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Med > OB (PART 2) > Flashcards

OB (PART 2) Flashcards

1
Q

SIGNS INDICATING COMPLICATIONS

A
  • Vaginal Bleeding
  • Persistent Vomiting
  • Chills and Fever
  • Sudden Escape of Clear Fluid From the Vagina
  • Pregnancy-Induced Hypertension
  • Increase or Decrease in Fetal Movement
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2
Q
  • 8th to 12th week AOG
  • Non pathological uterine contractions
A

Braxton Hicks Contractions

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3
Q
  • protozoan infection
  • spread most commonly with uncooked meat/ through handling cat stool in soil or cat litter
A

Toxoplasmosis

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4
Q

normal occurrence in pregnancy so long as no proteinuria

A

Ankle Edema

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5
Q

if the infection crosses the placenta = could lead to____

A

CNS damage

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6
Q

tx for toxoplasmosis

A

sulfonamides or Pyrimethamine

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7
Q
  • causes only a mild rash and mild systemic illness in a woman
  • but the teratogenic effects on a fetus can be devastating (hearing impairment, cognitive and motor challenges, cataracts, cardiac defects)
A

Rubella

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8
Q
  • member of the herpes virus family, is another teratogen that can cause extensive damage to a fetus
  • no treatment for the even if it presents in the mother with enough symptoms to allow detection
  • infant may be born severe neurologically challenged
A

Cytomegalovirus

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9
Q

tx for herpes simplex virus

A

Intravenous or oral acyclovir (Zovirax)

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10
Q

virus spreads into the bloodstream (viremia) and crosses the placenta to a fetus posing substantial fetal risk

A

Herpes Simplex Virus (Genital Herpes Infection)

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11
Q

tx for syphilis in first trimester

A

benzathine penicillin

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12
Q

if syphilis left untreated beyond the 18th week of gestation

A

hearing impairment, cognitive challenge,
osteochondritis, and fetal death are possible

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13
Q

total calorie for pregnant

A

2500

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14
Q

total protein for pregnant

A

71 g daily

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15
Q

indian sit that stretches perineal muscles without occluding blood supply to the lower legs

A

Tailor Sitting

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16
Q

also stretches perineal muscles. useful position for second-stage labor

A

Squatting

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17
Q

tighten the muscles of perineum strengthen the pubococcygeal muscles and bulbocavernosus

A

Kegel Exercises

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18
Q
  • helps relieve backache during
  • pregnancy and early labor
  • making the lumbar spine more flexible.
  • increases flexibility and helps relieve back pain
  • otso otso
A

Pelvic Rocking

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19
Q

is the best for maintaining
cardiovascular fitness without stressing the body since the buoyancy of the water lessens the impact on joints and ligaments

A

Water exercise

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20
Q

is the settling of the fetal
head into the inlet of the true pelvis.

A

Lightening

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21
Q

used to describe the release of the cervical plug

A

Show

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22
Q

Color change of the vagina from pink to violet

A

Chadwick’s sign

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23
Q

Softening of the cervix

A

Goodell’s sign

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24
Q

Softening of the lower uterine segment

A

Hegar’s sign

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25
Q

lower uterine segment is tapped on a bimanual examination, the fetus can be felt to rise against abdominal wall

A

Ballottement

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26
Q

Periodic uterine tightening occurs

A

Braxton Hicks

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27
Q

Preliminary Signs of Labor

A

Excess Energy
Goodell’s sign
Braxton Hicks Contractions

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28
Q
  • begin and remain irregular
  • felt first abdominally and remain confined to the abdomen and groin
  • disappear with ambulation or sleep
  • do not increase in duration, frequency, or intensity
  • do not achieve cervical dilatation
A

false contraction

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29
Q
  • begin irregularly but become regular and predictable
  • felt first in lower back and sweep around in abdomen
  • continue no matter what the womans level of act.
  • increase in duration, frequency, or intensity
  • achieve cervical dilatation
A

true contraction

30
Q

Signs of TRUE Labor

A

Show
Uterine Contractions
Rupture of the Membranes

31
Q

A woman’s pelvis is of
adequate size and contour.

