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Peds/OB > OB vocab > Flashcards

OB vocab Flashcards

1
Q

Enlargement/widening of cervical opening

A

Dilation

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2
Q

When does dilation occur?

A

Once labor has begun

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3
Q

What are the dilation examples(in order)

A

Cheerio, banana slice, cracker, soda can, bagel

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4
Q

Shortening and thinning of cervix

A

Effacement

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5
Q

Indicates largest transverse diameter of presenting part has passed thru pelvic brim/inlet into true pelvis

A

Engagement

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6
Q

Station

A

Location of presenting part in relation to ischial spines

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7
Q

As the fetus progresses thru delivery, how is the station described?

A

0=station engaged, then as baby progresses down through pelvis—> +1,2,3

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8
Q

When is the station described as -1,-2,-3?

A

When the presenting part is above the ischial spines

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9
Q

Presenting part

A

What is coming down first

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10
Q

Number of pregnancies

A

Gravida

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11
Q

Never been pregnant before

A

Nulligravida

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12
Q

Only been pregnant once

A

Primigravida

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13
Q

Been pregnant 2 or more times

A

Multigravida

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14
Q

Number of pregnancies in which the fetus reaches 20 weeks of pregnancy

A

Para

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15
Q

Nullipara

A

No pregnancy beyond stage of viability

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16
Q

Primipara

A

One pregnancy completed to stage of viability

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17
Q

Multipara

A

Two or more completed pregnancies to stage of variability

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18
Q

Braxton hicks

A

False contractions

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19
Q

Describe Braxton hicks

A

False contractions that are painless, irregular, and are relieved by walking

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20
Q

Zygote

A

Diploid cell; from fusion of two haploid gametes; fertilized ovum

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21
Q

Morula

A

Stage of development where dividing cell mass=20-30 cells, results from division of ovum

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22
Q

Infant has pink body but blue tinted hands and feet

A

Acrocyanosis

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23
Q

Acrocyanosis is an abnormal finding in a newborn T/F

A

False- normal finding in a newborn—> concerning when around the mouth and eyes

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24
Q

Small raised white spots on the nose, chin, forehead.

A

Milia

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25
Q

How to treat milia

A

Leave alone, disappear spontaneously without tx

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26
Q

Fontanelle

A

Soft spot on infants head-where the bony plates have not come together

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27
Q

What does it mean when the baby’s fontanelle is sunken?

A

Severe dehydration- late sign!

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28
Q

Slight overlapping of bones in the fetal skill- occurs during childbirth

A

Molding

29
Q

Why does a baby go through molding?

A

It allows the skull to adapt to various pelvic diameters

30
Q

When is a group B strep culture obtained?

A

Between 36-37 weeks of gestation.

31
Q

How do you test for GBS?

A

Perineal swab, if positive- IV prophylactic abx started when admitted for labor

32
Q

What is the APGAR?

A

Quick review of systems at 1 and 5 min after birth

33
Q

Why do we use the APGAR?

A

Allows for rapid assessment of extrauterine adaptation and rapid intervention

34
Q

Scores for APGAR

A

0-3=severe distress
4-6=moderate difficulty
7-10=minimal or no difficulty with adjusting to extrauterine life

35
Q

The higher the APGAR score the…

A

The better the baby has adjusted to life outside of the womb

36
Q

What are the five things that the APGAR assessment looks at?

A

HR, RR, muscle tone, reflex irritability, skin color

37
Q

What is the score range for the APGAR?

A

0-10

38
Q

IUGR

A

Intrauterine growth restriction

39
Q

What is IUGR

A

Fetus does not meet the expected growth rate

40
Q

Bluish purple spots of pigmentation commonly on the shoulders, back, and buttocks

A

Mongolian spots

41
Q

Localized swelling of soft tissues of scalp caused by pressure on head during labor

A

Caput succedaneum

42
Q

Palpated as soft, edematous mass and can cross over suture line,r evolves within 3-4 days-does not require tx

A

Caput succedaneum

43
Q

Collection of blood between periosteum and skull bone that it covers.

A

Cephalohematoma

44
Q

Does not cross the suture line, results from trauma during birth, appears in first 1-2 days afterbirth, resolves in 2-3 weeks

A

Cephalohematoma

45
Q

Variable transitory increase in fetal HR above baseline

A

Accelerations

46
Q

Accelerations are bad T/F

A

False

47
Q

Transitory, abrupt slowing of the fetal HR 15/min or more below baseline for at least 15 seconds, variable in relation to uterine contraction

A

Decelerations

48
Q

What is the requirement for something to be classified as a deceleration?

A

Abrupt slowing of HR 15/min or more below baseline for at least 15 seconds

49
Q

Do uterine contractions cause decorations?

A

Yes, they can- but not all declarations are related/correlated with/to contractions

50
Q

BPP

A

Biophysical profile

51
Q

Uses real time ultrasound to visualize physical and physiological characteristics of the fetus

A

Biophysical profile

52
Q

What does a BPP observe for?

A

Fetal biophysical responses to stimuli. Combines fetal HR monitoring and fetal ultrasound

53
Q

What is a biophysical profile a combination of?

A

Fetal HR monitoring and fetal ultrasound (real time)

54
Q

What characteristics can be observed in a BPP?

A

Amniotic fluid vol
NST (non stress test)
Breathing
Limb movement
Fetal muscle tone

55
Q

Epidural

A

Local anesthetic with an analgesic injected into epidural space at the fourth or fifth vertebrae level

56
Q

Newborn’s first poop

A

Meconium

57
Q

Meconium

A

Thick, sticky, tarry, dark green poop- made of cells, proteins, fats, and intestinal secretions (like bile)

58
Q

Gelatinous substance within the umbilical cord

A

Wharton’s jelly

59
Q

Presenting part of the fetus is the head

A

Vertex

60
Q

Breech

A

Presenting part of the fetus is either the buttocks/feet

61
Q

How many types of breech are there?

A

Three

62
Q

What are the three types of breech?

A

Frank/extended breech (65-70%)
Complete/flexed breech (30%)
Footling breech (10%; emergency)

63
Q

How long does it take the umbilical cord to “dry up and fall off” ?

A

7-14 days

64
Q

Lochia

A

Post birth uterine discharge that contains blood, mucus, and uterine tissue.

65
Q

The amount of lochia is similarly to heavy menstrual period about 2 hours after delivery then decreases gradually at a consistent rate. What are the three stages?

A

Lochia Rubra, Lochia serosa, Lochia alba

66
Q

Lochia rubra

A

First stage
Dark , red
3-4 days

67
Q

Lochia Serosa

A

Second stage
Pink/brown
4-12 days

68
Q

Lochia alba

A

Third stage
Yellow, white
About 12 days

Peds/OB (11 decks)

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