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Third year shit > OB > Flashcards

OB Flashcards

1
Q

Nullipara

A

had no deliveries

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2
Q

nullgravida

A

never pregnant

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3
Q

Primipara

A

one delivery

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4
Q

Multipara

A

multiple deliveries

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5
Q

Grand multipara

A

> 5 births; more likely to have complications

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6
Q

TPAL

A 
T= term (>/= 37 wks)
P= preterm (
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7
Q

G3 P 0202

A 
3rd pregnancy
0 term babies
2 preterm babies
0 abortions
2 living
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8
Q

Gravidity

A

current or completed pregnancies

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9
Q

cutpoint for abortions in TPAL

A

> 2

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10
Q

G = ?

A

T+P+A

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11
Q

What do you do with adoptions?

A

some ppl add them into L

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12
Q

Term vs preterm

A

37 weeks

i.e. 36 wks 6 days still preterm

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13
Q

G5 P2110

A 
5 pregnancies
2 terms
1 preterm
1 abortion
0 living
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14
Q

Braxton-Hicks contractions

A

False Labor

  • may be present first trimester
  • irregular, nonrhythmic– cervix not changing
  • Some ppl get them, some don’t
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15
Q

3 things to ask every pregnant woman

A

bleeding, contractions, leaking fluid

+ baby moving?

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16
Q

True Labor

A

Regular contractions with cervical change

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17
Q

2 main hormones

A

Prostaglandins

Oxytocin

18
Q

What do prostaglandins do

A

make cervix soft

19
Q

what does oxytocin do

A

from posterior pituitary and helps with uterine contractions

20
Q

3 Stages of labor

A

Stage I: 2 phases (latent vs active) - cervix dilating
Stage II: from when 10 cm to when baby is out
Stage III: from when baby is out until placenta delivered

21
Q

Latent Phase

A

NOW 0-6 cm but used to be 0-4

SLOW

22
Q

Active Phase

A

Officially starts at 6 cm

FAST

23
Q

What is effacement vs dilation

A 
Dilation = enlargening cervix
Effacement = thinning of cervix

In woman with first pregnancy will effacement first then dilate
Multiparous- usually dilate then efface

24
Q

Laboring down

A

way for mom to get uterus to move baby down naturally to get ready for birth

25
Q

Cardinal movements

A
  • Engagement, descent, flexion
  • Internal rotation
  • Complete rotation with beginning of excision
  • Complete extension (restitution)
  • Deliver anterior shoulder
26
Q

signs of Third stage of labor

A

uterus becomes firmer, gush of blood, uterus rises in abdomen as placenta passes into lower segment, lengthening of umbilical cord
- usually takes a half an hr

27
Q

Lacerations classifications

A

1st degree: tears into vaginal mucosa/skin
2nd deg: into submucosa and can involve muscles of perineal body
3rd deg: involves anal sphincter
4th: involves rectal mucosa

28
Q

3 Factors of labor

A

Passage (bony pelvis, soft tissue)
Power
Passenger

29
Q

Caldwell-Moloy Classification

A

Classifies pelvic shape

  • Gynecoid most common
  • Anthropoid more common in African American (taller, not wider)
30
Q

Assessment of Mid-pelvis

A

Feel for ischial spines

31
Q

Big reason babies get stuck

A

not coming through the canal in the right way

32
Q

What to consider on fetal heads

A

Bones in face fused but movable bones
Sutures
Fontanelle- spaces between bones

33
Q

5 terms for describing baby in mom

A
  • Fetal Lie- axis of mom to axis of baby (longitudinal vs transverse)
  • Fetal Presentation **: what is presenting to cervix first
  • Attitiude
    Fetal Station**
    Fetal position
34
Q

Fetal presentation types

A 
Cephalic/Vertex
Breech
Transverse
Compound - 2 things coming out at a time
Face
Brow
35
Q

Types of Breech

A
  • Complete (crossing legs)
  • incomplete (partial up/down)
  • Frank (Feet up by head)
36
Q

How to diagnose fetal presentation

A

Abdominal palpation (Leopold’s Maneuvers)
Vaginal Examination
Auscultation (where is heart beat? high = breech)
Sonography

37
Q

Fetal attitude

A

Degree of flexion a fetus assumes during labor

  • Flexed,
  • sinciput/military
  • brow
  • face
38
Q

Station

A

relationship of part of baby presenting to ischial spine levels

(-5 to +5); ischial spines = 0
+5 = crowning and about to deliver

39
Q

Fetal Position

A

relation of arbirarily chosen portion of fetal presenting part to right or left side of maternal birth canal

Reference points:

  • fetal occiput :babies coming head first
  • Fetal chin (mentum): face first babies
  • Fetal sacrum: breech babies
40
Q

OP vs OA

A

occiput posterior vs anterior compared to mom

most of time babies face posterior = occiput anterior
- everything relative to mom

41
Q

What parameters can you change in shock

A
  1. CO (heart rate—children more HR dependent;
    SV- increase preload, contractility, alter afterload
  2. CAO2- Increase oxygenation
42
Q

first thing to give in shock

A

isotonic fliud

Saline, surgeons may be like LR

Third year shit (12 decks)

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