OB Clinical Terms

Question 1

Types of terms

Answer 1

-Terms
-Preterms
-Abortion
-Living

Question 2

Term meaning

Answer 2

38-40 weeks

Question 3

Preterm meaning

Answer 3

<38 weeks

Question 4

Abortion

Answer 4

Abortion

Question 5

Living

Answer 5

of living children

Question 6

Lady has 7 kids. She has a set of triplets and a set of twins. Only 4 are living. Out of the triplets, she lost 2. Out of the twins, she lost 1. How many times was she pregnant?

Answer 6

4 times

Question 7

Med used for underdeveloped lungs in premature babies

Answer 7

Dexamethasone

Question 8

First thing when entering mother’s room

Answer 8

Find out who visitor is before assuming/acknowledging

Question 9

APGAR score

Answer 9

-Assesses health of newborn
-Appearance: skin color
-Pulse: HR
-Grimace: reflex irritability
-Activity: muscle tone
-Respiration: RR and effort
-All categories 0-2
-Total score is 10
-Lowest you can get is 2
-Anything < 4 is bad (need resuscitative measures)

Question 10

Things to look out for directly following birth

Answer 10

-If skin is yellow, put under UV light to turn unconjugated bilirubin into conjugated
-Feet may be blue
-Vaginal bleeding normal in females (false menses)
-Steroid moist gauze on spina bifida
-Head elongated for 1st few days to allow easier movement through vaginal canal
-Hematoma on head will go away on own
-Vernix caseosa is cheesy substance on body that protects skin from amniotic fluid
-Lanugo is fine, soft hair on body
-Count apical HR for 1 full min
-1st bath after temperature is stable
-Clicking sound when auscultating lungs is normal
-Breastfeed baby for 10 min before switching breasts
-7 mL of milk for 1st 24 hours, can drink more w/ time

Question 11

Stages of labor

Answer 11

-1st: Cervix dilates from 0-10 cm
-2nd: Baby is out of vagina
-3rd: Expulsion of placenta (dull side = mother’s, shiny side = baby’s)
-4th: Resting, assessing for bleeding

Question 12

BUBBLE assessment

Answer 12

-Postpartum assessment
-Breast: milk necessary for life of newborn, don’t want nipple to be too engorged, can lead to mastitis, keep breast clean
-Uterus: auscultate abdomen 1st, tell mother to gently massage where uterus is to make it go back down into pelvis, can be slightly above or below umbilicus following birth, won’t feel it anymore after 9-10 days
-Bladder: ask if have been urinating, measure 1st and 2nd urine sample within 8 hr period, eat extra 300 calories if breastfeeding, breastfeeding will make mothers lose weight
-Bowel: ask if passing gas or have been voiding
-Lochia: vaginal discharge, mix of blood, mucus, and uterine tissue, (rubra: dark red for 3-4 days, serosa: pinkish brown for 4-10 days, alba: whitish yellow for 10-28 days)
-Episiotomy: surgical incision made between vagina and anus to allow for passage of baby

Question 13

Leopold maneuver

Answer 13

Abdominal palpatation that helps determine the position of the fetus during the 3rd trimester

Question 14

Zero station

Answer 14

Baby’s head is level w/ the ischial spines in the pelvis during labor

Question 15

Breech position

Answer 15

-Baby is positioned in uterus w/ their bottom, feet, or both coming out 1st during birth
-Needs C-section if attempt at turning fails