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Module 2 > OB-GYN > Flashcards

OB-GYN Flashcards

0
Q

Transports the egg from the ovary to the uterus.

Fertilization usually occurs here.

A

Fallopian tubes

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1
Q

Site of fetal development

A

Uterus

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2
Q

Primary female gonads

A

Ovaries

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3
Q

Monthly hormonal cycle, usually 28 days
Prepares the uterus to receive a fertilized egg.
The onset of menses, known as menarche, usually occur between the ages of 10-14

A

The menstrual cycle

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4
Q

The proliferative phase
The secretory phase
The ischemic phase
The menstraul phase

A

Phases of the menstrual cycle

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5
Q

This is the first two weeks of the menstraul cycle.
Estrogen causes the uterine lining to thicken and become engorged with blood.
Secretion of LH day 14 ovulation takes place
If the egg is not fertilized , menstruation take place
If the egg is fertilized , the corpus luteum produces progesterone until the placenta takes over
Cilia sweep egg toward the uterus
A fertilized egg normally implants in the lining of the uterus

A

Proliferative phase

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6
Q

Also referred to as ovulation
Progesterone increases and estrogen drops of the egg is not fertilized
Do uterine becomes more vascular and preparation for implantation of a fertilized egg

A

Secretory phase

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7
Q

Estrogen and progesterone levels fall without fertilization

The endometrium breaks down

A

The ischemic phase

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8
Q

The menstraul cycle
Premenstrual syndrome
Menopause

A

The menstrual phase

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9
Q 
Pelvic inflammatory disease
Ruptured ovarian cyst
Cystitis
Mittelschmerz
endometriosis
Ectopic pregnancy
A

Gynecological abdominal pain

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10
Q

No traumatic
Menorrhagia
Spontaneous abortion

A

Vaginal bleeding

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11
Q 
Blunt  trauma
 Sexual assault
Blunt force to lower abdomen
Form bodies inserted in vagina
Abortion attempts
A

Gynecological trauma

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12
Q

The time from conception until delivery of the fetus

A

The prenatal period

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13
Q

The release of an egg from the ovary

A

Ovulation

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14
Q

Placenta and membranes that are expelled from uterus after birth of a child

A

Afterbirth

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15
Q

Structures that protect the vagina and the urethra

A

Labia

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16
Q 
Uterus increases in size
Vascular system
Formation of mucous plug in cervix
Estrogen causes vaginal mucosa to thicken
Breast enlargement
A

Reproductive system physiologic change in preganacy

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17
Q

Progesterone cause a decrease in airway resistance
Increase in oxygen consumption
Increase in tidal volume
Slight increase in respiratory rate

A

Respiratory physiologic change during pregnancy

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18
Q

Cardiac output increases
Blood volume increases
Supine hypotension

A

Cardiovascular physiologic change during pregnancy

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19
Q

Hormone levels

Peristalsis is slowed

A

GI physiologic change during pregnancy.

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20
Q

Urinary frequency is common

A

Urinary system physiologic change during pregnancy

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21
Q

Loosened pelvic joints

A

Musculoskeletal system physiologic change during pregnancy

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22
Q

Transport all trauma patients at ____ weeks or more gestation. Anticipate the development of shock.

A

20

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23
Q

Abortion
Ectopic pregnancy
Placenta previa
Abruptio placentae

A

Causes of bleeding during pregnancy

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24
Q

Termination of pregnancy before 20th week of gestation
Signs and symptoms include cramping , abdominal pain, backache , and vaginal
Bleeding

A

Abortion

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25
Q

Any female of childbearing age with lower abdominal pain consider this.
Can be life threatening

A

Ectopic pregnancy

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26
Q

Usually presents with painless bleeding

C-section

A

Placenta Previa

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27
Q

Classified as severe, partial, or complete.
Transport left lateral
Life threatening

A

Abruptio Placentae

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28
Q

Hypertensive disorders
Supine hypotension syndrome
Gestational diabetes

A

Medical complication of pregnancy

29
Q

Preeclampsia and eclampsia
Chronic hypertension
Chronic hypertension superimposed with preeclampsia
Transient hypertension

A

Hypertensive disorders

30
Q

False labor that increases in intensity and frequency but does not cause cervical changes

A

Braxton-Hicks Contractions

31
Q

The time period surrounding the birth of the fetus

A

The puerperium

32
Q

Beginning of contractions to full cervical dilation

A

Stage one

Dilation

33
Q

Baby enters birth canal and is born

A

Stage two

Expulsion

34
Q

Delivery of placenta

A

Stage 3

Placental stage

35
Q 
Name , Age, Due date
First delivery?
Contractions or pain?
Bleeding or discharge?
Crowning?
Frequency/duration of contractions
Feel the urge to move bowels?
Feel the need to push?
Rock-hard abdomen?
A

Predelivery Evaluation

36
Q

Occurs in less than 3 hours of labor

Usually in patients in grand multipara, fetal trauma, tearing of the cord, or maternal lacerations

A

Precipitous delivery

37
Q

Fetus passes feces into the amniotic fluid

A

Meconium staining

38
Q

Defined as a loss of more than 500cc of blood following delivery.

