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30 Cards in this Set

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ABRUPTIO PLACENTA
The premature detachment of the placenta. S&S- Sudden onsent of severe and constant lower Abs pain. Dark Vaginal Bleeding. Soft, tender, or contracting uterus, Shock.
AMNIOTIC SAC
Protective membranous sac that insulates and protects the fetus during pregnancy. Sac contains 500 to 1000 CC of amniotic fluid.
BREECH PRESENTATION
In childbirth, a delivery in which the baby's buttocks or feet present before the head.
CERVIX
The interiror, narrow portion of the uterus, that opens into the vagina. During labor, the cervix will thin out (efface) and diate to allow for the fetus and placenta to pass into the birth canal or vagina.
ECLAMPSIA
A condition whereby a pregnant female experiences seizures in addition to preeclampsia; usually occurs during the third trimester of pregnancy.
ECTOPIC PREGNANCY
The implantation of a fertilized egg outside of the uterus; usually occurs in the fallopian tube.
FALLOPIAN TUBES
Pair of muscular tubes that extend from the uterus into the pelvic cavity. Tubes provide passageway for the transport of sperm to the egg and egg back to uterus by wavelike, muscular contractions.
FETUS
The unborn child.
MENSTRUAL CYCLE
If no egg is gertilized, the utrus sheds the lining, which is composed of cells and blood. This process is known as the menstrual cycle or menstrual peiod.
MISCARRIAGE
Same as a spontaneous abortion
OVARIES
Walnut-sixed pair of glands located on each side of the uterus in the upper pelvic cavity. Produce mature ova (eggs) and secrete primarily female sexual hormones (estrogen and progesterone)
PERINEUM
External female fenital region. and the opening of the vagina. the labia are structures that protect the openings.
PLACENTA
a disk-shaped spongy organ that develops in the uterus during pregnancy. Nourishment from Baby and Mother. Also manufactures hormones vital to the maintenance of the pregnancy.
PLACENTA PREVIA
An abnormal positioning of the placenta in the uterus. Once the placenta delivers or begins to separate, the fetus will not receive oxygan or nutrients.
PREECLAMPSIA
During pregnancy, hypertension and exess fluid retention.
PROLAPSED CORD
In childbirth, a delivery in which the umbilical cord presents during delivery.
SPONTANEOUS ABORTION
A sudden and unexpected loss of pregnancy. Usually occurs in the first 3 month of pregnancy or up to the 20 week. After 20 is called the intrauterine fetal demise or stillborn.
SUPINE HYPOTENSIVE SYNDROME
When in a supine position, a restriction of the flow of blood to the placenta due to the fetus compressing the inferior vena cava.
UMBILICAL CORD
Attachment between the fetus and placenta. Umbilical cord contains two arteries and one vein, providing continuous blood flow. The blood, oxygen, and noursihment to the baby from the mother are carried via the umbilical vein. the arteries carry deoxygenated blood from the fetus back to the placenta.
UTERINE RUPTURE
occurs most commonly after the onset of labor. Severe Abs pain, normal labor/severe contraction, Contractions stop then Uterus ruptures. S&S -continuous severe abdominal pain, minimal vaginal bleeding, tearing sensation, nausea, shock Easily palpable fetus in abdomen.
UTERUS
Pear shape hollow, muscular organ. Three parts the fundus, the body, and the cervix. The innerlining of the uterus, the endometrium, serves as the site of implantation of the fertilized egg as well as the organ of menstruation. Fetus develops within uterus.
VAGINA
the birth canal or passageway between the uterus and the external genitalia or perineum.
RECALL THE PHYSIOLOGIC CHANGES IN "NORMAL" VITAL SIGNS IN PREGNANT PATIENTS?
Respiratory system - they will increase respiratory rate and depth. during four and fifth month they become slightly respiratory alkalosis develops.

Cardiovascular system - increase in normal blood volume 40 to 50 percent. With more plasma, the Red Blood cells stay the same, resulting in physiologic anemia. more white blood cells, and more cardiac output.

Resting heart raate increase 10 to 20 beats per minute. The normal BP drops 10 to 15 mm from normal

Have to pee more because of cardiac output. And have heartburn because of cramped digestive organs.
Identify Four signs of Impending Delivery?
Contractions
Ruptured Membranes - Water breaking
Bloody show, mucus plug
Pain - Abdominal pain/back pain
Transition- patient may panick and be out of control.
Urge to Push - bowel movements/push baby out.
Crowning

Delivery is close in her first pregnancy when she has an urge to move her bowels, bag of water has broken and crowning is present.
List the three stages of labor?
First stage - Beginning of regular contractions to complete dialation of the cervix (10cm)
Second stage - Complete cervical dilation to delivery of the baby.
Third Stage - Delivery of baby to delivery of the placenta.
Describe the priorities for newborn care?
Stimulate breathing and dry baby, rub spine. Get baby warm! Should cry and improve color. Apgar score at 1 and 5 minutes after delivery. Cut Umbilical cord.
Identify and list management procedures for post-delivery bleeding?
place dry baby with mother and try breast feeding it contracts the uterus.

Massage the mother's lower abdomen.

maternity sanitary napkins and cold back to the mother's perineal area.

Also add O2 and IV as other aids.
Identify four high-risk or "priority" situations involving prehospital childbirth?
Multiple Births, Breech presentation, Prolapsed cord, Limb persentation.
List two causes of abdominal pain in pregnant patients?
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Identify two causes of vaginal bleeding during the third trimester of pregnancy.
Sports/recreational injuries - horseback riding or bicycle seats.

Sexual assault or rape

Childbirth

Foreign body insertion.