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Women's Health - OB > Terminology > Flashcards

Terminology Flashcards

1
Q

What is gestational age?

A

time since first day of last menstrual period

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2
Q

Start of gestation occurs 2 weeks before ________.

A

ovulation

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3
Q

Gestational age vs developmental age

A

Gestation from start of last period

Developmental from time of implantation - 4 to 6 days after ovulation

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4
Q

Naegele’s Rule for estimated due date

A

first day of LMP + 7 days - 3 months + 1 year

Example: LMP = April 20, 2015 + 7 days = April 27, 2015 -> - 3 months = January 27, 2015 -> + 1 year = January 27, 2016

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5
Q

What is Gravida?

A

Gravida = total # of pregnancies regardless of outcome

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6
Q

Nulliparous

A

never carried pregnancy beyond 20 weeks

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7
Q

Primip or primiparous =

A

given birth once before

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8
Q

multip or multiparous =

A

given birth 2 or more times

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9
Q

What is Parity?

A

pregnancies that were carried to viable gestational age

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10
Q

Sandra is 37 weeks pregnant. She previously delivered a baby boy at 38 weeks gestation and twin girls at 36 weeks. How to record her gravid and para?

A

G3P2

*twins count as 1 pregnancy and 1 delivery

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11
Q

What is GTPAL system?

A

Gravida = # of pregnancies
Term births = # of deliveries after 37 weeks
Preterm = # of deliveries between 20-37 weeks
Abortions = # of losses of pre-viable fetus (

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12
Q

40 yo female had 3 pregnancies, one term delivery, no preterm deliveries, one SAB (spontaneous abortion) and one living child. What is GTPAL report?

A

G3T1P0A1L1

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13
Q

What timeline defines 1st trimester?

A

0-12 weeks gestational age

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14
Q

Define viability of fetus

A

potential of fetus to survive outside uterus after birth (natural or induced)

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15
Q

Define “live birth”

A

Delivery of any infant (regardless of gestational age) that demonstrates evidence of life independent of whether the umbilical cord has been cut or the placenta detached (e.g.: heartbeat, umbilical cord pulsation, voluntary or involuntary movement)

  • Does not have to be for certain period of time
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16
Q

Normal term delivery? Preterm?

A

Normal: 38 to 42 weeks
Preterm: less than 37 weeks

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17
Q

Fundal height

A

physical exam to determine size of uterus; measured from pubic symphysis to top of uterus

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18
Q

Fundal height at 12 wks, 20 wks, and 36 wks

A

12 wks above pelvis
20 wks above umbilicus
36 wks xiphoid process

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19
Q

What is macrosomia?

A

fundal height significantly greater than expectd; large for gestational age

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20
Q

Causes of macrosomia

A

Multiple pregnancy
Hydatidiform mole
Polyhydramnios
Maternal condition (eg. DM)

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21
Q

Causes of microsomia (SGA)?

A

Incorrect assessment of age
Fetal growth restriction
Oligohydramnios
Intrauterine fetal demise

22
Q

Advanced maternal age is defined as ______.

A

over 35 yo

23
Q

How is pregnancy diagnosed?

A

amenorrhea and a positive pregnancy test

can’t dx by symptoms

24
Q

Chadwick sign

A

PE finding of pregnancy; congestion and bluish discoloration of vagina and cervix (6-8 wks)

25
Q

Hegar’s sign

A

PE finding of pregnancy; softening of cervix at 6-8 weeks

26
Q

Pisksacek’s sign

A

PE finding of pregnancy; lateral bulging of uterus

27
Q

What are Braxton-Hicks contractions?

A

contractions that occur before real labor

can begin as early as 2nd trimester

28
Q

Skin changes of pregnancy

A

Linea nigra
Chloasma (or melisma gravidarum)
Striae gravidarum

29
Q

Accuracy of home urine hCG tests

A

low false-positive rate, but high false-negative rate

30
Q

When does urine hCG test become positive in pregnant woman?

A

4 weeks after LMP

31
Q

What levels of progesterone indicate viable pregnancy?

A

> 10 ng/ml

32
Q

Confirmatory tests of pregnancy

A

Serum beta-hCG doubling q2 days through day 70 then declines
Elevated progesterone
Detection of fetal heart
U/S visualization of fetal sac

33
Q

What levels of progesterone indicate viable pregnancy?

A

> 10 ng/ml viable intrauterine pregnancy

34
Q

When can fetal heart be heard on Doppler?

A

12 weeks

35
Q

SAB =

A

spontaneous abortion

36
Q

CRL =

A

crown rump length

37
Q

FH =

A

fundal height

38
Q

S=D means…

A

size = dates

39
Q

FB =

A

finger breadth

40
Q

SP =

A

symphysis pubis

41
Q

PTL =

A

preterm labor

42
Q

FM =

A

fetal motion counting

43
Q

FHR =

A

fetal heart rate

44
Q

AMA =

A

advanced maternal age

45
Q

PIH =

A

pregnancy induced hypertension

46
Q

GDM =

A

gestational diabetes

47
Q

EFW =

A

estimated fetal weight

48
Q

PD =

A

post dates

49
Q

BPP =

A

biophysical profile: fetal movement, fetal tone, fetal breath, amniotic fluid volume, fetal HR

50
Q

NST =

A

non-stress test

51
Q

CST =

A

contraction stress test

52
Q

GBS =

A

Group B streptococcus

Women's Health - OB (5 decks)

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