The Blessed Event Flashcards

1
Q
What happens to the mother during pregnancy?
HR?
BP?
Blood Volume?
Minute Volume?
RR?
Tidal Volume?
A
HR increases
BP decreases
Blood volume increases
Minute volume increases
RR increases
Tidal volume decreases
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2
Q

In regards to blood volume for a pregnant lady, plasma volume increases by ___. RBC’s increase by ___. What may result due to this?

A

50%
30%
RBC’s cannot keep pace, so relative amenia. Hemoglobin needs iron so need more iron to populate RBC’s.

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3
Q

Number of times someone has been pregnant?

A

Gravida

nulli, para, multi

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4
Q

Number of living birthing events?

A

Para

nulli, para, multi

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5
Q

Two types of abortions?

A

Spontaneous abortion-miscarriage

Therapeutic abortion-termination of pregnancy by procedure

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6
Q

Period for abortions?

A

<20 weeks

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7
Q

Questions you should ask for a pregnant woman?

A
Gravida 
Para
Abortions
Gestational age/Estimated date of confinement (EDC)
Last menstrual period (LMP)
Pain vs contractions
Vaginal discharge or bleeding (also ho wmuch)
Complications
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8
Q

Stages of labor?

A

Dilation
Explusion
Placental
After care

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9
Q

Dilation

A

Time of onset of true labor until the cervix is completely dilated (10 cm)

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10
Q

The pituitary gland produces _____, which starts the process of egg maturation, allowing the follicles to “ripen”

A

Follicle stimulating hormone

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11
Q

Follicle stimulating hormone

A

Hormone which starts the process of egg maturation, allowing the follicles to “ripen”

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12
Q

The ovary contains ____, fluid filled sacs that contain eggs

A

Follicles

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13
Q

Follicles contain ____ and ____

A

Granulosa cells and oocytes

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14
Q

Granulosa cells

A

Cells in the follicle that produces hormones, mainly estrogen

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15
Q

Oocyte

A

Cell that wants to be an egg

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16
Q

Steps in the menstrual cycle until the corpus lutreum is produced

A

The pituitaty gland produces FSH which stimulates the follicles in the ovary. A follicle becomes a z follicle when the granulosa cells produce estrogen. Estrogen begins to thicken the endometrium. The z follicle becomes a maturing follicle. At this point, the heightened production of estrogen causes a feedback loop to the pituitary gland. FSH is turned off and luitenizing hormone is turned on. An ovum explodes from the now vesticular follicle. The vesticular follicle becomes the corpus lutreum.

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17
Q

Z follicle

A

Secondary follicle. Estrogren production by the granulosa cells

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18
Q

Estrogen thickening the endometrium in preparation for an egg

A

Proliferation

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19
Q

Endometrium

A

Lining of the uterus

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20
Q

Luitenizing hormone

A

Triggers ovulation

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21
Q

Corpus Lutreum

A

Oocyte without an ovum

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22
Q

Steps after formation of the corpus lutreum, no fertilization

A

Corpus lutreum dies and estrogen/progesterone decreases and unterine lining sloughs off. Now FSH gets turned back on (b/c of decrease in estrogen and progesterone production) and LH (luteinizing hormone) is turned off

23
Q

Purpose of estrogen and progesterone

A

Triggers the production of prostaglandin in the uterus to prepare the uterus for implantation

24
Q

Steps after the formaion of the corpus lutreum, egg is fertilized

A

Fertilized ovum produces hormone called human chrononic gonadotropium (HCG). HCG keeps the corpus lutruem viable. If corpus lutruem is kept around, produces estrogen and progesterone, so now keep endometrium around. Keep FSH shut off.

25
Q

What is day one of the menstrual cycle?

A

Onset of bleeding. Discarding egg and uterine lining.

26
Q

How do birth control pills work?

A

Birth control pills boost levels of estrogen and progesterone. So no FSH produced. Body thinks it is pregnant.

27
Q

If you are on birth control pills or pregnant, you produce high levels of estrogen which makes you prone to clots. You are at risk for _____

A

Pulmonary embolism

28
Q

Fertilization usually occues in the ____

A

Fallopian tube

29
Q

Where is the preferred place for egg implantation?

A

Upper half of the uterus.

30
Q

Once the egg attaches to the uterus, it creates a disc that becomes the _____

A

Placenta

31
Q

The placenta belongs to the ____ and the endomentrium belongs to the ____

A

Fetus

Mother

32
Q

Hollow muscular organ about the size of a female’s fist

A

Uterus

33
Q

____directs the egg into the fallopian tube

A

Fimbrae

34
Q

Fimbrae

A

Finger like projections that direct an egg into the fallopian tube

35
Q

Opening of the uterus itself

A

Os

36
Q

Lower part of the uterus in the human female reproductive system.

A

Cervix

37
Q

Birth canal

A

Vagina

38
Q

Space between the vaginal opning and the anus

A

Perineum

39
Q

An egg becomes a ___ after a week or so, then an ____, then after 8 weeks a ____

A

Zygote
Embroyo
Fetus

40
Q

Placenta

A

Where gas exchange occurs. Oxygenated blood goes to the endometrium, de oxygenated blood goes to the placenta. Established an concentration gradient. CO2 goes out of the placenta. Also, where nutrients go to the baby and waste products are gotten rid of.

41
Q

Many things can cross the ____, such as drugs

A

Placenta

42
Q

The ___ surrounds the fetus and is filled with amniotic fluid

A

Amniotic sac

43
Q

Until the fetus is born, there is no gas exchange in the lungs. The Aveoli is willed with ____

A

Amniotic fluid

44
Q

Ductus arteriorsum

A

Connects the pulmonary artery to the aorta

45
Q

Forum ovale

A

Hole in the atrial/septum. Allows blood to the through the right atrium to the left atrium. Therefore, instrad of going through the pulmonary circuit, blood goes straight to the left atrium

46
Q

From the placenta, to the baby there is one ____ that is carrying deoxygenated blood to the baby. The oxygenated blood is dumped into the ____ via the _____. Blood goes into the ____ and then is pumped throughout the baby’s body

A

Pulmonary vein
Inferior vena cava
Ductus venosum
Right atrium

47
Q

Three things in the fetus for blood circulation due amniotic fluid in the aveoli

A

1) Forum ovale
2) Ductus ateriosum
3) Two umbilical arteries, one each comes off the iliac arteries. Blood from here interacts with endometrium/concetration gradient. Leads to regulation of oxygen in the fetus.

48
Q

Two umbilical arteries, one each comes off the iliac arteries. Blood from here interacts with _____. Leads to _____.

A

Endometrium/concetration gradient

Regulation of oxygen in the fetus.

49
Q

Third trimester issues

A

Placenta abruptio
Placenta previa
Uterine rupture

50
Q

Placenta abruptio definition and risk factors

A

Placenta prematurely separates from endometrium

Risk factors: trauma, HTN, PIH, multipara, cocaine, smoking, Diabetes

51
Q

Placenta previa and risk factors

A

When egg implanted too low to the point where placenta encroaches the cervix
Risk factors: multipara, h/o C-section, maternal age

52
Q

Uterine rupture

A

Due to obstructed delivery, prolonged/difficult labor, trauma
Risk factors: prior c-section, large fetus

53
Q

S/S pregnancy induced hypertension/pre-eclampsia

Risk factors?

A

Hypertension
> 140/90, or SBP 30 higher/DBP 15 higher than pre-pregnancy
Edema
Proteinuria
Risk factor: diabetes, primagrava, hypertension, maternal age