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Ob/Peds Test 2 > Part 2 OB > Flashcards

Part 2 OB Flashcards

1
Q

Reproductive Organs

A

Uterus most dramatic change. Goes from 2 oz to 2.2 lbs due to hypertrophy.

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2
Q

Endometrium

A

The lining of the uterus.

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3
Q

Ovulations ceases when

A

High estrogen and progesterone levels.

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4
Q

Hyperplasia

A

as a result of estrogen

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5
Q

Goodells sign

A

Cervix softens

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6
Q

Chadwick sign

A

Estrogen stimulates glandular tissue, causing it to congest it with blood. Pink to Blue.

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7
Q

Mucuous Plug

A

Cervical canal to block bacteria.

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8
Q

Vaginal cells contain more glycogen causing rapid trunover and increased vaginal discharge.

A

Acidic and decrease bacteria but favors growth of yeast.

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9
Q

Milky discharge

A

Normal during pregnancy.

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10
Q

Mcdonalds method

A

Accurate between 22-34 weeks but it can be detected from 16-38 weeks.

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11
Q

McDonald Method

A

Measure fundal height from uterus and see where it folds.

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12
Q

If a women is 20 weeks pregnant

A

It is going to be underumblicas.

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13
Q

At 36 weeks it will be

A

some where at xyfoid process.

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14
Q

Breast - Colostrum develops at

A

12-16 weeks of pregnancy.

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15
Q

Breast

A

Women develop darken areola and veins become prominent.

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16
Q

Striae

A

Stretch mark of the breast

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17
Q

Majority of breast cancer

A

Develops in the upper right quadrant. -Should recommend the patient check for breast examination.

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18
Q

Heart sounds

A

Splitting of the first heart sound and a murmur common in 90%.

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19
Q

Normal blood loss

A

500 vaginal and 1000 c section

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20
Q

How do we take IRON?

A

Can cause constipation so you will need to drink a lot of fluids and need stool softners.

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21
Q

What helps with absorbtion of IRON

A

Vitamin C

Juice - Orange juice or tomato

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22
Q

Hgb<11

A

May need Iron therapy..

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23
Q

Vena Caval Sydrome

A

When women lays on her back Supine she may experience do to uterus compression . This reduces blood flow terturning to the heart and may cause materanl hypotension. -BABIES CONDITION WILL BE COMPROMISED AS WELL.

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24
Q

Pregnat resperiration

A

It is increased 15-20%

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25
Q

Progesterone

A

Causes relaxation of smooth muscle, whci can result in dyspnea and fainting.

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26
Q

Do to vascular congrestion -ESTROGEN

A

ESTROGEN-It is normal to have nasal stuffiness and occasional nosebleeds. (NORMAL)

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27
Q

GI SYSTEM

A

Estrogen causes gums to bleed and excessive salivation (Ptyalism)

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28
Q

Progesterone cause realxation of ..?

A

Esphagean sphinter, leading to Heartburn. Stomach takes longer to empty. So patient needs to be told not to eat too much during meals.

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29
Q

Constipation

A

More common and hemmorrhoids- because of increase in progesterone levels.

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30
Q

Nasia and vomiting common in early pregnacy

A

but Hyperemisis is not normal

31
Q

Need to know how to educate women with hemororiods and what helps with it.

A

If they need help they should see a doctor.

32
Q

PICA

A

Craving dirt, startch other strange items.

33
Q

Urinary tract.

Bladder

A

doubles in size do to relaxed muscles, and it icrease risk for UTI and Pyelonephritis.

34
Q

Bladder

A

Pressure on bladder causes stress, urge incontinence and nocturia.

35
Q

Nocturia is common

A

In pregnancy…

36
Q

During giving birth why would we pay attention to bladder if it is full or not?

A

Because it could displace the baby not the uterus.

37
Q

If at any time a women needs surgerical intervention while pregnant what semester would they perform it in.

A

2ND

38
Q

Integumentary System

A

Hyperpignmentation (Melonocyte stimulating hormone stimulated by increased Estrogen)

39
Q

Chloasma

A

Hyper pigmentation of face- mask of pregnancy, patches darker than own skin town. - USE SUNBLOCK PROTECTION

40
Q

Linea Nigra

A

Line on stomach.

