pregnancy Flashcards

1
Q

Woman who currently is not pregnant & has never been pregnant

A

nulligravida

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2
Q

Woman who is pregnant for the 1st time

A

primigravida

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3
Q

Woman who has been pregnant more than once

A

multigravida

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4
Q

number of times a woman has been pregnant (irrespective of outcome)

A

gravidity

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5
Q

number of pregnancies that led to a birth > 20 wks AOG
(not by number of fetuses delivered)

A

parity

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6
Q

Woman who never completed a pregnancy >20 wks AOG

A

nullipara

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7
Q

Woman who has delivered a fetus with an estimated AOG of at least 20 wks

A

primipara

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8
Q

Woman who has completed >2 pregnancies to >20 wks AOG

A

multipara

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9
Q

Woman who has had at least 5 births (live or stillborn) that are at least 20 wks AOG

A

grand multipara

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10
Q

obstetric score formula

A

GP (TPAL)

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11
Q

Trimesters of pregnancy

A

1st (until 14 weeks AOG)
2nd (until 28 weeks AOG)
3rd (until 42 weeks AOG)

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12
Q

time after delivery (4-6wks)

A

puerperium

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13
Q

interval from birth to 28 days

A

perinatal period

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14
Q

a baby is called __ from birth to 28 days

A

neonate

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15
Q

a baby is called __ from 29 days to 1 year

A

infant

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16
Q

Diagnosis of pregnancy

A

Amenorrhea
Lower Reproductive Tract & Uterine Changes at 6-8 wks AOG
Breast and Skin Changes at 6-8 weeks AOG
Fetal Movement

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17
Q

abrupt cessation of menstruation
highly suggestive in healthy reproductive-aged women with cyclical predictive menses

A

amenorrhea

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18
Q

4 signs to determine Lower Reproductive Tract & Uterine Changes

A

Chadwick sign
Goodell’s sign
Hegar’s sign
Cervical mucus changes

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19
Q

vaginal mucosa becomes dark-bluish red & congested

A

chadwick sign

20
Q

cervical softening and change in position

A

goodell’s sign

21
Q

softening of isthmus

A

hegar’s sign

22
Q

cervical mucus changes include

A

increased progesterone; ferning

23
Q

Striae in skin during pregnancy is due to

A

increase MSH

24
Q

mask of pregnancy

A

chloasma/melasma

25
darkening of the linea alba
linea nigra
26
collagen breakdown
Striae Gravidarum
27
spider telangiectasia is due to
increase estrogen
28
it is dependent of parity and habitus
fetal movement
29
This diagnostic test is a basis for endocrine assays of pregnancy
B-hCG
30
B-hCG is produced by
syncytiotrophoblast
31
main function is to prevent involution of corpus luteum Alpha subunit: identical to LH, FSH, TSH Beta Subunit: used for pregnancy detection
B-hCG
32
Transvaginal sonography is used to determine
gestational sac pseudogestational sac yolk sac pregnancy of unknown location
33
34
Small anechoic fluid collection 1st sonographic evidence at 4-5 weeks Implants eccentrically in endometrium
gestational sac
35
Fluid collection with in the endometrial cavity with an ectopic pregnancy
pseudogestational sac
36
brightly echogenic ring with anechoic center confirms with certainty an intrauterine location for the pregnancy Seen at 5th week AOG
yolk sac
37
38
the time when Embryo is seen as a linear structure adjacent to yolk sac with cardiac activity
after 6 weeks
38
If equivocal findings Serum serial hCG levels helps to differentiate
pregnancy of unknown location
39
the time when the crown rump length is predictive of gestational age within 4 days
12 weeks
40
the AOG when fundic height correlates closely with gestational age in weeks
20-34 weeks
41
fundic height of uterus above pubic symphysis
12 weeks
42
fundic height of midway between umbilicus and pubic symphysis
16 weeks
43
fundic height at level of umbilicus
20-22 weeks
44
fundic height Bet umbilicus & xiphoid process
28 weeks
45
time when fundic height decreases
40 weeks