OB Term

Question 0

Amenorrhea

Answer 0

Suppression/ absence of menstruation

Question 1

Term

Answer 1

37-42 weeks

Normal duration

Question 2

Quickening

Answer 2

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

Question 3

Funic Soufflé

Answer 3

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

Question 5

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

Answer 5

Uterine Soufflé

Question 6

Bloody Show

Answer 6

discharge of blood tinged mucous from the cervix as labor begins

Question 7

thinning measurement of the cervix (%)

Answer 7

Effacement

Question 8

Abnormal Labor Patterns:

Answer 8

Protracted
Prolonged
Arrested

Question 9

Protracted Labor

Answer 9

slow rate of progress

Question 10

Prolonged Labor

Answer 10

long span of time for progress to occur

Question 11

Arrested Labor

Answer 11

progress stops

Question 12

Gestation

Answer 12

number of weeks since first day of last menstrual period

Question 13

Abortion

Answer 13

birth that occurs BEFORE end of 20 WEEKS gestation

Question 14

Fetal Demise

Answer 14

death of a fetus

Question 15

time between conception and the onset of labor; prenatal

Answer 15

Antepartum

Question 16

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

Answer 16

Intrapartum

Question 17

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

Answer 17

Postpartum

Question 18

labor that occurs after 42 weeks gestation

Answer 18

Postterm labor

Question 19

infant born dead after 20 weeks gestation

Answer 19

Stillbirth

Question 20

Nulligravida

Answer 20

has never been pregnant

Question 21

pregnant for the 1st time

Answer 21

Primigravida

Question 22

woman who is in her second or any subsequent pregnancy

Answer 22

Multigravida

Question 23

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

Answer 23

Para

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

Question 24

Nulliparous

Answer 24

no births at > 20 wks gestation

Question 25

Primiparous

Answer 25

one birth at > 20 wks gestation

Question 26

Multiparous

Answer 26

2+ births at > 20 wks

Question 27

Gravida

Answer 27

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

Question 28

Para

Answer 28

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)

Question 29

GTPAL

Answer 29

``` 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 ```

Question 30

Postpartum Assessment

Answer 30

BUBBLE-HE

Question 31

BUBBLE-HE

Answer 31

``` Breast Uterus (should be midline) Bladder-toilet q3h; ~3000mL in 24h Bowel Function Lochia Episiotomy/ Perineum ``` Homan's Sign Emotional Status

Question 32

Rubra

Answer 32

bright red color

Question 33

Disadvantages of Electronic Fetal Monitoring

Answer 33

impaired by: - certain positions of the mother - maternal obesity

Question 34

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

Answer 34

Electronic Fetal Monitoring

Question 35

Advantages of Electronic Fetal Monitoring

Answer 35

Easy to use Noninvasive Records Continuously

Question 36

Appearance of Lochia- day 10

Answer 36

Clear and colorless

Question 37

Lochia appearance day 1-3

Answer 37

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

Question 38

Notify the physician if the lochia

Answer 38

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

Question 39

Lochia appearance (first 3 days)

Answer 39

Rubra

Question 40

Lochia appearance (d3-d10)

Answer 40

Serosa (pink)

Question 41

Lochia appearance (d10-14)

Answer 41

Alba

Question 42

Emergency amt of Lochia

Answer 42

Saturates pad (tip to tip) in 15 mins

Question 43

Scant Lochia

Answer 43

<1 in within 1 hr | Change pad q3-4 h

Question 44

Light Lochia

Answer 44

<4inches in 1h

Question 45

Moderate Lochia

Answer 45

<6 inches in 1 hour | Change pad q2-3h

Question 46

Heavy Lochia

Answer 46

Saturates pad in 1 h (tip to tip)

Question 47

Interventions for a boggy uterus (5)

Answer 47

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

Question 48

suspect laceration of the uterus when...

Answer 48

Normal tone, below umbilicus, steady trickle of blood

Question 49

Early ambulation ...

Answer 49

Decreases stasis of blood in uterus, increases uterine tone

Question 50

Second priority nursing diagnosis

Answer 50

Risk for infection – intrauterine (endometritis)

Question 51

Factors that increase the risk of infection:

Answer 51

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

Question 52

How long must you wait before taking a tub bath postpartum

Answer 52

2 weeks

Question 53

No tampon No douche No sex FOR....

Answer 53

6 weeks

Question 54

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

Answer 54

S/s of uterine infection

Question 55

Lower abdominal discomfort Dysuria, frequency Bladder distention

Answer 55

S/s UTI in postpartum patients | Maybe masked by decreased bladder tone in postpartum

Question 56

POPI

Answer 56

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

Question 57

No pumping before

Answer 57

2 weeks

Question 58

When can babies be given pumped breast milk?

Answer 58

4-6 weeks of age

Question 59

of hora thawed milk can be refrigerated

Answer 59

24h do NOT refreeze

Question 60

Pacifiers may NOT be given for the first ....

Answer 60

4-6 weeks

Question 61

MgSulfate

Answer 61

Stops contractions