41
Q

Stretch Marks

A

Striae Gravidarum- DOES NOT GO AWAY…..but it can get lighter and fade after giving birth…

42
Q

Decreased hair growth

A

FALL OUT after birth and during birth.

43
Q

Hyperactive sweat and sebaceaus glands

A

Pregnancy.

44
Q

Musculoskeletal System

A

Relaxin hormone causes relaxation of pelvic joints, leads to waddling gait, and change of center of gravity.

45
Q

Lordosis

A

Curvature of lower spine occurs in later stages of pregnancy.

46
Q

Calcium and phosphorus

A

Needs are increased

47
Q

Seperation of Recus abdominis

A

Occurs

48
Q

Attention span and memory and memory

A

decreases

49
Q

Sleep problems are common

A

In pregancy.

50
Q

Edocrine

Estrogen

A

Produced by the placenta, stiumulates uterin growth, stiumlates grwoth of breast ductal system, cause hyperpigmentation and vascular changes.

51
Q

Progesterone

A

Most imporatnt hormone of pregnancy, prduced by the C.I. then the palcenta, maintaines endometrial layer of uterus, prevents miscarriage by relaxing smooth muscle throut the body, stimulates breast lobes and lobules, facilitates fate stores for energy.

52
Q

Human Placental Lactogen

A

Promotes fetgal growth by increasing the avaialbity of gluclose use, therby increasing maternal blood sugar. Promotes breast development for lactation.

53
Q

Ethics in pregnacy

A

The best course of action in certain situations.

54
Q

Bioethics

A

The application of ethics to healthcare, utilizing four ethical principles.

55
Q

Beneficiece

A

One is required to do or promote good for others

56
Q

Nonmaleficence.

A

One must avoid risking or causing harm to others.

57
Q

Autonmy

A

People have the right to self-determination. This includes the right to respect, privacy, and the information necessary to make decisions.

58
Q

Justice

A

All people should be treated equally and fairly regardless of disease or social or economic staus. Rendering to others what is due to them.

59
Q

Cultural Factors

A

-Cerenibuak rituals, rites around life events

60
Q

California Nursing Practice Act

A

BRN website: Tells you about the scope of practice.

61
Q

Generalization is difficult

A

-Cultural assessment important aspect of prenatal care
-Identify main believes
_understand different cultures.

62
Q

Prenatal Care

A

Early 1st Trimester for health promotion and care.

-Psychosocial assessment and intervention High Risk Screening.

63
Q

Signs of Pregnacy-SUBJECTIVE

Presumptive and subjective

A 
absense of menstruation
-Nausea and vomiting. 
Fatique
Unrinary Frequency
Breast changes
Amenorrhea
64
Q

Fetal movement

A

Quickening

65
Q

Signs of Pregnancy-Objective

A

-Abdominal Enlargement
-Changes in cervix
-Chadwick sign
Goodells signs
Changes in Uterus
-Ballottement
Rebouns -24week
Hegar’s sign- softening of uteros
-Braxton Hicks-6 weeks of pregnacy
Contractions
-Unterine hear over contactionss
Funic Sourffle hear from ambilical cord.

66
Q

Leopolds Manuever

A

Used to find the position of the baby.

67
Q

Fetal heart

A

Can be heard as early as 10 to 12 weeks by dopler

68
Q

Fetal movements

A

after 20 weeks

69
Q

Visualization of fetus by x ray ultersournd

A

gestational sac 4-5 weeks.

70
Q

Antepartum Care

A 
Info. on previous pregnacies.
-Ob History info about Pregnancies
Menstrual History
Family history
domestic violence
alcohal
71
Q

Leopld Maneuvers

A

provide a systematic ethod for plapating the fetus through the abdominal wall during the later part of pregnancy. The maneuvers provide valuable information about the location and presentation of the fetus.

72
Q

Nesting

A

behaviors include obtaining clothing and arranging a place for the infant to sleep.

73
Q

Couvade

A

pregnancy rleated symptons and behavior in the expectant father. “ mock labor”

Ob/Peds Test 2 (2 decks)

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