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Gynae & Obs disorders > Pregnancy and labour > Flashcards

Pregnancy and labour Flashcards

1
Q

what does gravid refer to?

  1. num of pregnancies
  2. num of births
A
  1. num of pregnancies
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2
Q

what does parity refer to?

  1. num of pregnancies
  2. num of births
A
  1. num of births
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3
Q

which refers to the 1st trimester

  1. 1-12 wks
  2. 13-26 wks
  3. 27-40 wks
A
  1. 1-12 wks
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4
Q

which is the 2nd trimester

  1. 1-12 wks
  2. 13-26 wks
  3. 27-40 wks
A
  1. 13-26 wks
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5
Q

which is the 3rd trimester

  1. 1-12 wks
  2. 13-26 wks
  3. 27-40 wks
A
  1. 27-40 wks
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6
Q

how many stages of labour are there

A

3

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7
Q

which is the longest stages of labour

A

stage 1

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8
Q

what does the 1st stage of labour involve

A

dilatation of the cervix to reach complete effacement

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9
Q

what does complete effacement refer to

A

cervix has dilated >3cm

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10
Q

what does the 2nd stage of labour involve

A

full dilation of the cervix and the birth of the baby

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11
Q

what does the 3rd stage of labour involve

A

delivery of the placenta

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12
Q

what symptoms might someone face during the 1st trimester?

list 5

A 
nausea 
tiredness 
swollen breasts and nipple protude 
cravings
mood swings 
constipation 
frequent urination 
headache 
heartburn
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13
Q

at how many weeks does the embryo develop into a foetus

A

8 weeks

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14
Q

during which trimester does the baby bump start showing

A

2nd trimester

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15
Q

at how many weeks might you feel movement and the baby kick

A

20 weeks

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16
Q

what happens to the cervix during the 3rd trimester

A

softer and thinner

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17
Q

at how many weeks is the baby considered full term

A

37 weeks

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18
Q

what is a cervical sweep

A

sweeping finger around cervix during internal examination

separates the amniotic sac from cervix surrounding the baby

19
Q

what is the MOA of the cervical sweep

A

release of prostaglandins may can start labour

20
Q

at how many weeks of pregnancy is the cervical sweep offered to?

A

40+ weeks

21
Q

when is the oxytocin hormone drip offered to women

A

when active labour has not started following membrane rupture

22
Q

what scoring system can be used to determine induction of labour

A

Bishop score

23
Q

which is the ventous

  1. cup shaped device that attaches to baby head
  2. smooth curved metal instruments placed around babys head
A
  1. cup shaped device that attaches to baby head
24
Q

which is the forceps

A
  1. smooth curved metal instruments placed around babys head
25
Q

what is an episiotomy

A

incision through the vaginal wall and perineum = enlarge vaginal opening and facilitate childbirth

26
Q

why might an episiotomy be done

A

to avoid spontaneous tearing during delivery

27
Q

give 3 conditions in which an episiotomy might be used

A 
breech position 
baby is to large 
instruments needed 
labour is going too quickly 
mother/baby in distress
28
Q

what are the 2 types of episiotomy incisions that can be made

A

midline

mediolateral

29
Q

which episiotomy incision is associated with greater blood loss and takes longer to heal

A

mediolateral

30
Q

List 3 reasons for a C-section

A

breech position of the baby
placenta problems (previa/abruption)
developmental problems of baby

31
Q

which refers to a low lying placenta

placenta previa
placenta abruption

A

placenta previa

32
Q

what is placenta accrete

  1. low lying placenta
  2. attachment of placenta to the myometrium
A

attachment of placenta to the myometrium

33
Q

which analgesia is contraindicated in breastfeeding

  1. aspirin
  2. paracetamol
  3. ibuprofen
  4. dihydrocodeine
A

asprin

34
Q

why is aspirin contraindicated in breastfeeding

A

Reyes syndrome

35
Q

what should be done if a pregnant mother (unsure if had chickenpox in the past) comes into contact with someone with chickenpox

A

check varicella antibodies

36
Q

what condition is mother and foetus at risk of developing when exposed to chicken pox

A

fetal varicella syndrome

37
Q

what does intrahepatic cholestasis increase the risk of during pregnancy

A

stillbirth

38
Q

how is intrahepatic cholestasis in pregnancy managed in order to avoid stillbirth

A

induction of labour 37-38 weeks

39
Q

what is intraheptic cholestasis also known as

A

obstetrics cholestasis

40
Q

what supplement is given during pregnancy to prevent spina bifida

A

folic acid

41
Q

what is the dosage of folic acid given during pregnancy

A

400micrograms

42
Q

what does administration of folic acid prevent

A

spina bifida

43
Q

list 3 causes of folic acid deficiency apart from pregnancy

A

methotrexate
phenytoin
pregnancy
alcohol excess

44
Q

what is 400micrograms of folic acid administered till?

  1. 20 wks of pregnancy
  2. 12 wk of pregnancy
  3. 15 wk of pregnancy
  4. 10 wk of pregnancy
A
  1. 12 wk of pregnancy

Gynae & Obs disorders (11 decks)

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