Family Ob/peds

Front 1

Mixed opioid agaonist-antagonist compound

Back 1

systemic analgesic that provides analgesia w/out causing maternal or neonatal resp. depression

Front 2

Anesthesia

Back 2

Abolition of pain perception by interrupting nerve impulses going to the brain. Loss of sensation (partial or complete) and sometimes loss of consciousness occurs

Front 3

Analgesia

Back 3

Alleviation of pain sensation or raising of the pain threshold w/out loss of consciousness

Front 4

Ataractic

Back 4

Analgesic potentiator such as a tranquilizer

Front 5

Epidural analgesia/anesthesia (block)

Back 5

Relief from pain of uterine contractions and birth by injecting a local anesthetic and/or opioid into the peridural space.

Front 6

Autologous epidural blood path

Back 6

Method used to repair a tear or hole in the dura mater around the spinal cord as a result of spinal anesthesia; the goal is to prevent or treat postdural puncture headaches (PDPH)

Front 7

Local infiltration anesthesia

Back 7

provides rapid perineal anesthesia for performing and repairing an episiotomy

Front 8

spinal anesthesia (block)

Back 8

single injection, subarchnoid anesthesia useful for pain control during birth but not for labor

Front 9

Opioid antagonist

Back 9

drug that reverses the effects of opioids, including neonatal narcosis (CNS depression of the newborn)

Front 10

Paracervical (uterosacral) block

Back 10

anesthesia method used to relieve pain from uterine contractions and cervical dilation. It is associated with fetal bradycardia.

Front 11

Pudendal nerve block

Back 11

anesthetic that relieves pain in the lower vagina, vulva, and perineum, making it useful for episiotomy birth, and use of low forceps.

Front 12

Systemic analgesic

Back 12

Medication such as a opioid analgesic that is admin IM or IV for pain relief during labor

Front 13

Sedative

Back 13

Medication such as barbiturate that can be used to relieve anxiety & induce sleep in prodromal or early latent labor

Front 14

Acceleration

Back 14

Abrupt increase in FHR of 15 beats/min lasting 15 sec. or more with return to baseline within 2 minutes of onset

Front 15

Early decel

Back 15

decrease in & return to baseline FHR in response to fetal head compression

Front 16

Variability

Back 16

Expected irregular fluctuations in baseline FHR of 2 or more cycles per minute because of the sym & parasympathetic nervous system

Front 17

Late decel

Back 17

gradual decrease in & return to baseline FHR in response to uteroplacental insufficiency; lowest point occurs after the peak of the contraction

Front 18

variable decel

Back 18

abrupt decrease in FHR below baseline; occurs during or between contractions as a result of cord compression

Front 19

prolonged decel

Back 19

decrease in FHR of 15 beats/min or more below baseline lasting more than 2min but less than 10min

Front 20

baseline FHR

Back 20

assessed between contractions. 10 minutes; excludes periodic or episodic changes, periods of marked variability, & segments of the baseline that difer more than 25 beats/min

Front 21

Undetected variability

Back 21

absence of the expected irregular fluctuations in the baseline FHR

Front 22

periodic changes

Back 22

changes from baseline patterns in FHR that occur w/ uterine contractions

Front 23

episodic changes

Back 23

changes from baseline patterns in FHR that are not associated w/ uterine contraction

Front 24

ritgen maneuver

Back 24

technique used to control birth of fetal head and protect perineal musculature

Front 25

Episiotomy

Back 25

incision into perineum to enlarge the vaginal outlet

Front 26

Oxytocic

Back 26

classification of meds that stimulates the uterus to contract

Front 27

ferguson reflex

Back 27

pressure of presenting part against pelvic floor stretch receptors resulting in womens perception of an urge to bear down

Front 28

shultz mechanism

Back 28

expulsion of placenta w/ fetal side emerging first

Front 29

caul

Back 29

intact amniotic membrane surrounds the newborn's head at birth

Front 30

valsalva maneuver

Back 30

prolonged breath holding while bearing down (closed glottis pushing)

