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N201 > OB Term > Flashcards

OB Term Flashcards

0
Q

Amenorrhea

A

Suppression/ absence of menstruation

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1
Q

Term

A

37-42 weeks

Normal duration

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2
Q

Quickening

A

First movements of fetus felt by the mother (16-18 weeks); may be later (20 weeks) for first time moms

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3
Q

Funic Soufflé

A

Hissing sound synchronous with fetal heart beat; produced by umbilical cord

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5
Q

maternal blood pulsating through the placenta; synchronous with the maternal pulse

A

Uterine Soufflé

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6
Q

Bloody Show

A

discharge of blood tinged mucous from the cervix as labor begins

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7
Q

thinning measurement of the cervix (%)

A

Effacement

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8
Q

Abnormal Labor Patterns:

A

Protracted
Prolonged
Arrested

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9
Q

Protracted Labor

A

slow rate of progress

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10
Q

Prolonged Labor

A

long span of time for progress to occur

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11
Q

Arrested Labor

A

progress stops

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12
Q

Gestation

A

number of weeks since first day of last menstrual period

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13
Q

Abortion

A

birth that occurs BEFORE end of 20 WEEKS gestation

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14
Q

Fetal Demise

A

death of a fetus

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15
Q

time between conception and the onset of labor; prenatal

A

Antepartum

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16
Q

time from onset of true labor until birth of infant and placenta

A

Intrapartum

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17
Q

time from birth until woman’s body returns to prepregnant condition

A

Postpartum

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18
Q

labor that occurs after 42 weeks gestation

A

Postterm labor

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19
Q

infant born dead after 20 weeks gestation

A

Stillbirth

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20
Q

Nulligravida

A

has never been pregnant

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21
Q

pregnant for the 1st time

A

Primigravida

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22
Q

woman who is in her second or any subsequent pregnancy

A

Multigravida

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23
Q

birth after 20 wks gestation regardless of whether infant is born alive or dead

A

Para

refers to pregnancy, not number of fetuses, so twins are para 1

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24
Q

Nulliparous

A

no births at > 20 wks gestation

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25
Q

Primiparous

A

one birth at > 20 wks gestation

26
Q

Multiparous

A

2+ births at > 20 wks

27
Q

Gravida

A

the # of times pregnant(multiples, i.e. twins, triplets, etc. count as one pregnancy)

28
Q

Para

A

the # of births after 20 weeks’ gestation regardless of whether infant is born alive or dead (multiples i.e. twins, triplets each count as only one time giving birth)

29
Q

GTPAL

A 
G=# of times pregnant
T= # of term births (ea. baby counts as one… twins=2)
P= # of premature births (20-37)
A= # of pregnancies ending in abortion
L=number of living children
30
Q

Postpartum Assessment

A

BUBBLE-HE

31
Q

BUBBLE-HE

A 
Breast
Uterus (should be midline)
Bladder-toilet q3h; ~3000mL in 24h
Bowel Function 
Lochia
Episiotomy/ Perineum

Homan’s Sign
Emotional Status

32
Q

Rubra

A

bright red color

33
Q

Disadvantages of Electronic Fetal Monitoring

A

impaired by:

  • certain positions of the mother
  • maternal obesity
34
Q

Device placed over fetal back and transmits to the monitor; On going assessment of fetal monitoring

A

Electronic Fetal Monitoring

35
Q

Advantages of Electronic Fetal Monitoring

A

Easy to use
Noninvasive
Records Continuously

36
Q

Appearance of Lochia- day 10

A

Clear and colorless

37
Q

Lochia appearance day 1-3

A

Very red; similar to menstrual flow
Progress to watery serous
Thin & colorless by day 10

38
Q

Notify the physician if the lochia

A

looks abnormal
has an unusual odor
contains clots other than small shiny ones.

39
Q

Lochia appearance (first 3 days)

A

Rubra

40
Q

Lochia appearance (d3-d10)

A

Serosa (pink)

41
Q

Lochia appearance (d10-14)

A

Alba

42
Q

Emergency amt of Lochia

A

Saturates pad (tip to tip) in 15 mins

43
Q

Scant Lochia

A

<1 in within 1 hr

Change pad q3-4 h

44
Q

Light Lochia

A

<4inches in 1h

45
Q

Moderate Lochia

A

<6 inches in 1 hour

Change pad q2-3h

46
Q

Heavy Lochia

A

Saturates pad in 1 h (tip to tip)

47
Q

Interventions for a boggy uterus (5)

A
  1. Fundal message
  2. Express clots: massage and give gentle downward pressure to express
  3. Breast-feeding
  4. Oxytocin
  5. Continuous bleeding
48
Q

suspect laceration of the uterus when…

A

Normal tone, below umbilicus, steady trickle of blood

49
Q

Early ambulation …

A

Decreases stasis of blood in uterus, increases uterine tone

50
Q

Second priority nursing diagnosis

A

Risk for infection – intrauterine (endometritis)

51
Q

Factors that increase the risk of infection:

A

Episiotomy
Premature rupture of membrane
Prolonged rupture of membranes
#Vaginal exams after ROM
Fourth degree laceration (through to rectum)
Pre-existing infection of reproductive track
Anemia

52
Q

How long must you wait before taking a tub bath postpartum

A

2 weeks

53
Q

No tampon
No douche
No sex

FOR….

A

6 weeks

54
Q

uterine tenderness, pain, foul-smelling lochia, temperature elevation, tachycardia, nausea/vomiting, chills, subinvolution

A

S/s of uterine infection

55
Q

Lower abdominal discomfort
Dysuria, frequency
Bladder distention

A

S/s UTI in postpartum patients

Maybe masked by decreased bladder tone in postpartum

56
Q

POPI

A

Position Change: L Lateral (1st choice)
O2: 10L Non-rebreather
Pit Stop: stop oxytocin/ pitocin
IV Bolus: increase blood volume (999)

57
Q

No pumping before

A

2 weeks

58
Q

When can babies be given pumped breast milk?

A

4-6 weeks of age

59
Q

of hora thawed milk can be refrigerated

A

24h do NOT refreeze

60
Q

Pacifiers may NOT be given for the first ….

A

4-6 weeks

61
Q

MgSulfate

A

Stops contractions

N201 (21 decks)

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