OBGYN Flashcards
Women’s Cardiac Output increases by ______ when pregnant
2L/min
Plasma Volume increases by ______% in pregnant woman
20
FRC decreases by ___ % when pregnant
Functional Residual Capacity
20
Place pregnant pt on L side to prevent ________
Supine hypotensive syndrome
Dilation
Refers to the extent of cervical dilation
Effacement
Relates to the thickness of the cervixs and is expressed in %.
The cervix is normally _____ cm thick
2
Lie
Refers to the longitudinal and orientation of the fetus in relation to the longitudinal orientation of the mother
Station
Refers to the fetal head in relation to the mother’s pubic bone
Baseline FHT’s is _____ to _____ bpm
120 to 160
________ is the single most important predictor of fetal well-being
Variability
Should 10-15 bpm
Poor variability caused by _______
- Fetal Hypoxia
- Admin of Meds
- Smoking
- Extreme Prematurity
- Fetal Sleep
Accelerations are usually _______
Good
Early Decels (OK) and are caused by _______
vagal response to squeezing head of the head by contractions
Late Decels (Bad) and indicate _________
Uteroplacental Insufficiency
Late Decels are associated with ________
- PIH
- DM
- Smoking
- Late Deliveries
Variable Decels are (Not Good, But correctable) and are ___ and ___ shaped
V W
Variable Decels are common ______
During contractions
Variable Decels = ________
cord problem
Sinusoidal (Very Bad)=
Brain not functioning
Sinusoidal typical of ______
Fetal Hypovolemia or anemia
Fetal Bradycardia =
< 120 for 5-10 min
Fetal Tachycardia =
> 160 for 10 min
Hypertonic or tetanic contraction discontinue ________
Oxytocin Infusion
For preterm labor admin _________
Tocoloytic (Mag, Terbutaline)
Mag Sulfate Toxicity Rx ________
Calcium Chloride
Terbutaline Dose
0.25 mg sq q 15 min
Who is at risk for PIH for purposes of the exam
African American Females
Pre-elcampsia is characterized by ______
HTN
Proteiuria
Edema
Mag dose for PIH/Preeclampsia
4-6gm bolus over 20 min followed by 1-2 gm/hr
_______ trimester is the period of maximal hemodynamic disterss
3rd
Placental Previa S/S
Painless bright red vaginal bleeding
Placental Previa is common with _____-
Uterine scaring, multiple c-sections, post D/C
Placenta Aburtio S/S
Ripping or tearing pain with dark or no evident blood loss.
Blood is ______ to the uterus, thus it will initiate _________
Irritating
Contractions
With placental aburtio continuously monitor _______
Fundal Height
Cord Prolapse Female Position _________
Trendelenburg or knee to position
With breech presentation the fetus should not be touched until the ______ has delivered
Umbilicus
________ maneuver for breech position
Mauriceau’s
Postpartum Hemorrhage treatment
Vigorous Fundal Massage Oxytocin Methergine Fluids, Blood Bimanual Uterine Compression
Preeclampsia = ________ decels
Late
Normal mag level ____ to _____
1.5 to 2.5
A platelet level of less than _____ is characteristic of HELLP syndrome
100,000
Frequency of a contraction is defined as
Beginning of contraction to the beginning of the next contraction
Duration of a contraction is defines as
Beginning of contraction to the end of the contraction
Fundal height at umbilical
20-24 wks
The admin of ______ will help decrease the chance the fetus will have resp distress syndrome
Betamethasone
Regular rhythmic contractions that produce progressive cervical changes after 20th week and before 37th week
Premature Labor
Nitrazine wil turn _____ in the presence of amniotic fluid
Blue
_____ and _____ are contraindications for use of Mag Sulfate
Myasthenia Gravis
Renal Failure
Macrosomia refers to ______
A fetus that is large for gestational age, with increased fat deposition and enlarged spleen and liver
_______ has been identified as the primary cause of premature labor
Infection
Preeclampsia most commonly occurs during _____
end of seconds trimester, beginning of third
The DBP goal when treating PIH is ____
90-100 mmHg
_______ is the major cause of postpartum hemorrhage
Uterine Atony
________ are a common and systematic way to determine position of the fetus
Leopold
