Prenatal Care, Labor, and Delivery Flashcards
How do we classify a pregnancy?
G- gravida (number of pregnancies)
P- para (viable fetuses)
A- abortus (abortions or miscarriages)
How does blood type affect pregnancy?
If mom is Rh- and baby is Rh+ the mom will make antibodies against the Rh+ blood, then if she has a subsequent pregnancy where the baby is Rh+ again the antibodies will attack
What is TORCH?
A group of diseases that are able to cross the placental barrier and cause developmental problems
Toxoplasmosis
Other (syphillis, HIV, Hep B, chicken pox)
Rubella
Cytomegalovirus
Herpes
What is placental abruption?
Premature separation of the placenta from the uterine wall
What is placenta previa?
When the placenta is attached too low on the wall of the uterus or covering the cervix
What is the most common cause of placenta abruptio?
Maternal hypertension
What are the three types of abruptio placenta?
Partial concealed, partial external, and complete separation. Complete is most dangerous because baby is not getting any gas exchange
What is cervical insufficiency?
When cervix is too short or more open/funneled than normal. Can cause premature labor
What is polyhydramnios?
Too much amniotic fluid. Caused by orogastric or CNS malformations
What is Oligohydramnios?
Too little amniotic fluid. Caused by hypoperfusion of fetus or fetal kidneys, fetal urinary tract obstruction or fluid leak
What is pre-eclampsia and eclampsia?
Maternal hypertension plus proteinuria, edema, or both. Eclampsia includes seizures or coma related to underlying neurologic conditions
What is HELLP syndrome?
Hemolysis
Elevated Liver enzymes
Low Platelet count
Life threatening liver disorder; treatment is delivery of baby
What is biophysical profile testing?
An ultrasound testing scale to measure health and development of baby. uses breathing movements, tone, heart rate, etc. to determine score.
What is amniocentesis?
Sample of amniotic fluid done with giant needle. Can be therapeutic or for genetic testing. Not done often because it is risky
What is chorionic villus sampling?
Invasive exam where placental tissue is obtained with ultrasound to check for chromosomal defects.
