OB and care of the newborn Flashcards
1
Q
Ovaries
A
- Female gonads, or sex glands
- Secrete hormones estrogen and progesterone
- Release egg needed for reproduction
2
Q
Fallopian tubes
A
- Extend from the ovaries to uterus
- Hold the eggs
3
Q
Uterus
A
- Pear shaped organ that hold the fetus
- Top: FUNDUS
- Middle: BODY
- Bottom: CERVIX
4
Q
Placenta
A
- Organ of pregnancy
- Provided oxygen and nutrients to fetus
5
Q
Umbilical cord
A
- Infants life line
- One vein: Carries oxygenated blood to fetus
- Two arteries: Carries waste back to the placenta
6
Q
Amniotic Sac
A
- Bag of water
- Contains amniotic fluid
- Insulates and protects the pregnancy
7
Q
Vagina
A
- The birth canal
8
Q
What are predelivery emergencies?
A
- Emergencies relating to pregnancy prior to onset of labor
- Spontaneous abortion, Ectopic pregnancy, Placenta previa, Abruptio placenta, Ruptured uterus, Preeclampsia/ Eclampsia, and Supine hypertensive syndrome
9
Q
Spontaneous Abortion
A
- Miscarriage
- Passage of tissue before the 20th week or gestation
- USUALLY in the first trimester, between 8-12 weeks gestation
10
Q
Ectopic Pregnancy
A
- First trimester
- Fertilized egg implants anywhere but the uterus
- Usually in fallopian tubes
- Egg starts to grow and develop, rupturing the fallopian tubes
SXSX:
- Intense lower quadrant abd pain described as dull, then sharp, and knife like
- Can lead to internal bleeding and signs of shock possible
11
Q
Placenta Previa
A
- 3rd trimester emergency
- Placenta implants itself over the cervix
SXSX:
- LOTS of vaginal bleeding
- NO pain
12
Q
Abruptio Placenta
A
- Common in 1st pregnancy
- 3rd trimester emergency
- Placenta prematurely tears away from the uterine wall
- High mortality rate for mom and baby
- Many causes, from hypertension to trauma
SXSX:
- LOTS of pain
- LITTLE/ NO bleeding (infants head is covering the cervix)
13
Q
Ruptured Uterus
A
- 3rd trimester
- Spontaneous or traumatic rupture of the uterine wall
- Release fetus into abdominal cavity
Special question:
- Has the patient has a c- section before?
14
Q
Preeclampsia/ Eclampsia
A
- 3rd trimester
- Characterized by hypertension and swelling of the extremities
- Preeclampsia turns into Eclampsia when the mother has seizures
- Pregnancy related seizures have high mortality rate for mother and baby
15
Q
Supine Hypertensive Syndrome
A
- 2nd and 3rd trimester
- Uterus and growing fetus compress the inferior vena cava when the mom lays flat on her back
- Leads to hypotension when laying down
- Prop a pillow or similar under the patients right side to ensure the fetus does not compress the inferior vena cava