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
Q

What are issues for new nurses during the intrapartum stage?

A

Pain associated with birth
A bad experience
Inexperience
Unpredictability
Intimacy

26
Q

What are the four Ps in the intrapartum stage?

A

Power
Passage
Passenger
Psyche

27
Q

The two powers of labor are?

A

Uterine contractions and maternal pushing

28
Q

Uterine contractions start in the?

A

Fundus

29
Q

What influences uterine contractions?

A

Walking
Drugs
Maternal Anxiety
Vaginal exams

30
Q

Elapsed time from the beginning of one U/C until the beginning of the next one?
This is measured in minutes.

A

Frequency of contraction

31
Q

Elapsed time from the beginning of one U/C to the end of that same U/C?
This is measured in seconds

A

Duration

32
Q

What is the strength of a U/C?

A

Intesity

33
Q

The fundus is easily indented with the fingertips during ___ intensity? (Tip of nose)

A

Mild

34
Q

The fundus can be indented with the fingertips during ___ intensity, but it is more difficult? (chin)

A

Moderate

35
Q

The fundus cannot readily be indented during ___ intensity? (Forehead)

A

Firm

36
Q

This is the amount of time the uterus relaxes between U/C’s?

A

Interval

37
Q

What is the best type of pelvis for delivering vaginally?

A

Gynecoid

38
Q

True or False:
Mothers who have had a vaginal delivery before have a quicker delivery than first time mothers?

A

True

39
Q

What components make up the Passenger?

A

Fetus
Placenta
Amniotic membranes
Amniotic Fluid

40
Q

Transverse diameter of the fetal head?

A

Biparietal diameter

41
Q

Relationship between long axis of fetal body and long axis (spine) of the moms body

A

Fetal Lie

42
Q

When the fetus is lying horizontal, this is known as?

A

Transverse Lie

43
Q

When the fetus is lying longitudinal, this is known as?

A

Vertical

44
Q

When the head of the fetus presents, this is known as?

A

Cephalic

45
Q

When the feet of buttocks of the fetus presents, this is known as?

A

Breech

46
Q

___ is the body part that enters the pelvis first (Part that first contacts the cervix or delivers first)?

A

Presentation

47
Q

Vertex, Military Brow, Face?

A

Cephalic

48
Q

Complete, Frank, Footling?

A

Breech

49
Q

Transverse?

A

Shoulder

50
Q

____ is the relationship of presenting part to a specific quadrant of the pelvis?

A

Position

51
Q

The pelvis is divided into ___ quadrants?

A

4

52
Q

Signs of impending labor include?

A

Braxton hicks
Lightening
Increased vaginal discharge
Bloody show
ROM
Nesting
Weight Loss

53
Q

When should the mother go to the hospital for her first delivery?

A

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
Q

What other reasons could lead to an early hospital visit?

A

ROM
Bleeding (stronger or more frequent than bloody show)
Decreased fetal movement (ALWAYS GO)

55
Q

Signs of impending birth?

A

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
Q

Signs of true labor?

A

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
Q

Signs of false labor?

A

Contractions not irregular of relived with walking
Discomfort in abdomen/groin
Bloody show not present
No change in effacement or dilation of cervix

58
Q

Variability Cord compression
Early Decels Head compression
Accels Okay (may need O2)
Late Decels Prolapsed Cord

A

review only

59
Q

Normal fetal heart rate?

A

110-160

60
Q

What could meconium stained amniotic fluid mean?

A

Baby pooped in utero because it was in distress. Can cause death leading to sickness.

61
Q

What does cloudy, yellow amniotic fluid mean?

A

Infection

62
Q

What could happen to a woman that’s had a contraction lasting longer than 90 seconds?

A

The blood/oxygen supply to the fetus is cut off and can cause fetal demise.