Test 3 Part 5 Flashcards
What is Post-term Pregnancy? How common is this?
Pregnancy that reaches 42+ weeks;
5-10% of pregnancies
T/F: Pernatal mortality rate doubles by 42 weeks and is 4-6x greater at 44 weeks.
True
Nonreassuring test results, oligohydramnios, and 42+ weeks’ gestation are all indications for what?
labor induction
What is the term for glucose intolerance that begins, or is first recognized, during pregnancy?
Gestational Diabetes
When is screening for Gestational Diabetes usually done?
24-28 weeks gestation
What are the 5 most common management options for Gestational Diabetes?
Oral Hypoglycemic Medications, Insulin, Blood glucose monitoring, Exercise, Diet
OH MI BED
What is the most common complication of babies whose mothers had Gestational Diabetes?
Shoulder dystocia
T/F: Mothers with Gestational Diabetes typically require insulin in the postpartum period.
False; rarely required (breastfeeding improves glycemic control)
T/F: Mothers with Gestational Diabetes have no increased risk of Type 2 Diabetes.
False; there is an increased risk for developing type Diabetes in their future.
What striae gravidarum?
stretch marks that tend to appear in the 2nd and 3rd trimester
What is the term for pigmentation of the linea alba from the symphysis pubis to the top of the fundus?
Linea nigra
What 4 things are included in the assessment of the pregnant abdomen?
measurement of the fundal height,
fetal growth,
position of the fetus,
monitoring of fetal well-being
What is the Naelgele Rule?
add 7 days to the first day of the last normal menstrual period and count back 3 months to determine due date
What is the average duration of a pregnancy?
40 weeks (280 days)
What should the patient do before you measure the fundal height?
empty her bladder
When is the fundal height measurement the most accurate?
20-30 weeks
Obesity, amount of amniotic fluid, multiple gestation, fetal size/attitude, and the position of the uterus are all factors that may affect the accuracy of what?
fundal height measurement
What is/are Leopold’s maneuvers used to determine?
fetal position
If the long axis of the fetus is aligned to the mother’s what is the “lie” considered? if the long axis is perpendicular to the mother’s? in between?
longitudinal;
transverse;
oblique
What are the 5 options for describing the fetal presentation?
vertex, breech, brow, facial, or shoulder
What are the 3 options for describing the fetal attitude?
flexed, deflexed, extended
What is the denominator? What are the options?
a letter that represents the presenting fetal part; O for occiput, S for sacrum, M for mentum, F for frontal, AC for acromion, or SC for scapula
What are the 8 Flexed Vertex Presentation possibilities?
LOL, LOA, LOP,
ROL, ROA, ROP,
OP and OA
In a full/complete breech, how are the arms and legs positioned?
both flexed in the feta position
In a Frank Breech, how are the arms and legs positioned?
arms flexed, legs extended straight up over head
What is the term for when one or both feet are extended downward and may exit the birth canal first?
Footling Breech
What is determined by the amount of head that is above or below the pelvic brim and is usually done by dividing the head into fifths?
Engagement
During Leopold’s maneuvers, why is a small rolled towel placed under the patient’s right hip?
to get pressure off of the vena cava
What is determined during the First Maneuver?
what part of baby is inthe fundus
What is determined during the Second Maneuver?
position of the baby’s back
What is determined during the Third Maneuver? Fourth?
what part is lying above the inlet; flexed/deflexed/extended?
Which of Leopold’s Maneuvers can only be performed if the baby is not engaged?
Fourth Maneuver
What is domestic abuse mostly about?
control
