Obstetrical Assesment Flashcards
Gravity
Number of times pregnant
Parity
Delivery of an infant who is viable (over 24 weeks)
Primigravida
A woman pregnant for the first time
Primipara
Woman with only one delivery
Multigravida
Two or more pregnancies
Multipara
Two or more deliveries
Grand multipara
More than five deliveries
Nullipara
Never delivered
Obstetrical history
-length of gestation
-parity and gravidity
Previous cesarean delivery
Maternal lifestyle
Receiving care
Infectious disease status
Previous gynaecological or obstetrical complications
Pain
Contractions? Length? Time apart? When started?
Ovaries
Beginning point for reproduction
-FSH
LH
Progesterone
Fallopian tubes
Parked structures about 10cm long. 3 layers of tissue (Serosa, Muscularis, internal mucosa)
Uterus
Muscular, inverted pear-shaped organ
-fundus
-cervix
-External os
-Perimetrium
Myometrium
Endometrium
Vagina
Highly muscular, tubular organ
-allows for the exit of the menstrual flow
-lower portion of the birth
-Can stretch widely for delivery
-tissues may tear
Mammary Glands
Breasts
-modified sweat glands
-mainly composed of adipose tissue
-primary purpose is lactation to provide nourishment to the newborn
-lactiferous ducts
Where is the fertilized egg implanted?
The endometrium
Embryo
Third week after conception, ready to begin forming specialized body systems
Functions of the placenta
-essentially an enlarged endocrine gland
-serves as an early liver
-respiratory gas exchange
-transport of nutrients
-excretion of wastes
-transfer of heat
-hormone production
-barrier against harmful substances
Umbilical cord
Connects the placenta to the fetus
Grey, easily compressed and soft
Two arteries, one vein
Fetal circulation
Umbilical vein carries oxygenated blood from the placenta to the fetus
Umbilical arteries carry deoxygenated blood to the placenta
Bypasses the lungs until birth
What weeks are the most critical for development
4-8
What is the gestational period
40 weeks, calculated from the first day of the pregnant woman’s last period
