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Maternity > Module 2 > Flashcards

Module 2 Flashcards

1
Q

Stage 1 of prenatal development

A
  • Zygote: Cell formed by union of sperm and ovum
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2
Q

Stage 2 of prenatal development

A

Embryo: second to eight week of development

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3
Q

Stage 3 of prenatal development

A
  • Fetus: 9th week until birth
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4
Q

What is the Age of viability?

A

20 weeks

- Requires NICU care to survive

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5
Q

Umbilical Cord

A

-Life lin between mom and babe
- Two arteries carry blood away from fetus
- One vein returns blood to fetus
Usually pertrudes out the centre of the placenta

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6
Q

What covers the umbilical cord vessels

A

Wharton Jelly

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7
Q

How long is the umbilical card?

A

55 cm ( 22 inches)

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8
Q

Functions of Amniotic Fluid

A
  • Even temperature
  • stops sac from sticking to fetus
  • Allows babe to move
  • Cushion to protect babe and umbilical cord from injury
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9
Q

Fetal Circulation Shunts

A
  • Foramen Ovale
  • Ductus Arteriosus
  • Ductus Venosus
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10
Q

Ductus Venosus

A

Diverts some blood away from the liver as it returns from the placenta

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11
Q

Ductus Arteriosus

A
  • Diverts most blood from the pulmonary artery to the aorta
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12
Q

Foramen Ovale

A

Diverts most blood from the right atrium directly to the left atrium rather then circulating it to the lungs.

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13
Q

Presumptive Signs of Pregnancy

A
  • Nausea
  • Fatigue/ Drowsiness
  • Urinary Frequency
  • Quickening
  • Subjective changes felt by the woman
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14
Q

Probably Signs of pregnancy

A

Objective signs observed by an examiner

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15
Q

Goodell Sign

A

Probably sign of pregnancy

  • Softing of the cervix
  • caused by increased vaginal congestion
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16
Q

Chadwick Sign

A

Probably sign of pregnancy

  • purple or blue discolouration of cervix, vagina and vulva
  • caused by vascular congestion, hormonal imbalance or infection
17
Q

Hegar Sign

A

Probable sign of pregnancy

- Softening of lower uterine segment

18
Q

Positive Signs of Pregnancy

A
  • Audible Fetal Heartbeat
  • Fetal Movement felt by examiner
  • Ultrasound visualization of fetus
19
Q

Stages of Pregency

A

Antepartum
Intrapartum
Postpartum

20
Q

Obsetric History

A 
G- Gravida
T- Term ( 38 weeks)
P- Preterm(20-37 weeks)
A- Abortion
L- Living
21
Q

Estimated Date of Delivery is determined by …

A

1) Identifying Last Normal Menstrual Period ( LNMP)
2) Count backwards 3 months
3) add 7 days
4) Update the year

22
Q

Common Discomforts in pregancy

A
  • Fatigue
  • Nausea
  • Heartburn
  • Constipation
  • Backache
  • vaginal discharge
  • Leg cramps
  • Hemorrhoids
23
Q

4 Main Nutrients that are especially important in pregnancy

A
  • Protein
  • Calcium
  • Iron
  • Folic Acid
24
Q

Changes to these systems due to pregnancy

A
  • Microbiome
  • Endocrine
  • Reproductive
  • Respiratory
  • Cardiovascular
  • Gastrointestinal
  • Integumentary and Skeletal
25
Q

Temporary Endocrine Organ

A

Placenta

26
Q

Uterus Changes in pregnancy

A
  • size, shape, position
  • Contractility
  • Uteroplacental blood flow
  • cervical changes
  • Changes related to fetal presence
27
Q

First Visit Assessment

A
  • Blood work
  • Pelvic exam and STI testing
  • Urine
  • Weight
  • VS
  • Fully Health History
  • Partners Health History
  • Pregnancy Education books/website
28
Q

Routine Assessments at Each Prenatal Visit

A
  • Risk Factors ( review old and assess for new)
  • Vitals and Weight( is weight gain normal
  • Urinalysis ( protein, glucose, ketone levels)
  • Blood Glucose screening
  • Fundal Height
  • Leopold Maneuvers: presentation and position
  • Fetal heart rate
  • Nutrition intake: Folic Acid
29
Q

First Trimester 11-14 week blood work

A

Beta- hCG
PAPP-A
( if these are high they maybe related to certain birth defects)

Nuchal Translucency Ultrasound

30
Q

Second Trimester/Third Trimester

A
  • Maternal serum quad screen
31
Q

What week do you do Open Neural Tubal Defect screen

A

15-21 weeks

32
Q

Glucose testing at what weeks

A

24-28 weeks

33
Q

RH Testing is done at what week

A

24- 28 weeks

34
Q

Glucose tolerance test

A
  • Detects diabetes in pregnancy

- 24-28 weeks

Maternity (6 decks)

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