Terminology test Flashcards

1
Q

Nullipara

A

Woman has not been pregnant beyond 20 weeks gestation

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2
Q

Gravid

A

Number of pregnancies, regardless of outcome

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3
Q

Para/ parity

A

Number of babies born after 20 weeks gestation

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4
Q

G6,P4

A

Gravida 6, Para 4- Pregnant 6 times (including current pregnancy), previously delivered 4 babies at more than 20 weeks gestation

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5
Q

Grand multipara

A

A woman who has delivered 5 or more babies at more than 20 weeks gestation

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6
Q

Abortion/ miscarriage

A

Pregnancy loss before 20 weeks gestation

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7
Q

Labour

A

Regular painful contractions with cervical change after 20 weeks gestation

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8
Q

Lower uterine segment caesarean section

A

Operative delivery of the baby through an incision in the lower uterine segment

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9
Q

Classical caesarean section

A

Operative delivery of a baby through a vertical incision in the upper segment of the uterus

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10
Q

Hysterotomy

A

Operative delivery of the baby through a uterine incision at less than 20 weeks gestation

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11
Q

Preterm labour

A

Labour at less than 37 weeks gestation

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12
Q

Prelabour rupture of membranes (PROM)

A

Rupture of membranes before the onset of labour

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13
Q

Premature prelabour rupture of membranes (PPROM_

A

Rupture of the membranes before labour at less than 37 weeks gestation

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14
Q

ARM/ AROM

A

Artificial rupture of the membranes

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15
Q

SROM

A

Spontaneous rupture of membranes

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16
Q

Braxton Hicks contractions

A

Painless uterine contractions in the antenatal period

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17
Q

Naegles rule

A

Estimation of probable date of confinement:
9 mo + 7d to first day of the last menstrual period.
Correction required if Pt does not have 28d cycles

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18
Q

First stage of labour

A

Start of labour –> dilatation of cervix

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19
Q

Second stage labour

A

Full dilatation of the cervix –> birth of the baby

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20
Q

Third stage of labour

A

Birth of the baby –> delivery of placenta and membranes

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21
Q

Spurious or false labour

A

Uterine contractions which may be regular and / or painful but not associated with cervical effacement and dilatation

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22
Q

Oxytocic

A

Medication to stimulate contraction of the uterine muscle

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23
Q

Tocolytic

A

Medication to stop uterine contraction

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24
Q

Induction of labour

A

Process of causing labour to commence

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25
Augmentation of labour
Stimulating a labour that has already started
26
Placenta praevia
Placenta that approaches or covers the internal cervical os in late second/ third trimester
27
Vasa praevia
Fetal vessels lying in the membranes in front of the presenting part
28
Antepartum haemorrhage
Bleeding 5ml from the vagina after 20 weeks gestation
29
Abruption
Separation of the placenta from the uterus in the antenatal or intrapartum period
30
Post partum haemorrhage
Excessive vaginal bleeding within 24 hours delivery
31
Secondary post partum haemorrhage
Excess vaginal bleeding more than 24hrs after delivery
32
Placenta accreta
Placenta that invades the myometrium
33
Uterine atony
Abnormal relaxation of uterus after delivery, usually causing bleeding.
34
Fetal haemolytic disease
Maternal blood group antibodies cross the placenta resulting in haemolysis of fetal red blood cells. Antibodies include D, and others
35
CTG
Cardiotograph
36
Neonatal death
A liveborn infant who dies within 28d of birth, of at least 20w gestation or weighing >400g if gestation is unknown
37
Stillbirth
Infant born after 20 weeks gestation (or birthweight over 400g if gestation unknwon) who did not show any signs of life after birth
38
Perinatal mortality rate
The number of stillbirths + neonatal deaths per 1000 births
39
Maternal death
Death of woman while pregnant (irrespective of gestation) or within 42 days of the conclusion of the pregnancy irrespective of the cause of death or gestation
40
Maternal mortality rate
Number of maternal deaths per 100000 live births
41
Infant death
Death of an infant between 29d-1y of life
42
Station
The level of descent of the presenting part relative to the pelvic brim or symphysis on abdominal palpation, or to the ischial spines on vaginal examination
43
Lie
Relationship between the long axis of the fetus and the long axis of the uterus- longitudinal, oblique, transverse
44
Position
The relationship of a defined area on the presenting part (the ‘denominator’) to the mother’s pelvis. In a cephalic presentation, the denominator is the occiput, thus the fetal position is described as occipito-anterior (OA), occipito-posterior (OP), left or right occipito-transverse (L/ROT). In a breech presentation, the denominator is the sacrum (SA, SP, ST).
45
Presenation
The part of the fetus which is presenting, e.g. vertex, breech
46
Asynclitism
Side to side tilt of the fetal head
47
Caput
Oedema from obstructed venous return in the fetal scalp caused by pressure of the head against the cervix
48
Cervical incompetance
Painless cervical dilatation in the second trimester causing preterm labour
49
Cord prolapse
The cord is alongside or below the presenting part in the presence of ruptured membranes
50
Episiotomy
Surgical incision of the perineum during the second stage of labour
51
Third degree tear
Perineal trauma which involves the vaginal mucosa, perineal muscles and external anal sphincter
52
Second degree tear
Perineal trauma which involves the vaginal mucosa and the perineal muscles
53
Lochia
Vaginal discharge during the puerperium (~6weeks after birth)
54
Oligohydramnios
Reduced amniotic fluid
55
Polyhydramnios
Excess amniotic fluid
56
Pre-eclapsia
HTN and proteinuria in pregnancy
57
Eclapsia
Seizure in clinical setting of pre-eclampsia
58
Amniocentesis
Sampling of amniotic fluid using a needle through the abdominal wall of the woman
59
Chorionic villus sampling (CVS)
Sampling of the placenta using a needle under US guidance
60
External cephalic version
Turning a breech baby to cephalic presentation through the maternal abdominal wall
61
Retained placenta
Placenta still in utero 1 h after delivery of the fetal head
62
Puerperium
6w following delivery
63
Quickening
Maternal perception of fetal movements
64
Restitution
Rotation of the fetal head after delivery to align with the back and shoulders
65
Show
Discharge of blood and mucus from vagina in early labour or the days preceding labour
66
Phototherapy
Use of standard fluorescent white light or blue light therapy to photoisomerise bilirubin to allow for its excretion
67
Exchange transfusion
Procedure to treat severe newborn pathological jaundice in which blood is removed and replaced with donor blood. This removes the bilirubin and also the antibodies that have been causing haemolysis and jaundice
68
Low birthweight baby
<2500g
69
Very low birthweight baby
<1500g
70
Neonatal respiratory distress
Tachypnoea, increased effort of breathing, noising breathing and central cyanosis
71
Caesarean hysterectomy
Laparotomy at which the contents of the gravid uterus are delivered, then the uterus is removed (due to placenta accreta)
72
Perimortem Caesarean Section
Caesarean performed on moribund/ dead woman with a view to preserving her life