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Women's Health > Test 1 > Flashcards

Test 1 Flashcards

1
Q

Gravida

A

Woman who is pregnant

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2
Q

Nulligravida

A

Women who has never been pregnant

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3
Q

Primigravida

A

Woman who is pregnant for the first time

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4
Q

Multigravida

A

Woman who has had two or more pregnancies

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5
Q

Parity

A

of pregnancies in which fetus/fetuses reached viability (20 weeks) and BORN
Refers to # of pregnancies, NOT fetuses, whether born alive or stillborn

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6
Q

Viability

A

20-24 weeks since LMP
Baby considered “alive” once movement felt (quickening)

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7
Q

Nullipara

A

women who has never completed a pregnancy past 20 weeks

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8
Q

Primipara

A

Woman who has completed one pregnancy with a fetus/fetuses who reached age of viability

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9
Q

Multipara

A

Women who has completed 2 or more pregnancies to stage of fetal viability

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10
Q

Grandmultipara

A

Women who has completed 5 or more pregnancies

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11
Q

G/P Documentation

A

Gravida/Para
G = # of pregnancies INCLUDING current
P = # pregnancies terminating after 20 weeks gestation

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12
Q

GTPAL

A

Gravida/Term-Preterm-Abortion-Living

G(ravida)= # pregnancies including current
T(erm) = # pregnancies terminating after 36 weeks gestation, must make it to 37
P(reterm)= # pregnancies terminating after 20-36 (and 6 days) weeks, BORN dead or alive
A(bortion) = # pregnancies terminating before 20 weeks gestation (incl. miscarriage)
L(iving) = # LIVING children AT THIS MOMENT

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13
Q

Pregnancy

A

Anytime sperm and egg meet and fertilization occurs, even if there is no resulting embryo due to too little or too much DNA
Includes non-viable, ectopic and molar

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14
Q

At 14 weeks gestation, where can you palpate the fundus?

A

Slightly above pubis symphasis

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15
Q

Normal Fetal HR

A

110-160

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16
Q

During the physical examination of a client beginning prenatal care, which initial action is most important for nurse to perform?

A

Ask client to empty bladder before pelvic examination

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17
Q

What is fetal tachycardia most often associated with?

A

maternal fever

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18
Q

Fetal Bradycardia is most common during

A

Fetal cord compression

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19
Q

Vertex Position

A

Head down presentation

20
Q

Breech position

A

Feet down presentation

21
Q

Transverse Presentation

A

Large hard round mass on lateral side and large soft round mass on other
Baby is sideways

22
Q

T/F: Thyroid enlarges as much as 1/3 during pregnancy?

A

True

23
Q

What findings are considered normal with a rise in estrogen/progesterone in pregnancy?

A

Linea Nigra
Spider Nevi
Cholasma

24
Q

Normal Cardiac Changes in Pregnancy

A

Extra vascular volume of 1500mL by term
Systolic murmur
S3

25
Q

When does the fundal height approximately match gestation weeks?

A

1st and 3rd trimister

26
Q

When does the uterus become an abdominal organ?

A

2nd trimester

27
Q

What are aminoinfusions used to treat?

A

Variable deceleration

28
Q

How long do fetuses sleep every hour?

A

20 minutes

29
Q

What causes early decelerations?

A

head compression, increase ICP

30
Q

What is the most common cause of late decelerations?

A

placental insufficiency

31
Q

What does internal fetal monitoring require?

A

Rupture Membranes
Presenting Part engaged in pelvis
Cervical dilation

32
Q

Variable Decelerations are caused by?

A

Cord Compression

33
Q

When evaluating an external monitor tracing of a woman in active labor whose labor is being induced, the nurse notes that the FHR begins to decelerate at onset of contractions and returns to baseline before each contraction ends. What should the nurse do?

A

Document finding in patient record

34
Q

What influences external fetal monitoring? What is the most accurate way to assess fetal heart rate?

A

Changes in both maternal/fetal position

Most accurate way is internal

35
Q

What is an ominous sign on an external fetal monitoring strip?

A

late decelerations

36
Q

Intervention for persistent late decelerations

A

Commonly caused by placental insufficiency

  • repositioning
  • Turn off pitocin
  • O2
    -Fluid BOlus
    -Notify Provider
37
Q

You notice a decrease in fetal heart rate that starts AFTER peak of contraction. What is this tracing and what are the appropriate interventions?

A

Late Decels

Reposition patient
Turn off pitocin
O2
Fluid Bolus
Call Provider

38
Q

The Pancreas forms in the foregut during the 5th and 8th week of gestation A client with poorly controlled gestational diabetes asks the nurse what effects of her condition will be on the fetus. What is the best response by the nurse?

A

Macroscopic Fetus
Decreased lung maturation

39
Q

Function of chorionic villi

A

O2 and CO2 transport to and from maternal blood stream

40
Q

What effect does maternal hypertension have?

A

Reduces maternal-placental blood flow, accelerates lung maturity

41
Q

Amniotic Fluid Function

A

Maintain warmth
prevent contractures
aid in lung maturity
aid in renal maturity

42
Q

When do heart anomalies occur during development?

A

3rd and 6th week

43
Q

Which answer is correct regarding the umbillical cord?

A

1 umbilical vein
intervilous space where there is an exchange of oxygen and nutrients and CO2 and waste
2 arteries

44
Q

What maternal position produces optimal fetal circulation?

A

side lying

45
Q

Common Teratogens

A

Cytomegalovirus CMV
Ionizing Radiation
Carbamazepine
Lead
Hyperthermia
Isotertinoin

46
Q

Regarding the placenta…

A

Includes cord and transfers oxygen and nutrients, eliminates waste and Co2
Grows until 20 weeks
Calcifies with age, hypertension and uncontrolled diabetes
Inner lining amnion, outer chorion

Women's Health (6 decks)

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