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OB Class Notes > OB Class 1 > Flashcards

OB Class 1 Flashcards

0
Q

location of fundus at 8 weeks

A

cannot be palpated: below symphysis pubis

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1
Q

how to you find EDD using nagele’s rule

A

from LNMP
subtract 3months
add 7days
adjust year

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2
Q

fundus location at 12weeks

A

symphysis pubis

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3
Q

fundus location at 16weeks

A

midway between symphysis pubis and umbilicus

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4
Q

fundus location at 20weeks

A

umbilicus

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5
Q

fundus location at 36 weeks

A

xiphiod process

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6
Q

fundus location at 40weeks

A

uterus sinks to lower level after fetal head descends into pelvic cavity (lightening)

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7
Q

describe braxton hicks contractions (false labor)

A

irregular, painless contractions

during 3rd trimester occur more frequently

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8
Q

Chadwick’s sign

A

occurs during first half of pregnancy
hyperemia occurs leading to a bluish purple color extending to the vagina and labia
one of earliest signs of pregnancy

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9
Q

Goodell’s sign

A

cervix softens

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10
Q

acidic vaginal discharge leads to

A

persistent yeast infections

acidic environment favors growth but prevents bacterial growth

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11
Q

colostrum present beginning….weeks

A

12-16weeks

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12
Q

blood components that increase…

A

fibrinogen

leukocytes 5K- 15K

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13
Q

describe melisma, cholasma (mask of pregnancy)

A

areas of increased pigmentation (brownish patches) on forehead, cheeks, and nose that occur as early as 8weeks due to elevated estrogen, progesterone and melanocyte stimulating hormone
-women with dark hair and skin exhibit more hyperpigmentation than women with light hair and skin

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14
Q

human chorionic gonadotropin (hCG)

A

stimulates the corpus luteum to produce progesterone and estrogen
—increased with preg. and tumrs: not best preg indicator

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15
Q

estrogen

A

1) stimulates uterine growth and increase blood supply to uterine vessels
2) aids in developing the ductal system in the breasts in prep for lactation
3) associated with hyperpigmentation

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16
Q

Progesterone

A

maintains endometrial layer for implantation
stimulate lobes and lobules in breast for lactation
facilitate deposit of maternal fat stores
stimulate ventilation: increasing resp sensitivity to CO2

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17
Q

***human chorionic somatomammotropin (hCS)

human placental lactogen

A

increases availability of glucose for the fetus

promotes mobilization and use of free fatty acids to provide energy to the pregnant woman

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18
Q

relaxin

A

softens connective tissue

lengthens pubic ligaments

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19
Q

Para: number of pregancy

Nullipara

A

never completed a pregnancy past 20weeks

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20
Q

Primipara

A

delivered one pregnancy at 20weeks or more

21
Q

multipara

A

delivered 2 or more pregnancies at 20weeks +

22
Q

***Everytime pt comes in for visit take…

A

BP
Weight
Urine

23
Q

GTPAL

A 
G: pregnancies
T: term births (38-42)
P: preterm births (20-38)
A: abortions (less than 20weeks)
L: living children
24
Q

Nausea & Vomiting interventions

A 
dry crackers before arising
small frequent meals 
fluids separate from meals
avoid fried, greasy foods
ginger, peppermint or combo tart and salty
25
Q

backache

A

correct posture
avoid high heels
squat rather than bend to pick up things
when sitting, use foot supports, arm rest, and pillows behind back

27
Q

last trimester weight gain

A

1-2lbs per week

28
Q

normal BMI weight gain total

A

25-35lbs total

29
Q

low BMI weight gain total

A

28-40lbs total

30
Q

high BMI weight gain total

A

12-25lbs total

31
Q

prenatal care starts at ….weeks

A

8-10weeks

32
Q

foods to avoid during pregnancy

A

excess fat soluble vitamins (A,D,E,K)
caffiene
soft cheeses (blue, feta, brie)

33
Q

sex of baby with ultrasound

A

20weeks

34
Q

first trimester ultrasound

A

transvaginally

detects presence and location of pregnancy, detect multifetal gestations, and confirm fetal viability

35
Q

2nd & 3rd trimester

A

transabdominal ultrasound
confirm fetal viability, evaluate fetal anatomy, estimate GA, assess progress of fetal growth, eval amniotic fluid, determine location and relation of placenta and umbilical cord

36
Q

**alpha-fetoprotein (AFP)

A

can be measured in the maternal serum and in the amniotic fluid
abnormal concentrations are assoc. with fetal abnormalities
***between 16-18weeks

37
Q

Amniocentesis

A

***15-20weeks
during 2nd trimester
examine fetal cells to identify abnormalities
eval the fetal condition when woman is sensitized to Rh- blood

38
Q

nonstress test (NST)

A

ability of fetal heart to respond to stimuli

39
Q

contraction stress test

A

induced to eval if baby receives enough oxygen during contractions induced by breast stimulation or oxytocin

40
Q

***S/S of fetal hypoxia

A

erratic fetal heart rate
decreased fetal HR (decels)
lack of fetal movement

41
Q

***interventions for fetal hypoxia

A

maternal position changes- knee to chest postions

oxygen mask

42
Q

pt teaching: spotting

A

expect after intercourse or vag exam
o.k if not excessive
if occurs w.o intercourse see doctor

43
Q

***pt teaching meds

A

avoid motrin and aspirin
bleeding
avoid NSAIDs

44
Q

***pt teaching, signs to report

A

lower abdominal pain
cramping
pelvic pain

45
Q

***Preterm labor indicator

A

baby is balling up then relaxing

***report immediately

46
Q

3rd trimester if water breaks need to deliver within

A

24hrs to prevent infection

47
Q

Amniogenesis

A

baby’s organs done forming first 8weeks

48
Q

first trimester weight gain total

A

3-5lbs

49
Q

normal weight BMI

A

18.5- 24.9

50
Q

underweight BMI

A

less than 18.5

51
Q

overweight BMI

A

25- 29.9

52
Q

obese BMI

A

30+

OB Class Notes (7 decks)

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