Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Term 3 OB/PEDS/MED SURG 2 > pregnancy shit > Flashcards

pregnancy shit Flashcards

1
Q

biophysical profile

A
  • check on baby’s well being
  • breathing pattern ect
  • ideal score 8-10
  • ultrasound
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

when does fertilization take place?

A
  • when the sperm meets the ovum
  • only takes 1 sperm
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

presumptive signs of pregnancy?

A
  • Ammenorrhea
  • nausea
  • breast tenderness
  • deepening pigmentation (chloasma) primary in darker ppl
  • urinary frequency
  • quickening
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

probable signs of pregnancy

A
  • godwell’s sign-softening of the cervix and vagina b/c of increased vaginal congestion.
  • chadwick’s sign- purpulish, bluish discoloration of cervix, vagina, vulva b/c increased vascular congestion.
  • hegar’s sign-softening of the lower uterine segment
  • mcdonalds sign-uterus flexing against cervix
  • braxton hicks contractions- irregular painless uterine contractions that begin in the 2nd trimester.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

positive signs of pregnancy

A
  • audible fetal heartbeat- detected at 10 wks by fetal doppler
  • fetal movement felt by examiner
  • ultrasound visualization of fetus
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

1st trimester physiological changes

A
  • pigementation changes (chloasma)
  • enlarged abdomen
  • small wt gain
  • enlarged uterus presses on bladder
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

2nd trimester physiological changes

A
  • groin pain
  • sexual pleasure and desire increases
  • white discharge
  • orthostatic HPT
  • anemia
  • perineal itching
  • center of gravity changes
  • pressure on bladder and rectum
  • leg muscle spasm
  • mood swings
  • slowed GI motility
  • itchy skin
  • gingivitis
  • stuffy nose
  • enlarged breast
  • tingling fingers
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

3rd trimester physiological changes

A
  • tires easily
  • colostrum may leak from breast
  • voice changes
  • pressure on stomach and diaphragm
  • venous congestion
  • uterus drops
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

1 trimester labs

A
  • blood type
  • Rh factor
  • antibody screen
  • CBC
  • RPR
  • rubella titer
  • tb screening-ppd or serum blood test quantiferon
  • hep B
  • HIV
  • U/A and culture
  • pap
  • vaginal culture
  • chlamydia
  • gonorrhea
  • hemoglogin A1c
  • NIPT
  • CF/genetic markers
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

2nd trimester labs

A
  • serum alpha fetoprotein
  • blood glucose
  • amniocentesis
  • ultrasound
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

3rd trimester labs

A
  • GBS culture
  • real time U/S
  • doppler blood flow
  • cervical fetal fibronectin
  • repeat STI,CBC, RPR, NST’s, BPP, AFI
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

spermatogenesis

A
  • process of mitosis in sperm: sperm gives X or Y chromosome to determine sex
  • gametogenesis-begins at ovulation and is complete when fertilization happens.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

wharton’s jelly

A
  • covers and cushions the AVA and keeps them separate
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

chorion

A
  • develops from thromboblasts and envelops the amnion, embryo and yolk sac
  • thick membrane with villi on outer surface; villi or fingerlike projections from fetal portion of placenta
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

implantation of zygote

A
  • in the posterior upper portion of uterine wall
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

estrogen levels and functions

A
  • stimulates uterine growth
  • increases blood flow to the uterine vessels
  • increases skin pigmentation, vascular changes in skin/mucous membranes of nose/mouth, increases salivation.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

breast changes due to what hormones?

A
  • estrogen and progesterone stimulate dev. of breast ducts to prep for lactation.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

common signs of hydatidiform mole?

A
  • bleeding
  • rapid uterine growth
  • excess hyperemesis gravidarum
  • failure to detect fetal heart activity
  • unusually early development of GH
  • higher than expected Hcg
  • distinct snowstorm pattern on ultrasound with no evidence of developing fetus
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

placenta previa

A
  • placenta in lower uterus instead of upper portion
  • painless bright red bleeding
  • no vaginal exam due to risk of bleeding
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

placents abruption

A
  • gradual or abrupt onset of pain and uterine tenderness
  • possible low back pain
  • uterine feels firm and boardlike
  • irratible, frequent contractions
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

preterm labor and bedrest teaching

A
  • record fetal kick counts daily
  • report fewer than 10 kicks in a 12 hr period
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

quickening

A
  • fetal movement felt by mother, usually at 16 wks
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

folic acid

A
  • helps prevent neural tube defects
  • 0-4 mos 400mcg or 0.4 mg
  • 4-9 mos 600-800 mcg or 0.6-0.8 mg
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

what causes heart burn in early pregnancy?

A

increased progesterone relaxes esophogeal sphincter

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

why is rhogam D immune globin given?

