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Women's Health > Normal Pregnancy > Flashcards

Normal Pregnancy Flashcards

1
Q

Thinning of the cervix, described as percentage of the 4-5cm cervix

A

effacement

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2
Q

eval for membrane rupture includes ______ exam to obtain…

A

sterile speculum exam

vaginal fluid

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3
Q

Most specific form of direct testing of vaginal fluid…

A

Fern testing

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4
Q

air dried sample looking for amniotic fluid directly examined under microscope…

A

fern testing

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5
Q

what test?

POC test
small sample
very specific
$$$

A

amniosure

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6
Q

The degree of descent of baby in relationship to ischial spine, divided into thirds…

A

station

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7
Q

What stage of labor?

contractions accomplish complete dilation and effecement

A

stage I

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8
Q

What stage of labor?

uterine contractions + maternal effort = expulsion of fetus

A

stage II

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9
Q

What stage of labor?

placenta detached from uterine wall and expelled

A

stage III

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10
Q

What stage of labor?

2 hours post delivery of placenta

hemodynamic changes

A

Stage IV

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11
Q

Stage 1, slow and less predictable.

occurs from 0-5cm

A

latent stage

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12
Q

stage 1, fast and more predictable

occurs from 5-10 cm

A

active

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13
Q

Which stage of labor?

urge to push
N/V

A

Stage II

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14
Q

Progression of fetal movements/cardinal movements of labor (6)

A 
engagement
flexion
descent
internal rotation
extension
external rotation
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15
Q

duration of stage III labor…

A

< 30 min

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16
Q

3 complications of stage 3 labor…

A

placenta retention
uterine inversion
hemorrhage

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17
Q

What procedure, what stage?

manual pressure against uterus

simultaneous pulling on umbilical cord to expel placenta

A

stage III, assisted removal

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18
Q

The below are signs of…

uterus rise in abdomen
globular config of uterus
gush of blood
lengthening umbilical cord

A

separation of placenta

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19
Q

critical time for women with CV/Pulm diseases…

A

stage IV

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20
Q

3 Ps of labor

A

Power (mom + uterine contraction)

Passenger (size/position of fetus)

Passage (size/shape of pelvis)

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21
Q

Uterine contractions increase in frequency and intensity due to…

A

prostaglandins

22
Q

adequate labor = _____ contractions in ______ minutes over 30 minutes

A

3-5 contractions

10 minutes

23
Q

> ______g = macrosomic infant

A

4500 g

24
Q

4 abnormal presentations of fetus…

A

face
brow
breech
shoulder

25
Q

Which pelvic shape?

MC
suited for childbirth

A

gynecoid

26
Q

Which pelvic shape?

occiput posterior presentation is common

A

anthropoid

27
Q

Which pelvic shape?

most unfavorable

A

android

28
Q

Which pelvic shape?

least common

A

platypelloid

29
Q

normal fetal HR

A

110-160

30
Q

4 measures in fetal monitoring

A

baseline fetal HR
variability
changes
contraction pattern

31
Q

What periodic changes?

mirrors shape of contraction

occurs due to head compression

physiologic

A

early deceleration

32
Q

What periodic changes?

variable timing

shape, severity variable

cord compression

A

variable decelerations

33
Q

What periodic changes?

fetal hypoxia

ominous sign

A

late decelerations

34
Q

basic antepartum testing tests for risk of… (2)

A

placental insufficiency

fetal acidosis

35
Q

4 components of basic antepartum testing

A

fetal kick count
non-stress testing
contraction stress testing
biophysical profile

36
Q

reactive non-stress test is…

A

2 accelerations within 30 min a/w movement

37
Q

What evaluates the below parameters?

amniotic fluid
gross fetal movement
tone
fetal breathing activity sustained for 30s

A

US

38
Q

In building the biophysical profile, each of the 4 parameters are counted as ____ if present, and ___ if absent for a max score of ____

A

2+ or 0

max score 10

39
Q

What result of contraction stress test?

3 contraction in 10 minutes

no late decelerations

A

negative (reassuring)

40
Q

What result of contraction stress test?

late decelerations
OR
significant variable decelerations

with > 50% of contractions in 10 min

A

positive (non-reassuring)

41
Q

What result of contraction stress test?

late decelerations with < 50% of contractions in 10 minutes

A

equivocal

42
Q

What degree of obstetric laceration?

involve vaginal mucosa, perineal skin

not underlying tissue

A

1st degree

43
Q

What degree of obstetric laceration?

involves underlying subcutaneous tissue

no rectal sphincter or rectal mucosa involvement

A

second degree

44
Q

What degree of obstetric laceration?

extends through rectal sphincter, but not into rectal mucosa

A

3rd degree

45
Q

What degree of obstetric laceration?

extends to rectal mucosa

A

4th degree

46
Q

the below are risks of…

intra-amniotic infx

umbilical cord prolapse w. amniotomy

c-section delivery/unfavorable cervix

decreased oxygen exchange

A

labor induction

47
Q

the _____ scoring system quantifies risk during induction of labor. __ to ___ = high likelihood of failed induction

A

modified bishop scoring

0-4 high likelihood failed induction

48
Q

hospitalization in puerperium period should be ____ for vaginal birth and ____ for c-section

A

1-2 days vaginal

2-4 days c-section

49
Q

post-partum exam occurs ____ after labor

A

4-6 weeks

50
Q

complications wehre arteriovenous malformations occur in placenta of monochorionic/diamniotic pregnancy…

A

twin to twin transfusion syndrome

51
Q

twin to twin transfusion syndrome presents in the ____ trimester and must be evaluated with US every ____ weeks beginning at week 16

A

2nd trimester

monitor q 2 weeks

Women's Health (10 decks)

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