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OB > Need to know first test > Flashcards

Need to know first test Flashcards

1
Q

Amniotomy

A

Amniotomy, also known as artificial rupture of membranes (AROM) and by the lay description “breaking the water,” is the intentional rupture of the amniotic sac by an obstetrical provider.

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2
Q

Dilation and curettage (D&C)

A

Dilation and curettage (D&C) is a procedure to remove tissue from inside your uterus. Doctors perform dilation and curettage to diagnose and treat certain uterine conditions — such as heavy bleeding — or to clear the uterine lining after a miscarriage or abortion.

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3
Q

Dystocia

A

difficult birth, typically caused by a large or awkwardly positioned fetus, by smallness of the maternal pelvis, or by failure of the uterus and cervix to contract and expand normally.

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4
Q

Intrapartum

A

occurring or provided during the act of birth

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5
Q

Parity (TPAL)

A

TPAL is an acronym for term births (T), premature births (P), abortions (A), and living children (L). TPAL numbers should be separated by hyphens.

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6
Q

Uterine atony

A

Atony of the uterus, also called uterine atony, is a serious condition that can occur after childbirth. It occurs when the uterus fails to contract after the delivery of the baby, and it can lead to a potentially life-threatening condition known as postpartum hemorrhage.

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7
Q

Layers of embryonic disc 3

A

ectoderm, mesoderm, Endoderm

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8
Q

Languo and when does it develop?

A

Fine downy hair on infant week 20

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9
Q

Chloasma

A

Chloasma, also known as melasma or the “mask of pregnancy,” is a pigmentation disorder of the skin characterized by darker skin patches that primarily affect the face and other sun-exposed areas.

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10
Q

Linea nigra

A

Preg line

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11
Q

Stretch marks

A

Striae gravidarum

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12
Q

LMP and PMP

A

Last Menstrual period

previous Menstrual period

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13
Q

Pr and Pr2 time

A

Para greater or equal to 20 weeks

2 deliveries of at least 20 weeks gestation

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14
Q

Vertex

A

Head down chin flexed GOOD! If not flexed creates wider fetal decent through pelvis.

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15
Q

2 fontenels of fetal skull and when do they close?

A

1-Diamond ant-12-18months

Triangle post-8-12 weeks

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16
Q

Complete breech
Incomplete breech
Frank breech

A

Both thighs and knees are flexed
feet coming out first
Thighs flexed and knees extended

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17
Q

Embryo time and task 2

A

differentiation and organ development 8 weeks gestation

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18
Q

When do weeks of gestation begin?

A

First date of last period.

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19
Q

Milestone for 4 week?

A

Conductivity of what will be the heart can be seen on ultrasound

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20
Q

What is developed at 4 week? 5

A

Eyes, ears, nose throat, digestive tract, forming arms and legs

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21
Q

week 5 1

A

Spine

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22
Q

Week 6 milestone

A

Liver can be seen

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23
Q

8 weeks formation 4 and 1 milestone

A

face recognition, external gen, all fingers, eye toes present, all organs
Is now called a fetus

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24
Q

10 weeks formation

A

Amniotic sack

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25
Q

10-12 weeks milestones 2 and one thing about each

A

Can hear heartbeat-Can figure out gestation

Placenta has developed and can secrete estrogen and progesterone and corpus lutetium can degenerate

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26
Q

12 weeks formations 3

A

teeth buds, bones are starting to ossify, fetal movement can be seen not felt.

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27
Q

16 weeks milestone

A

Fetus can react to light

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28
Q

4 milestones 20 weeks

A
  1. viable fetus
  2. Breathing movements can be seen
  3. Quickening-sometimes sooner
  4. Heart can be heard with stethoscope
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29
Q

2 formations at 20 weeks

A

eyebrows and scalp

30
Q

6 months 2 things

A

vernax caseosa and wrinkled because of lack of fat and needs to put on fat.