Front 31

ring of fire

Back 31

burning sensation of acute pain as vagina stretches and crowing occurs

Front 32

crowning

Back 32

when widest part of the head (biparietal diameter) distends the vulva just prior to birth

Front 33

duncan mechanism

Back 33

expulsion of placenta with maternal surface emergin first

Front 34

amniotomy

Back 34

artificial rupture of membranes (AROM, ARM)

Front 35

nuchal cord

Back 35

cord encircles the fetal neck

Front 36

prolapse of umbilical cord

Back 36

protrusion of umbilical cord in advance of the presenting part

Front 37

nitrazine test

Back 37

method used to dermine whether membranes have ruptured by assessing pH of the fluid; paper turns blue with alkaline amniotic fluid

Front 38

leopold's maneuvers

Back 38

paplating fetus through abdomen

Front 39

tocolytic

Back 39

drugs used to suppress uterine activity

Front 40

betamerthasone

Back 40

an antenatal gluccocorticoid used to accelerate fetal lung maturity when there is risk for preterm birth

Front 41

Ritodrine (Yutopar)

Back 41

a beta-adrenergic receptor stimulant often administered IV; the only drug approved by the FDA for the purpose of suppressing uterine contraction

Front 42

Terbutaline (Brethine)

Back 42

a betamimetic often administered subcu using a syring or pump

Front 43

magnesium sulfate

Back 43

a CNS depressant used during preterm labor for it's ability to relax smooth muscles; admin IV

Front 44

Nifedipine (Procardia)

Back 44

calcium channel blocker that relaxes smooth muscles (contracting uterus); admin sublingually intially then orally

Front 45

Indomethacin

Back 45

nonsteroidal antiinflammartory medication that relaxes smooth muscles as a result of prostaglandin inhibition; admin rectally intially & then orally

Front 46

laminaria tent

Back 46

natural cervical dilator made from seaweed

Front 47

prostaglandin

Back 47

classification of hormones that can be used to ripen the cervix and/or stimulate uterine contractions

Front 48

misoprostol (cytotec)

Back 48

cervical ripening agent used in the form of a tablet that can be admin orally but more common intravag.

Front 49

(Cervidil) dinoprostone

Back 49

cervical reopening agent in the form of a vaginal insert that is placed in the posterior formix of the vagina

Front 50

(prepidil) dinoprostone

Back 50

cervical repening agent in the form of a gel that is inserted into ther cervical canal just below the internal os.

Front 51

(pitocin) oxytocin

Back 51

pituitary hormone used to stimulate uterine contractions in the augmentations or induction of labor

Front 52

rooting

Back 52

baby turns head towards stimulus, opens mouth, takes hold, and sucks

Front 53

extrusion

Back 53

touch or depress tip of tongue- tongue is forced outward

Front 54

glabellar

Back 54

tap over forehead, bridge of nose, or maxilla when eyes are open- blinks for first four or five taps

Front 55

tonic neck

Back 55

when infant in supine position turn its head quickly to one side as infant is falling asleep or is asleep - arm & leg extend on side of head turn, while opposite limbs flex

Front 56

moro

Back 56

baby on flat surface, strike surface - symmetric abduc & extension of arms occur, fingers fan out, thumb & forfinger for a "C"

Front 57

stepping (walking)

Back 57

hold infant vertically, one foot touch table surface - infant alternates flexion & extension of feet

Front 58

startle

Back 58

baby's arms abduct w/ flexion of elbows; hands stay clenched

Front 59

trunk incurvation

Back 59

infant prone, run finger down side of back 4-5cm lateral to spine; body flexes and pelvis swings toward stimulated side

Front 60

magnet

Back 60

apply pressure to feet w/ fingers; when lower limbs are semiflexed - legs extend

Front 61

cremasteric

Back 61

testes retract when infant is chilled