MT M 7 Module 7 Case Study Flashcards
Identify and define the combining forms in the following italicized words from the progress note. (1 point each)
a. Intrauterine
b. Fetus
c. Cervix
d. Menarche
e. Vaginal
A) Uter/o meaning uterus.
B) Fet/o meaning fetus.
C) Cervic/o meaning cervix.
D) Men/o meaning menses.
E) Vagin/o meaning vagina.
(Section 7.5, Table 7.3)
Identify and define either the appropriate abbreviation or the meaning of the abbreviation for the bold terms within the progress note.
Obstetrics can be abbreviated OB. OCP means oral contraceptive pills. FHR means fetal heart rate.
(Section 7.5, Table 7.4)
Men/o is a combining form that is used in the term menarche.
A) Define the term menarche. (1 point)
B) Identify two other terms within the progress note that also use the combining form men/o. (1 point)
A) Menarche is the first menstrual cycle. (Section 7.5)
B) Two other terms from the progress note that also use the combining form men/o are menses and menstrual/menstruating.
(Module 7 Case Study Progress Note)
A common measurement during a prenatal visit is the fundal height. This is a measurement from the pubic symphysis to the fundus. These can be seen in Figure 7.12.
A) What is the fundus? (2.5 points)
B) Why would this measurement be helpful in the assessment of a pregnancy? (2.5 points)
A) The fundus is the top of the uterus. (Section 7.5)
B) This measurement is helpful, as it is an estimate of the uterus size and can be an indication of fetal growth and development throughout pregnancy. (Section 7.5)
Screening for sexually transmitted infections is a routine part of prenatal testing. STIs can have harmful effects on pregnant women and their babies so it is important to screen for these infections and treat them early in pregnancy.
A) Identify the STI screening tests that were ordered for the patient. Hint: There are five that were ordered. (2.5 points)
B) Identify the STIs that can cause infertility. (2.5 points)
A) Testing for gonorrhea and chlamydia was ordered, as well as testing for HIV, syphilis, and hepatitis B. (Section 7.3, Module 7 Progress Note)
B) A gonorrhea infection can lead to sterility in women and a chlamydia infection can lead to sterility in both men and women. (Section 7.3)
The cervix and vaginal walls had a purple-reddish appearance on the pelvic exam. This is due to the increased blood flow in these areas in early pregnancy and is referred to as Chadwick’s sign. It is named after James Chadwick, an obstetrician, who described this sign in the late 1880s.
What type of medical term is Chadwick’s sign?
Chadwick’s sign is an eponym. (Section 1.3 Module 1)
What is the appropriate gravida and para documentation for this patient? How would you abbreviate this documentation? What is the correct medical term for a woman in her first pregnancy?
The correct gravida and para documentation for this patient is Gravida-1 and Para-0. The abbreviation for this documentation is G1P0. The appropriate medical term for this patient in her first pregnancy is primigravida. (Section 7.5, female reproductive flashcards, Table 7.4)
The patient was asked if she was experiencing or had experienced any pelvic cramping or vaginal bleeding since her positive pregnancy test.
A) Identify and describe the condition that these questions were screening for. (2 points)
B) Using the information in the module, write a patient education paragraph instructing the patient about this condition. It should be 2-3 sentences long. Define the condition in simple terms, include the symptoms of this condition, and instruct the patient on what to do if they are experiencing these symptoms. (3 points
A) These questions were screening for a spontaneous abortion or miscarriage. This is a condition where the fetus and placenta are discharged from the uterus prior to the 20th week of gestation. A spontaneous abortion is unplanned and due to the death of the embryo largely because of chromosomal defects in the fetus. (Section 7.6)
B) A miscarriage occurs when the baby leaves the uterus before it can survive on its own. This is also called a spontaneous abortion. Signs that a spontaneous abortion is occurring or may occur include cramping in your pelvis, vaginal bleeding, or tissue discharge from the vagina. If you are experiencing any of these signs, please call the OB office immediately. (Section 7.6)