31
Q

2 milestones with 28 weeks

A

Eyes are open and will respond to sound

32
Q

One thing that is happening at 32 weeks

A

Weight gain growth in weight will exceed growth in length

33
Q

Two things about 36 weeks

A

Has subq better prognosis for premature baby

34
Q

3 things 40 weeks

A
  1. Full term
  2. Languo is disappearing but still on back, neck and shoulders
  3. caseo is disappearing but may still be there.
35
Q

amniotic fluid at term amount

A

m500-1000ml

36
Q

How many weeks is postpartum period

A

6 weeks

37
Q

How much folic acid supplement

A

600mg

38
Q

Infant mortality rate 2 things

A

Birth to first birthday and deaths per 1000 live births

39
Q

neonate mortality rate and percentage of deaths that happen in this part

A

Number of infants who die in the first 28 days after birth per 1000 births 65%

40
Q

Perinatal Mortality rate

A

20weeks gestation or 500gms through first 28 days of life.

41
Q

By week blank of gestation blood is blank

A

2 50% more

42
Q

BP in pregnancy

A

Dont really want to see it go up at all but needs to go down by second semester

43
Q

Gallbladder in pregnancy name

A

Cholestasis so gallbladder disease

44
Q

2 signs that go together when assessing if preg or not. and what are they

A

Hegar’s sign-Softening uteren wall and goodels sign -Softening cervix

45
Q

Labs normal vs preg normal for Hct, Hgb, WBC

A

normal then preg
Hct 37-47 below 35
Hgb 12-16 below 10-11
WBC 5,000-10,000 15,000

46
Q

When partner has preg signs called blank seen in blank

A

Couvade 1st and 3rd trimester

47
Q

Premature births range

A

20-36 weeks

48
Q

Naegle’s rule

A

Used to calculate due date

From 1st day of LMP -3months plus 7 days

49
Q

Hct and GTT checks during pregnancy

A

at first and at 24 weeks

50
Q

Weight gain pregnancy
Total
1st and 2nd

A

Total 25-35lbs
1st tri-3-5lbs
2nd tri-1lb a week

51
Q

When is weightloss CI in preg?

A

1st trimester

52
Q

Shot to get during each preg

A

Tdap prurtussus

53
Q

What shots can you not have during pregnancy? 3

A

MMR/varicella/Herps

54
Q

2 shots you cant have when breast feeding

A

Smallpox and yellow fever

55
Q

Position how to document?

A

The relationship between the presenting part and moms pelvic quadrants
Three letters- 1. what maternal side
2. what is presenting
3. Is post font on A or P?

56
Q

Measurement of cervix and relation to effacement

A

The cervix is 3-4 cm so 1cm loss is about 25 percent effaced

57
Q

Cardinal movements 1-3

A

Flexion, engagement and decent

58
Q

Cardinal movement 4

A

Internal rotation

59
Q

card movement 5

A

Extension

60
Q

card movement 6- 2 names

A

External rotation restitution

61
Q

Card movement 7

A

Expulsion

62
Q

Time to go to hospital with contractions?

A

Every 5mins lasting one min for over an hour

63
Q

3 phases in stage 1

A

Early, active, transition

64
Q

from when to when 1st stage and how long for new and not new moms

A

First contraction- full dilation

10-12 hr or 6-8hr

65
Q

What can you use for hyperventilating mom 2

A

Non-rebreather and longer exhale

66
Q

2nd stage from when to when how long for new and reg mom

A

Full dilation to birth of baby
30-2hr
20-1.5 hr

67
Q

3rd stage from when to when and time

A

Birth of babe to expulsion of placenta 5-20mins

68
Q

Lacerations 5

A 
1st degree- Mucus membrane and skin only
2nd degree- Perineal 
3rd-anal sphincter 
4th-into rectum
Extension- Lap and then tear
69
Q

blood loss normal levels for c and v

A

V-less than 500ml

C-less than 1000ml

70
Q

Stage 4 from when to when and what happens after?

A

2hr after birth and ends when mom is stable

Postpartum period

OB (13 decks)

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