week 2 Flashcards

1
Q

relaxation in pelvic joints results from _____

A

hormonal changes

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2
Q

sacrum to top of symphysis

A

true conjugate

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3
Q

sacrum to middle of symphysis

A

obstetrical conjugate

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4
Q

sacrum to bottom of symphysis

A

diagonal conjugate

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5
Q

how is OC calculated?

A

DC- 1.5 to 2= OC

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6
Q

what is normal OC?

A

10cm or more

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7
Q

which is the shortest ap diameter of the inlet? OC, DC, or TC?

A

OC

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8
Q

what is normal DC?

A

12cm

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9
Q

Going from TC to OC to DC what are the normal measurements?

A

11, 10, 12

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10
Q

How is TC calculated?

A

DC-1.2=TC

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11
Q

What is the normal measurement of transverse diameter of outlet? inlet?

A

outlet=11

inlet=13.5

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12
Q

What is the transverse diameter referring to?

A

the distance between the linea terminalis

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13
Q

What is the normal interspinous diameter

A

10cm

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14
Q

What is the normal anteroposterior diameter of the midlplane?

A

11.5

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15
Q

What is the posterior sagittal diameter of the midpane measuring?

A

between the sacrum and the line created by the interspious diameter

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16
Q

what is the normal measurement of the post. sagittal diameter of the midplane?

A

4.5cm

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17
Q

If thoms rule is _____then the bony outlet is adequate

A

> 15cm

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18
Q

Size of non pregnant uterus?

A

mango, pear

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19
Q

Size of 12 week uterus

A

grapefruit or softball

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20
Q

size of 20 week uterus

A

size of cantelope

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21
Q

three denominators

A

occiput, mentum, sacrum

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22
Q

3 fetal lies

A

transverse, longitudinal, oblique

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23
Q

presenting part

A

part of the fetus that is nearest the cervix

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24
Q

attitude

A

relationship of one fetal part to another

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25
presentation
part of fetus over the inlet
26
position
relationship o the denominator to the maternal pelvis
27
Which pelvis is the best for vaginal delivery?
gynecoid
28
which pelvis has a roomy outlet and a round inlet?
gynecoid
29
which pelvis is more prominent in black women?
anthropoid
30
which pelvis has an oval inlet?
anthropoid
31
which pelvis I wider front to back rather then side to side?
anthropoid
32
which pelvis is comparable to a males
android
33
which pelvis is heart shaped?
android
34
which pelvis has reduced posterior segments?
android
35
which pelvis is flat, narrow, and wide?
platypelloid
36
which pelvis has a shallow cavity but widens at the outlet?
platypelloid
37
Which pelvis is common in native American women?
platypelloid
38
suprapubic arch should be at least ___degrees
90
39
three presentation
cephalic, breech, shoulder
40
three types of attitude
flexion, extension, military
41
anterior fontanels are ____shaped
diamond
42
post fontanels are ___shaped
triangle
43
bregma
anterior fontanels
44
lambda
post fontanels
45
when do you perform TOC for GC/C?
4 weeks and then at the end of pregnancy
46
gbs screen good for ___weeks
4
47
what labs do you obtain at 24-28 weeks?
glucose, HH, repeat antibody screen if rh-
48
underweight BMI
<18.5
49
normal BMI
18.5-24.9
50
overweight BMI
25-29.9
51
obese BMI
>30
52
weight gain for underweight BMI
28-40
53
weight gain for normal BMI
25-35
54
weight gain for overweight BMI
15-25
55
weight gain for obese BMI
11-20
56
why does a pregnant person in second trimester appear more hemodiluted?
big surge in blood volume that comes in the form of plasma
57
what is evident of iron deficiency?
low MCV
58
criteria for iron deficiency in 1st and 3rd trimesters?
hgb <33%
59
criteria for iron deficiency in 2nd trimester
hgb<32%
60
take iron with ____to help absorption
vit c
61
take iron separate from ___and ____ to help in absorption
PNV and Ca
62
important factors to monitor in vegitarians bc there is not much of these in veggies
vit b and folic acid
63
moderate caffeine consumption
<300mg per day
64
best sweeteners in pregnancy bc they are natural
splenda or truvia
65
when are the greatest iron needs for the fetus?
3rd trimester
66
which trimester should herbs be avoided?
1st
67
abortifactant herbs to avoid
rue, tansy, pennyroyal, high vit c with rose hips
68
uterine and nervous system herbs to avoid
blue/blach cohosh prior to term, ma huang or Chinese ephedra
69
teratogen herbs to avoid
caffeine infusions, excess sucrose and quinine
70
hormonal herbs to avoid
estrogens: licorice, black cohosh, dong quai progesterones: chaste tree berry and wild yam
71
toxic herbs
chaparral, comfrey, germander, jin bu haun, lobelia, ma huang, stephania, magnolia, yohimbe
72
st johns wart should be ____
avoided
73
placental transport of drugs to the fetus starts at ___
5 weeks
74
from 31-71 days, exposure to teratogens is _____
organ specific
75
before day 31, exposure to teratogen is _____
all or none...usually results in SAB
76
most drugs have a shorter __ ____ in pregnancy
half life
77
what four tests make up the quad screen?
AFP, estriol, HCG, Inhibin A
78
what causes an abnormally HIGH AFP?
leaking from open NTD, wrong gestational age, multiples,
79
what causes a LOW AFP?
trisomy 21, 18
80
where is AFP produced?
yolk sac then the fetal liver
81
decreased estriol is associated with
trisomy 21,18, inaccurate gestational age
82
increased estriol is______
normal
83
decreased HCG seen in
trisomy 18
84
increased HCG seen in
trisomy 21, multiples, inaccurate GA, other anomalies
85
inhibin A follows same abnormals as ___
HCG
86
four positions of leapolds
1. feel fundus 2. feel sides of uterus 3. pawlicks 4. feel fundus and pawlicks together