A

Passage

32
Q

is of appropriate size and in an advantageous position and presentation

A

Passenger

33
Q

full flexion

A

vertex

34
Q

moderare flexion/ military attitude

A

sinciput

35
Q

partial extension

A

brow

36
Q

poor flexion/ complete extension

A

face

37
Q

refers to the relationship of the presenting part of a fetus to the level of the ischial spines

A

Station

38
Q

The mother is asked to take a deep breath, hold the breath (closed glottis), and push downward when uterine contraction starts.

A

valsalva maneuver

39
Q

relationship between the
long (cephalocaudal) axis of
the fetal body and the long
(cephalocaudal) axis of a
woman’s body

A

Lie

40
Q

buttocks or feet

A

Breach

41
Q

Shoulder

A

transverse

42
Q

3 powers of labor

A

Uterine Contractions
Cervical Changes
Dilatation

43
Q

contractions is
rhythmicity and progressive
lengthening and intensity

A
  • Uterine Contractions
44
Q

shortening and thinning of the cervical canal

A

Effacement

45
Q

enlargement or widening of the cervical canal

A

Dilatation

46
Q

Refers to the psychological
state or feelings

A

Psyche

47
Q
  • cervical dilatation: 0-3cm
  • contractions: 40 sec every 5 mins
A

latent phase

48
Q
  • cervical dilatation 4 to 7 cm
  • Contractions 40 to 60 seconds, 3 to 5 mins interval
A

Active phase

49
Q
  • cervical (full) dilatation 9 to 10 cm
  • Full effacement
  • Contractions 60 to 90 seconds, 2 to 3 mins interval
A

Transition phase

50
Q

TRUE LABOR to Full dilatation

A

First Stage

51
Q

from full dilatation and
cervical effacement to
birth of the infant

A

Second Stage

52
Q

administered to second stage

A

Pudendal block

53
Q

administered to first stage

A

Lumbar epidural block

54
Q

birth of the infant to delivery of the placenta

A

Third Stage

55
Q

Signs of Placental Separation

A
  • Lengthening of the cord
  • Sudden gush of blood
  • Change in the shape of the uterus
  • Firm contraction of the uterus
  • Appearance of the placenta at the vaginal opening
56
Q

Separate at center first

A

Schultze

57
Q

Separate from edge first

A

Duncan

58
Q
  • first few hours after birth
  • Perineal Repair
A

Fourth Stage

59
Q
  • time of reflection
  • 2- to 3-day period
  • Mother is passive
  • Dependency in activity
  • usually wants to talk about her pregnancy rather than new role
  • Expressed little interest in caring for her child
  • holds her new child with a sense of wonder
A

Taking-In Phase

60
Q
  • begins to initiate action
  • begins to take a strong interest for her child
A

Taking-Hold Phase

61
Q
  • woman finally redefines her new role
A

Letting-Go Phase

62
Q

2nd most frequent cause of bleeding early in pregnancy

A

Ectopic Pregnancy

63
Q
  • sharp, stabbing pain in one of her lower
    abdominal quadrants at the time of rupture
  • scant vaginal spotting
A

Ectopic Pregnancy

64
Q

medication given when ectopic pregnancy hasn’t ruptured yet

A

Methotrexate

65
Q
  • is a condition of pregnancy in which the placenta is implanted abnormally in the uterus
  • most common cause of painless bleeding in the third 3rd of pregnancy
A

Placenta Previa

66
Q

occurs when the placenta separates from the inner wall of the uterus before birth

A

abruptio placenta

67
Q

is a condition in which vasospasm occurs during pregnancy in
both small and large arteries

A

PIH

68
Q

classic signs of PIH

A

hypertension, proteinuria, and edema

69
Q

elevated blood pressure (140/90 mm Hg) but has no proteinuria or edema

A

Gestational hypertension

70
Q

Classic signs are present

A

Preeclampsia

71
Q
  • Classic signs + seizure
  • cerebral edema is so acute that a grand-mal seizure (tonic-clonic) or
    coma occurs
A

Eclampsia

72
Q

tx for pih

A

Low dose aspirin
Antiplatelet Therapy
hydralazine (Apresoline) labetalol
nifedipine
Magnesium sulfate
Diazepam

Med (37 decks)

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