A

Postpartum hemorrhage

39
Q

Tearing , or rupture , of the uterus
Patient complains of severe abdominal pain and will often be in shock
abdomen is soft and tender rigid
fetal heart tones are absent

A

Uterine rupture

40
Q

Uterus turned inside out after delivery and extends to the cervix
blood loss ranges from 800 to 1800 mL

A

Uterine inversion

41
Q

Mild acidosis
Initiation of stretch reflexes in lungs
hypoxia
hypothermia

A

Pathophysiology factors that stimulate first breath

42
Q

Perineum

A

Muscular tissue that separates the vagina and the anus

43
Q

Mon pubis

A

Fatty layer of tissue over the pubic symphysis

44
Q

Labia

A

Structures that protect the vagina and the urethra

45
Q

Clitoris

A

Vascular erectile tissue that lies anterior to the labia minora

46
Q

Urethra

A

Drains the urinary bladder

47
Q

Labor

A

1) Dilation
2) Expulsion
3) Placental stage

48
Q

Breech Presentation

A
  • The buttocks or both feet present 1st
  • If the infant starts to breathe with its face pressed against the vaginal wall, form a V and push the vaginal wall away from infants face.
  • Continue during transport
49
Q

Prolapsed cord

A
  • The umbilical cord proceeds the fetal presenting part.
  • Elevate hips, administer O2, and keep warm.
  • If the umbilical cord is seen the vagina, insert two gloved fingers to raise the fetus off the cord. Do not push cord back
  • Wrap cord in sterile moist towel
  • Transport
50
Q

Limb Presentation

A

With limb presentation, place the mother in knee- chest position. Administer O2 and transport immediately.

51
Q

Cephalopelvic Disproportion

A

Infants head is too big to pass through pelvis easily. Causes include oversized fetus, hydrocephalus, conjoined twins, or fetal tumors. If not recognized, can cause uterine rupture. Requires C-section. Routine ALS. Transport

52
Q

Shoulder Dystocia

A

Infants shoulders are larger than its head
Turtles sign
Do not pull on infants head
If baby does not deliver, Transport

53
Q

Cystitis

A

Infection of the urinary bladder

54
Q

Dysmenorrhea

A

Painful menstruation

55
Q

Dyspareunia

A

Painful sexual intercourse

56
Q

Dysuria

A

Painful urination often associated with cystitis

57
Q

Endometriosis

A

Condition in which endometrial tissue grows outside the uterus

58
Q

Endometritis

A

Infection of the endometrium

59
Q

Endometrium

A

The inner layer of the uterine wall where the fertilized egg implants

60
Q

Gynecology

A

Health maintenance and the diseases of women, primarily reproductive organs

61
Q

Menarche

A

The onset of menses, usually occurring between ages 10 and 14

62
Q

Menopause

A

The cessation of menses and ovarian function due to decreased secretion of estrogen

63
Q

Menorrhagia

A

Excessive menstraul flow

64
Q

Mittelschmerz

A

Abdominal pain associated with ovulation

65
Q

Myometrium

A

The thick middle layer of the uterine wall made up of smooth muscle fibers

66
Q

Obstetrics

A

Deals with the care of women though out pregnancy

67
Q

Ovulation

A

The release of an egg from the ovary

68
Q

Pelvic inflammatory disease

A

An acute infection of the reproductive organs that can be caused by bacterium, virus, or fungus

69
Q

Perimetrium

A

The serosal peritoneal membrane which forms the outermost layer of the uterine wall

70
Q

Premenstraul dysphoric disorder

A

Condition in which a woman has severe depression symptoms, irritability, and tension before menstruation.

71
Q

Premenstraul syndrome

A

A variety signs and symptoms, such as weight gain, irritability, or specific food cravings, associated with the changing in hormonal levels that preceded menstruation

Module 2 (28 decks)

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