A
  • Given one erythorblastosis fetalis occurs- A condition that occurs when maternal anti-Rh antibodies cross the placenta and destroy fetal erythrocytes.
  • Also given after amniocentesis.
26
Q

Non stress test

A
  • Is a test done to check fetal health
  • It monitors the fetus heart rate with contractions
  • Nonstress test means no stress is produce.
27
Q

Weight gain in pregnancy

A
  • Normal weight people should only gained 25 to 35 pounds
  • Obese woman should only gained 11 to 20 pounds
28
Q

Ectopic pregnancy

A
  • S/S: Lower of Domino pain and light vaginal bleeding.
  • It’s a loping to Brookeshire ‘s; sudden severe lower abdominal pain, vaginal bleeding, signs of hypovolemic shock, and shoulder pain.
  • Treatment; priority is to control bleeding, no action, methotrexate to inhibit cell division, surgery to remove pregnancy from tube.
29
Q

Fetal circulation

A
  • AVA- Two arteries and a vein in umbilical cord to support fetus.
  • Ductus Venosus- Diverts blood away from the liver as it returns from placenta.
  • Foreman Ovale- Diverts blood from the right atrium directly to the left atrium rather than circulating to lungs.
  • Ductus arteriosus- Diverts blood from pulmonary artery into aorta.
30
Q

HCG

A
  • Human chorionic gonadotropin
  • Signals conception has occurred.
31
Q

HPL

A
  • Human placental lactogen.
  • Causes decrease sensitivity and utilization of glucose by mother, which makes more glucose available to fetud to meet growth needs.
32
Q

GTPAL

A
  • G-gravidity
  • T-term
  • P- preterm or para
  • A- abortion
  • L- living
33
Q

Exercising during pregnancy

A
  • Determined by maternal cardiac status.
  • Fetal placental reserve.
  • Mild to moderate but avoid vigorous in normal pregnancy; no overstretching.
  • Do not overheat
  • Hydrate
34
Q

Vaccine safety during pregnancy

A
  • No live vaccines
  • wait 1 month to get pregnant if MMR vaccines
  • thimerosol- risk of mercury poisoning
  • influenza and Tdap allowed
35
Q

Hyperemesis

A
  • Excessive vomiting
36
Q

Molar pregnancy

A
  • Chorionic increase abnormally and develops vesicles that resemble tiny grapes.
37
Q

Ectopic pregnancy fallopian tube one

A
  • Set an severe lower abdominal pain
  • Vaginal bleeding
  • Hypovolemic shock fetal heart rate changes, tachycardia, tachypnea, shallow irregular respirations, hypertension, decrease urinary output, pale skin or mucous membranes, cold clammy skin, faintness, thirst
38
Q

Preeclampsia

A
39
Q

HELLP

A
  • Variant of GH that involves hemodialysis as manifested with decrease in hemoglobin and hematocrit
40
Q

ABO incompatibility

A
  • Different blood types cause immune system to react
41
Q

GDM

A
  • Gestational diabetes mellitus
  • Mother cannot increase insulin production because fetus is continuously drawing glucose from mother.
42
Q

PIH

A
  • Pregnancy induced hypertension
43
Q

Anemias

A
  • Nutritional, iron deficiency, folic acid deficiency
  • Genetic, sickle cell disease, so I will see Mia I have normal in chains of hemoglobin, alpha or beta chain.
44
Q

GBS

A
  • Deadly post partum infection for infant
  • Elevated temperature within 12 hours of birth, rapid heart rate, abdominal distention.
  • Treated with penicillin or ampicillin.
45
Q

HIV

A
46
Q

Teratogens

A
  • Things that causes damage to the growing cells. Like prescribe medications, maternal under nutrition, smoking etc.
47
Q

Bioterrorism

A
  • A; easily transmitted from person to person
  • B;Spread via food and water
  • C;Spread via manufactured weapons designed to spread disease
48
Q

FDA drugs pregnancy categories

A
  • A- no risk to fetus
  • B- no adverse effects in animals: no human studies available
  • C- only prescribed after risk to fetus is considered; animal studies show adverse effects; no humans studies available.
  • D- definite fetal risk but may be given in life threatening situations
  • X- absolute fetal abnormalities; not to be used any time during pregnancy.
49
Q

Zygote

A
50
Q

Embryonic to fetal stages

A
  • Development from 2 to 8 weeks Called an embryo
  • Ninth week until birthday developing infant called a fetus
51
Q

Viable pregnancy

A
52
Q

Placental tranfer

A
  • Fetal deoxygenated blood and waste products leave the fetus through 2 umbilical artery’s
53
Q

Monozygotic

A
  • Identical twins
54
Q

Dizygotic

A

Fraternal twins

55
Q

Antepartum

A
56
Q

Intrapartum

A

During birth

57
Q

Postpartum

A
58
Q

Microbiome

A

Human microbiota- includes bacteria, fungi, archaea (bacteria w/out nucleus) and virus

59
Q

Devastating infections and fetus and newborn

A
60
Q
A

Term 3 OB/PEDS/MED SURG 2 (13 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions