MCN Flashcards

1
Q

Woman who currently is not pregnant & has never been pregnant

A

Nulligravida

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2
Q

Woman who is pregnant for the 1st time

A

Primigravida

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3
Q

Woman who has been pregnant more than once

A

Multigravida

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4
Q

Woman who never completed a pregnancy >20 wks AOG

A

Nullipara

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5
Q

Woman who has delivered a fetus with an estimated AOG of at least 20 wks

A

Primipara

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6
Q

Woman who has completed >2 pregnancies to >20 wks AOG

A

Multipara

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7
Q

Woman who has had at least 5 births (live or stillborn) that are at least 20 wks AOG

A

Grand Multipara

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8
Q

number of times a woman has been pregnant
(irrespective of outcome)

A

Gravidity

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9
Q

number of pregnancies that led to a birth > 20 wks AOG
(not by number of fetuses delivered)

A

Parity

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10
Q

number of pregnancies that led to a birth > 20 wks AOG
(not by number of fetuses delivered)

A

Parity

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11
Q

Woman who never completed a pregnancy >20 wks AOG

A

Nullipara

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12
Q

Woman who has delivered a fetus with an estimated AOG of at least 20 wks

A

Primipara

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13
Q

Woman who has completed >2 pregnancies to >20 wks AOG

A

Multipara

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14
Q

Woman who has had at least 5 births (live or stillborn) that are at least 20 wks AOG

A

Grand Multipara

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15
Q

number of pregnancies regardless of outcome

A

Gravidity

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16
Q

number of past pregnancies that reached >20 weeks

A

Parity

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17
Q

number of term infants delivered (>37 wks)

A

Term

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18
Q

number of preterm infants delivered (20- 36 6/7 wks)

A

Preterm

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19
Q

number of abortion/ miscarriage (<20 wks)
ectopic pregnancies as well as molar gestations are included

A

Abortion

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20
Q

number of living children

A

Live Babies

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21
Q

until 14 weeks AOG

A

1st Trimester

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22
Q

until 28 weeks AOG

A

2nd Trimester

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23
Q

until 42 weeks AOG

A

3rd Trimester

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24
Q

<20 wks AOG or <500g Periods (Maternal)

A

Abortion

25
Q

<37 wks AOG
Periods (Maternal)

A

Preterm

26
Q

37-42 wks AOG Periods (Maternal)

A

Term

27
Q

> 42 wks AOG Periods (Maternal)

A

Post-term

28
Q

time after delivery (4-6wks) Periods (Maternal)

A

Puerperium

29
Q

interval from birth to 28 days Periods (pe diatric)

A

Perinatal Period

30
Q

birth to 28 days Periods (pediatric)

A

Neonate

31
Q

29 days to 1 year
Periods (pediatric)

A

Infant

32
Q

abrupt cessation of menstruation
highly suggestive in healthy reproductive-aged women with cyclical predictive menses

A

Amenorrhea

33
Q

Lower Reproductive Tract & Uterine Changes
at 6-8 wks AOG

A

Chadwick sign
Goodell’s sign
Hegar’s sign
Cervical mucus changes

34
Q

vaginal mucosa becomes dark-bluish red & congested

A

Chadwick sign

35
Q

cervical softening and change in position

A

Goodell’s sign

36
Q

softening of isthmus

A

Hegar’s sign

37
Q

increased progesterone; ferning

A

Cervical mucus changes

38
Q

Breast and Skin Changes at 6-8 weeks AOG

A

Breast engorgement
Striae
Chloasma/Melasma
Linea nigra:
Striae Gravidarum:
Spider Telangiectasia:

39
Q

increase MSH

A

Striae

40
Q

mask of pregnancy

A

Chloasma/Melasma

41
Q

darkening of the linea alba

A

Linea nigra

42
Q

collagen breakdown

A

Striae Gravidarum:

43
Q

increase estrogen

A

Spider Telangiectasia

44
Q

Fetal Movement

A

Primigravid 18-20 weeks AOG
Multigravid 16-18 weeks AOG

45
Q

Diagnostic Test

A

B-hCG
Transvaginal Sonography

46
Q

basis for endocrine assays of pregnancy
produced by syncytiotrophoblast
main function is to prevent involution of corpus luteum
Alpha subunit: identical to LH, FSH, TSH
Beta Subunit: used for pregnancy detection

A

B-hCG

47
Q

Transvaginal Sonography

A

Gestational Sac
Pseudogestational Sac
Yolk Sac
Pregnancy of Unknown Location

48
Q

Small anechoic fluid collection
1st sonographic evidence at 4-5 weeks
Implants eccentrically in endometrium

A

Gestational Sac

49
Q

Fluid collection with in the endometrial cavity with an ectopic pregnancy

A

Pseudogestational Sac

50
Q

brightly echogenic ring with anechoic center confirms with certainty an intrauterine location for the pregnancy
Seen at 5th week AOG

A

Yolk Sac

51
Q

If equivocal findings
Serum serial hCG levels helps to differentiate

A

Pregnancy of Unknown Location

52
Q

Embryo is seen as a linear structure adjacent to yolk sac with cardiac activity

A

After 6 weeks

53
Q

Crown rump length is predictive of gestational age within 4 days

A

12 weeks

54
Q

Symphysis pubis to fundus
Bladder must be emptied before measuring
20-34 wks gestation, fundic height correlates closely with gestational age in weeks

A

Fundic Height

55
Q

Fundic Height Uterus above pubic symphysis

A

12 weeks

56
Q

Midway bet umbilicus & pubic symphysis Fundic Height

A

16 weeks

57
Q

Level of umbilicus

A

20-22 weeks

58
Q

Bet umbilicus & xiphoid process

A

28 weeks

59
Q

Fundic height decreases
Fundic Height

A

40 weeks