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Clinical Procedures 1 > Prenatal/OB Exam Review > Flashcards

Prenatal/OB Exam Review Flashcards

1
Q

What is the normal fetal pulse rate?

A

120-160 beats per min

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2
Q

What is the significance of protein in the urine of a pregnant patient?

A

could mean UTI or PREECLEMPSIA

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3
Q

What is the significance of glucose in the urine of a pregnant patient?

A

Could mean gestational diabetes or a prediabetic condition

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4
Q

Purpose of prenatal care

A

to make sure mom and baby are healthy

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5
Q

What is EDD of woman with LMP of 4-25-12?

A

Feb 1, 2013

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6
Q

Dilation (of cervix)

A

The stretching of the external os from an opening of a few mm wide to an opening large enough to allow passage of infant

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7
Q

How far does the cervix dilate?

A

approx 10cm

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8
Q

Colposcopy

A

Examination of the cervix using a colposcope

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9
Q

What is a colposcope?

A

Lighted instrument with a magnifying lens

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10
Q

Nagel’s Rule

A

+7 days
-3 months
+ 1 Year

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11
Q

Quickening

A

The first time the mama feels the baby move

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12
Q

Puerperium

A

time in which body systems return to prepregnancy state

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13
Q

How long does Puerperium take?

A

4-6 weeks after birth of baby

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14
Q

Placenta abruptio

A

Placenta prematurely and abruptly separates from the uterine lining

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15
Q

What is the treatment for placenta abruptio?

A

DELIVERY ASAP

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16
Q

EDC

A

Estimated Date of Confinement

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17
Q

EDD

A

Estimated Date of Delivery

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18
Q

primigravida

A

woman who is pregnant for the first time

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19
Q

Perineum

A

The external region between the vaginal orifice and the anus in a female

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20
Q

Amenorrhea

A

The absence or cessation of the menstrual period

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21
Q

When does amenorrhea usually occur?

A

Normally before puberty, during pregnancy, and after menopause

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22
Q

menopause

A

the permanent cessation of menstruation

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23
Q

what age does menopause usually occur?

A

between 45-55

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24
Q

menorrhagia

A

excessive bleeding during a menstrual period

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25
Q

Gestation

A

another term for pregnancy or period of time of being pregnant

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26
Q

Dysplasia

A
  • The growth of abnormal cells

- Precancerous condition that may or may not lead to cancer

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27
Q

Dyspareunia

A

Pain in the vagina or pelvis experienced by woman during sex

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28
Q

Dysmenorrhea

A

Pain associated with the menstrual period

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29
Q

Perimenopause

A
  • Before onset of menopause

- Phase when the woman w/ regular periods changes to irregular cycles and increased periods of amenorrhea

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30
Q

Prenatal

A

Before birth

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31
Q

Braxton Hicks Contractions

A
  • Intermittent & Irregular painless uterine contractions that occur throughout pregnancy
  • Usually occur more at end of pregnancy
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32
Q

Engagement

A

Entrance of the fetal head or the presenting part into the pelvic inlet

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33
Q

FHT

A

Fetal Heart Rate

34
Q

When is the fetal heart rate usually heard at?

A

5-6 weeks

35
Q

Toxemia

A

Another name for Pre-eclampsia

36
Q

3 symptoms of Pre-eclampsia

A
  • High blood pressure
  • Protein in urine
  • swelling of hands/feet
37
Q

Lochia Rubra

A

the first discharge, Composed of blood, shreds of fetal membranes

38
Q

What color is Lochia Rubra?

A

Red because of large amounts of blood it contains

39
Q

How long does Lochia Rubra last usually?

A

First 3 days after birth

40
Q

What is the time period of lochia serosa?

A

4-10 days after birth

41
Q

What does lochia serosa contain?

