OB Test Flashcards

1
Q

This period during pregnancy

A

Antepartum/Prenatal

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2
Q

The period during birth

A

Intrapartum

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3
Q

The period after birth

A

Postpartum

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4
Q

A non-pregnant uterus is this shape

A

Pear

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5
Q

Thinning/measured in percentages

A

Effacement

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6
Q

Mucous plug/acts to seal out bacteria during pregnancy.

A

Operculum

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7
Q

Opening/measured in cm

A

Dilation

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8
Q

This sign means the cervix feels like an earlobe during pregnancy and like butter prior to birth.

A

Goodell’s sign.

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9
Q

This sign means there is a purple/violet hue around the vaginal area.

A

Chadwick’s sign

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10
Q

When can the mother begin pushing?

A

At 10cm dilated

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11
Q

White vaginal discharge throughout pregnancy?

A

Leukorrhea

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12
Q

Thin, watery, high-protein fluids that is the precursor to breast milk

A

Colostrum

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13
Q

This complication can cause lightheadedness, faintness, and palpitations

A

Supine Hypotension Syndrome

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14
Q

They can take antacids for this complication in small amounts

A

Pyrosis (heartburn)

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15
Q

Drink fluids, eat fiber, and dark leafy veggies for this complication.

A

Constipation

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16
Q

Pitocin has what kind of effect on the body?

A

Anti-Diuretic

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17
Q

Pink/Red stretch marks?

A

Striae Gravidarum

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18
Q

Rectus muscles separate?

A

Diastis

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19
Q

Brown line running from the umbilicus to the symphysis pubis?

A

Linea Nigra

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20
Q

Mask of pregnancy

A

Melasma (Cholasma)

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21
Q

Vascular spiders seen on the skin (thighs most commonly)

A

Spider Nevi

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22
Q

Redness and itching on the palms

A

Palmar erythema

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23
Q

Give dry toast/crackers prior to arising in morning, drink fluids between meals, and avoid greasy food to prevent what?

A

Nausea

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24
Q

Teach patient to bathe or shower daily, wear loose fitting cotton underwear, not to douche, and wipe front to back to help with?

A

Vaginal Discharge

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25
What are issues for new nurses during the intrapartum stage?
Pain associated with birth A bad experience Inexperience Unpredictability Intimacy
26
What are the four Ps in the intrapartum stage?
Power Passage Passenger Psyche
27
The two powers of labor are?
Uterine contractions and maternal pushing
28
Uterine contractions start in the?
Fundus
29
What influences uterine contractions?
Walking Drugs Maternal Anxiety Vaginal exams
30
Elapsed time from the beginning of one U/C until the beginning of the next one? This is measured in minutes.
Frequency of contraction
31
Elapsed time from the beginning of one U/C to the end of that same U/C? This is measured in seconds
Duration
32
What is the strength of a U/C?
Intesity
33
The fundus is easily indented with the fingertips during ___ intensity? (Tip of nose)
Mild
34
The fundus can be indented with the fingertips during ___ intensity, but it is more difficult? (chin)
Moderate
35
The fundus cannot readily be indented during ___ intensity? (Forehead)
Firm
36
This is the amount of time the uterus relaxes between U/C's?
Interval
37
What is the best type of pelvis for delivering vaginally?
Gynecoid
38
True or False: Mothers who have had a vaginal delivery before have a quicker delivery than first time mothers?
True
39
What components make up the Passenger?
Fetus Placenta Amniotic membranes Amniotic Fluid
40
Transverse diameter of the fetal head?
Biparietal diameter
41
Relationship between long axis of fetal body and long axis (spine) of the moms body
Fetal Lie
42
When the fetus is lying horizontal, this is known as?
Transverse Lie
43
When the fetus is lying longitudinal, this is known as?
Vertical
44
When the head of the fetus presents, this is known as?
Cephalic
45
When the feet of buttocks of the fetus presents, this is known as?
Breech
46
___ is the body part that enters the pelvis first (Part that first contacts the cervix or delivers first)?
Presentation
47
Vertex, Military Brow, Face?
Cephalic
48
Complete, Frank, Footling?
Breech
49
Transverse?
Shoulder
50
____ is the relationship of presenting part to a specific quadrant of the pelvis?
Position
51
The pelvis is divided into ___ quadrants?
4
52
Signs of impending labor include?
Braxton hicks Lightening Increased vaginal discharge Bloody show ROM Nesting Weight Loss
53
When should the mother go to the hospital for her first delivery?
When her contractions increase in intensity and happen every 5 minutes for one hour. A mother delivering for the second time should come to the hospital if contractions are happening every 10 minutes for an hour
54
What other reasons could lead to an early hospital visit?
ROM Bleeding (stronger or more frequent than bloody show) Decreased fetal movement (ALWAYS GO)
55
Signs of impending birth?
Sitting on one buttock Making grunting noises Bearing down with contractions (Urge to push) Stating "The baby's coming) Bulging of the perineum Presenting part is visible to medical examiner
56
Signs of true labor?
U/C's gradually develop regular patter (more frequent, longer and stronger) Discomfort in lower back Bloody show Progressive effacement and dilation of cervix
57
Signs of false labor?
Contractions not irregular of relived with walking Discomfort in abdomen/groin Bloody show not present No change in effacement or dilation of cervix
58
Variability Cord compression Early Decels Head compression Accels Okay (may need O2) Late Decels Prolapsed Cord
review only
59
Normal fetal heart rate?
110-160
60
What could meconium stained amniotic fluid mean?
Baby pooped in utero because it was in distress. Can cause death leading to sickness.
61
What does cloudy, yellow amniotic fluid mean?
Infection
62
What could happen to a woman that's had a contraction lasting longer than 90 seconds?
The blood/oxygen supply to the fetus is cut off and can cause fetal demise.