five signs that indicate the physiological adaptation to the outside world:
* Heart rate based on palpitation of the base of the umbilical cord.
* Respiratory effort
* Muscle tone based on degree of flexion and movement of extremities
* Reflex irritability
* Colour

70
Q

SGA

A

small for gestational age, weight falls below the 10th percentile

71
Q

AGA

A

Average for gestational age, usually the weight falls between the 10th to 90th percentile for infant’s age.

72
Q

LGA

A

Large for gestational age, the weight is above the 90th percentile

73
Q

what is the main ingridient in the formula?

A

cows milk

NURS 2275 (11 decks)

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