A

blood, mucus, uterine tissue

42
Q

Placenta Previa

A

Placenta implants low in uterus and partially or completely covers cervical os

43
Q

Fundus

A

Dome shaped upper portion of the uterus between the fallopian tubes

44
Q

Episiotomy

A

a surgical cut made at the opening of the vagina during childbirth

45
Q

Striae Gravidarum

A

Stretch Marks

46
Q

Amniocentesis

A

Surgical puncturing of amniotic sac through abdomen

47
Q

What does amniocentesis diagnose?

A
  • genetic mishaps
  • congenital anomalies
  • chromosomal defects
  • lung capacity of fetus
48
Q

Ectopic Pregnancy

A

A pregnancy in which the fertilized egg implants outside the uterus

49
Q

ectopic

A

abnormal place/positioning

50
Q

antenatal

A

before birth; prenatal

51
Q

Linea Nigra

A

brownish pregnancy line that appears on abdomen

52
Q

Maturation Index (MI)

A

ratio obtained by performing a random cell count of the three major cell types shed from the vaginal squamous epithelium: parabasal, intermediate, and superficial cells

53
Q

Metrorrhea

A

Discharge of mucus or pus from the uterus.

54
Q

Pelvimetry

A

measurement of the female pelvis

55
Q

Effacement

A

Thinning & Shortening of the cervical canal from its normal length of 1-2cm to a structure with paper thin edges in which there is no canal at all

56
Q

Is fundal height included in first visit?

A

NO

57
Q

What weeks is a woman tested for strep B?

A

weeks 35-37

58
Q

What is the purpose of effacement?

A

Permit the passage of the infant into the birth canal

59
Q

FHR

A

Fetal Heart Rate

60
Q

Doppler Device

A
  • hand-held ultrasound transducer used to detect the fetal heartbeat for prenatal care
  • uses the Doppler effect to provide an audible simulation of the heart beat.
61
Q

Presentation

A

part of the fetus that is closest to the cervix and is delivered first

62
Q

Colonoscopy

A

Visualization of the rectum ad the entire colon using a colonoscope

63
Q

Multipara

A

a woman who has completed 2 or more pregnancies to the age of fetal viability regardless of whether they ended in live infants or stillbirths

64
Q

Primipara

A

woman who has carried a pregnancy to fetal viability for the first time regardless if the baby was stillborn or alive at birth

65
Q

how many weeks is considered a viable birth?

A

20 weeks

66
Q

what is purpose of checking urine in prenatal visits?

A

to look for proteins and sugars

67
Q

Lab work done at the first prenatal exam…

A
  • pap smear
  • gonorrhea & chlamydia tests/cultures
  • wet prep for vaginitis
  • Blood tests (CBC, Hct, Hbg, HBV, HIV, Rubella Titer, GCT, VDRL, group B strep)
  • Urine tests (physical, chemical, microscopic, pregnancy test)
68
Q

Purposes of measuring fundal height

A
  • first measurement used as guideline for all other measurements in preg
  • provides rough estimate of duration of pregnancy
69
Q

Eclampsia

A

Toxemia of pregnancy

70
Q

Symptoms of Eclampsia

A
  • presence of protein in urine
  • high BP
  • sudden weight gain
71
Q

Colostomy

A

an opening in the large intestine, or the surgical procedure that creates one

72
Q

Risk factors for developing pre-eclampsia

A
  • Primigravida under age 18 or primigravida over age 35
  • Pre-existing cardiovascular and renal conditions
  • Pre-existing diabetes
73
Q

Fetoscope

A

let’s you listen to baby and hear any distress

74
Q

para

A

living children

75
Q

Nuva Ring

A

Stays in 3 weeks and comes out for the 4th wk so you get your period

76
Q

Barrier methods of contraception

A
  • condoms (male & female)
  • contraceptive sponges
  • spermicides
77
Q

Non-Barrier methods of contraception

A
  • abstinence
  • birth control pill
  • depoprevera shot
  • contracpetive patch
  • vaginal ring
78
Q

Gravity

A

the # of times a woman has been pregnant

79
Q

Parity

A

the # of times a woman has given birth to a fetus with a gestational age of 20 + weeks

80
Q

Triple screen test detects…

A

Neural defects

Clinical Procedures 1 (9 decks)

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