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test 1 Flashcards

1
Q

functions of the MOU

A

low-to intermediate-risk antenatal care
* basic emergency obstetric care signal functions: magnesium sulphate, intravenous antibiotics, oxytocics,
vacuum delivery, removal of retained placenta, manual vacuum aspiration, neonatal resuscitation
* 24-hour labour and delivery service for low risk women
* comprehensive contraceptive care
* referral of problems to hospital
* management of emergencies

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2
Q

functions of the district hospital

A

antenatal care for high-risk women
* antenatal ultrasound service
* treatment of pregnancy problems, including admission to hospital
* comprehensive emergency obstetric care signal functions: magnesium sulphate, intravenous antibiotics,
oxytocics, vacuum delivery, removal of retained placenta, manual vacuum aspiration, neonatal resuscitation,
caesarean delivery and blood transfusion
* 24-hour labour and delivery service including caesarean delivery
* regional and general anaesthesia
* essential special investigations
* postnatal care and postoperative care
* contraceptive services including postpartum and elective tubal ligation * referral centre for clinics and community health centres in the district
* supervision of clinics and community health centres in the district
* referral of complicated problems to regional or tertiary hospitals
* counselling and support services
* genetic screening and counselling services

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3
Q

layers of the uterus

A

Endometrium
myometrium
perimetrium

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4
Q

the four types of pelvises

A

gynaecoid
android
anthropoid
platypelloid

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5
Q

flexion

A

the head is completely fixed so that the chin of the fetus is in contact with the chest

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6
Q

extension

A

the head is completely extended so that the occiput is in contact with the fetal back

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7
Q

deflexion

A

neither flexion or extension. the fetal head is straight

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8
Q

Regulation no 2488 26 october 1990

A

-equipment and materials
-records
-breestfeeding
-the antenatal period (advise patient to be examined by a medical practitioner, blood test atleast once during pregnancy, assessment of pelvis, antenatal exercises to prep for labour).
-labour

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9
Q

skenes ducts

A

secrete mucus and are often infected in cases of gonorrhoea.

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10
Q

functions of the vagina

A

it is the excretory duct for menstruation
it is the organ that receives the penis during intercourse
it is the birth canal

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11
Q

phases of the menstrual cycle

A

the follicular proliferation
ovulation
the luteal secretory phase
menstruation or pregnancy

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12
Q

zygote

A

the term used to describe the developing ovum from fertilisation- till the end of the third week

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13
Q

embryo

A

4th week-8th week

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14
Q

fetus

A

9th week till term

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15
Q

functions of the amniotic fluid

A
  • acts as a buffer system between the fetus and the uterus to permit symmetrical growth

-equalises pressure to prevent the amnion from adhering to the embryo

-cushions the fetus from impacts to the maternal abdoment

-maintains the fetus at a constant temperature

-the fluid allows the fetus to move freely for the development of muscles

-protects the fetus from infection

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15
Q

what happens after fertilisation

A

fertilised egg is a zygote after mitotic divisions it becomes a blastomere, which then becomes a morula, the cell is now known as a blastocyst. the inner cell mass will be the placenta and the actual cell the fetus

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16
Q

functions of the placenta

A

barrier
nutrition
respiration
excretion
endocrine
enzyme function

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17
Q

what are the names of the fontanelles

A

anterior-bregma
posterior-lambda

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18
Q

Primigravida

A

A woman who is pregnant for the first time

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19
Q

amenorrhoea

A

absence of menstrual periods

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20
Q

viability

A

is 24 weeks or a weight of 500g, it is the ability of the fetus to sustain life outside of the uterus.

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21
Q

gestation

A

period of pregnancy

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22
Q

pica

A

the craving of eating unusual substances such as mud

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23
Q

antenatal

A

period of care for pregnant women starting from their diagnosis up untill labour

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24
mitosis
cell division in somatic cells
25
fetus
term used to describe the fertilised ovum from the 9th week till term (40 weeks)
26
stria gravidarum
the stretch marks occuring on the mothers skin in pregnancy
27
chloasma
brown pigmentation of the skin in the face during pregnancy and in some woman who are taking oral contraceptives.
28
chadwicks sign
a dark purplish discolouration of the mucous membranes and the cervix, vagina and vulva, which is caused by an increased blood volume which causes congestion of these tissues. The vagina is warm, blue and soft.
29
linea nigra
a brown pigmented line on the skin of the abdominal wall of the mother, which runs from the umbilicus to the symphysis pubis and which only occurs during pregnancy
30
quickening
the movements of the fetus in utero which are felt by the mother
31
colostrum
a yellow secretion from the breasts during pregnancy and prior to lactation
32
trimester
the 9 month gestational period which is divided into 3 trimesters of 3 months each
33
Apgar score
A numeric description of the condition of the newborn, designed for rapid assessment at birth.
34
Cephalo haematoma
a swelling on the head of the newborn caused by bleeding under the periosteum of the skull, usually the parietal bones
35
decidua
the lining of the uterus during pregnancy
36
layers of the embro
mesoderm ectoderm endoderm
37
delivery
the birth of the baby, placenta and membranes
38
engagement of the fetal head
when the largest part of the presenting part of the fetal head have passed through the pelvic brim or inlet
39
gestational age
the age of the embryo or fetus
40
grande multipara
a women who has had five or more viable babies
41
gravida
a pregnant woman
42
hegars sign
a method to detect early pregnancy and to determine the gestational age of the fetus
43
Hydrocephaly
a condition in which excessive cerebrospinal fluid in the brain leads to rapid head growth
44
Hyperemesis gravidarum
excessive vomiting during the first trimester of pregnancy
45
implantation
attachment of the fertilised ovum to the uterine wall in a normal pregnancy
46
involution
the process where the uterus and other reproductive organs resume their normal size and function after delivery
47
ketosis
presence of ketones in the blood
48
lochia
vaginal discharge in the puerperium
49
Mongolian spot
a pigmented area on the lower back and buttock of some newborn babies and which has no significance
50
moulding
the shaping of the fetal head as it passes through the birth canal
51
what are the functions of the fontanelles
allow for skull compression during birth and allow brain growth during the infants first year.
52
Multigravida
a woman who is pregnant for the second time or any subsequent time
53
multipara
a women who has had more than one viable baby
54
nulligravida
a woman who has never been pregnant
55
nullipara
a woman who has never delievered a viable baby
56
Oligohydramnios
abnormally small amounts of amniotic fluid in pregnancy
57
operculum
a mucous plug sealing off the cervical canal during pregnancy
58
parity
the number of viable infants that a woman has delivered
59
Pawliks grip
used in abdominal palpitation to determine the presenting part of the fetus
60
pelvic brim or inlet
the plane of division between the true and false pelvis
61
perineum
the surface area between the vagina and the anus
62
Polyhydramnios
an excessive amount of amniotic fluid during pregnancy
63
presentation
the part of the fetus which lies over the brim of the pelvis
64
Rh factor
a group of antigens that may be present on the envelope of the red blood cells
65
siniciput
the forehead or the brow in the fetus (the two frontal bones)
66
symphysiotomy
artifical division of the ligaments of the symphysis pubis, resulting in enlargement of the diameters of the pelvis
67
teratogens
a enviromental agent that causes a malformation of the developing embryo or fetus
68
vertex
the highest portion of the fetal skull
69
version
the turning of the fetus so there is a different presenting part
70
whartons jelly
a jelly like substance contained within the umbilical cord and surrounding the umbilical blood vessels

midwifery (1 decks)

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