OBGYN Flashcards
where do we place the roll under the mother during a c-section?
right side of body to take pressure of the vena cava
what incision is used during c-section delivery?
pfannensteil incision
what is oxytocin used for?
stimulate uterine contractions
methods of ablating the endometrium?
- laser cautery
- balloon inflation+heat
what must be done to instruments exposed to HYSKON?
rinse in hot water
what is the specialty needle used during for laparoscopy?
verres needle (sometimes hassan)
what position is the patient placed in for GYN laparoscopy? (2)
-supine
what two dyes are used for chromotubation in the fallopian tubes?
- indigo carmine
- methylene blue
2 methods of preventing fogging?
- fred system
- rinse in hot water
layers of the uterus? (SME)
- outer peritoneal layer (serous)
- myometrium/muscular layer
- endometrium (mucosal layer)
instruments that must always be present during c-section to extend the incision inside the uterus?
lister scissors
agents used to distend uterus during hysteroscopy? (3)
- Co2
- glycine
- hyskon
what structures are located anterior to the uterus?
the bladder
what is the function of a bulb syringe?
clean/suction babies mouth and nose after birth
PT position for LAVH?
trendelenberg/lithotomy
what is a culposcopy?
pap-smear
what is a culdoscopy?
exam with scope entering posterior fornix of the vagina
what is a hysteroscopy?
exam with scope inside uterus
what is a laparoscopy?
exam with scope inside abdominal cavity
what is HPV?
- human papilloma virus
- genital warts
what procedures use acidic acid?
pap-smear
when are irish retractors used?
abdominal hysterectomy
what clamp is used to clamp uterine ligaments in an abdominal hysterectomy?
heaney/ballantine
what are they layers of the ovaries?
- outer (cortex)
- inner vascular layer (medulla)
define metrorrhagia
heavy bleeding not during menstrual cycle
what is the term pfannensteil?
incision most commonly used during c-secton
define effacement
thinning and shortening of cervix to accommodate delivery
when would we use piton? (2)
- provides stimulation to nipples
- facilitates birth/brestfeeding
when would yuptar be used?
decrease uterine contractions/stop baby from being born prematurely
what is a tocolytic drug?
stops premature labor from occurring
what is paturation?
process of child birth (labor/delivery)
what are APGAR scores taken?
done at birth and repeated 5 minutes later
function of the placenta/amnion?
provides an exchange of nutrients and wastes between fetus and mother
what is fluid filled sac called?
placenta
what is dystocia?
difficult labor
how many chromosomes does a zygote have?
46 chromosomes
description of placenta?
takes on form of flat cake when developed
what is placenta privia?
placenta lies in front of fetus and will be pushed out prior to birth of fetus
what is placenta abruptu?
life threatening for both mother and baby, placenta has premature separation from the wall of the uterus
what is eclampsia?
urgent condition for mother, “toxemia pregnancy” characterized by convulsions and coma that may occur during pregnancy
what is preeclampsia?
- encountered during pregnancy or just after
- characterized by edema, hypertension, and albuminuria
what is episiotomy?
surgical incision of the vulvar orifice to enlarge the vaginal opening
prima-gravida
pregnant for first time
prima-para
undergoing first delivery
multi-gravida
more than one pregnancy
multi-para
more than one delivery
at that stage of labor does the cervix start to dilate?
first stage of labor
what are the 5 segments of the APGAR score?
- breathing
- muscle tone
- pulse rate
- reflex irritability
- skin color
term used for painless contractions?
braxton-hicks
contents of umbilical cord
2 arteries and 1 vein
who coined term APGAR?
virginia apgar, anesthesiologist
