Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
102 Cards in this Set
- Front
- Back
|
Abruptio plecenta:
|
-premature placental seperation from the uterine wall. Partial or complete
|
|
|
ACME:
|
Peak or time of the greatest intensity of a uterine contraction
|
|
|
Active Phase:
|
2nd phase of the 1st stage of labor (dialation from 4-7cm)
|
|
|
Amnihook:
|
hook used for amniotomy(rupture of fluids)
|
|
|
Amnioinfusion:
|
isotonic, glucose free solution inserted into the uterus to cushion the umbilical cord or thin out meconium, often after "water has broken"
|
|
|
Amniotic Fluid Embolism:
|
-debrea from baby (vernix, lanugo, meconiom) enter maternal circulation and cause a PE
|
|
|
Anencephaly:
|
Failure of the fetal brain, skull, neck to develop, incompatible w/ life
|
|
|
Apgar:
|
-Scoring system fro new borns
taken at 1,5, and 10 minutes post delivery. -score is derived from HR, Respiratory effort, muscle tone, reflexirritability, color, score 0-2 on each for a total of upto 10 |
|
|
Atony
|
Lack of muscle tone
|
|
|
Augmentation of labor
|
stim of uterus after labor has started
|
|
|
Beat to beat variability
|
-short term variability fetal HR, beat to beat in the infant
|
|
|
Blody show
|
Plug loss 24-48 hrs pre labor onset
|
|
|
Braxton -hicks contractions
|
painless, they produce no cervix changes
|
|
|
Brow presentation
|
fetal decent, ant. fontanel and the fetal eys decend into the maternal pelvis
|
|
|
Cepalopelvic Disproportion
|
Abnormal relationship in which the maternal pelvis stops the decent of the head for delivery
|
|
|
Chorioamnionitis
|
infection od the fetal membranes
|
|
|
Crowning point:
|
birth is inevidable when the head is visible at the vulvar opening
|
|
|
Deceleration
|
slowing of the fetal Heart rate in response to parasympathetic activity
|
|
|
Decrement
|
decrease in intensity, decline of a contraction
|
|
|
Dysfunctional labor patterns
|
not normal progression, aka:labor dystocia
|
|
|
Early onset deceleration
|
slow HR w/ contractions,compression of the head causes this
|
|
|
Effacement
|
shortening of the cervix
|
|
|
External caphalic version
|
external manipulation of the fetus postion to the cephalic position. DONE BY THE DR>
|
|
|
Fetal attitude
|
relationship of fetal body parts to one another
|
|
|
Fetal distress
|
HR ^ indicates hypoxia, metabol. acidosis, resperatory acidosis
|
|
|
Fetal HR variability
|
HR changes over an extended period of time, indicated CNS status, measured in 1 minute intervals
|
|
|
Fetal Lie
|
relationship of the fetal long axis to that of the maternal long axis or the spinal cord
|
|
|
Fetal position
|
position if the fetus in the maternal pelvis, left of right side
|
|
|
Fetal presentation
|
Anatomical part closest to the birth canal
|
|
|
Fetal spiral electrode
|
fetal monitoring device, records the HR by R-wave monitoring
|
|
|
First stage
|
onset to full dialation
|
|
|
First stage of labor
|
Devided into 3 parts, latent, active, and transition
|
|
|
Flexion
|
occurs when the fetal chin to chest to pass through the birth canal
|
|
|
Fourth stage of labor
|
1st 4 hrs post delivery of placenta
|
|
|
Gravidity
|
# of pregnancies
|
|
|
Heuristic pushing
|
Expulsive effort, open glotis method of pushing
|
|
|
Homan's sign
|
ass of thrombophlebitis of the calf. Pain with leg ex and dorsiflexion
|
|
|
Hypertonic contractions
|
increased uterine resting tone, too strong or more than 5 in 10 minutes
|
|
|
Hypertonic Labor
|
uterine irritability, poor resting tone, fq contractions closer than every 2 min
|
|
|
Intrathecal
|
opiod into CSF
|
|
|
IUPC
|
Intrauterine pressure catheter measured in mmHg
|
|
|
Labor Augmentations
|
Oxytocin, stimulate labor
|
|
|
Laten phase (stage 1 of labor)
|
first phase, form 0-4cm dialation
|
|
|
Leopold maneuvers
|
abd palp to determine position
|
|
|
Lightening
|
movement of the fetus into the true pelvis
|
|
|
Long-term varaibility
|
LTV- fetal HR variance measured in minute intervals
(0-5 bpm=dereased , 6-25 bpm=ave, >25 =marked (3 pt scale) |
|
|
Macrosomia
|
-fetal growth exceeds 90th percentile
|
|
|
4 types of pelvises
|
-Gynecoid (female)
-Android (male) -Anthropoid (ape) -Platypelloid (Flat) |
|
|
Multi para
|
more than one full term birth live or dead
|
|
|
Nesting
|
energy burst 48 hrs prior to the onset of birth
|
|
|
Nitrazine test
|
test for amniotic fluid, this paper is pH sensative, turns blue in the presence of alkiline amniotic fluid
|
|
|
Nuchal Cord
|
One or more loops in the umbilical cord around the fetal neck
|
|
|
Oligohydramnios
|
less amniotic fluid than expected in the 3rd trimester(<500ml) or < 5 cm total of the 4 quad sonograph.
|
|
|
Overshoot
|
rebound increae in fetal HR. following variable deceleration
|
|
|
Oxytocin
|
Hormone poduced at the Neurohypophisis (Post. Pituitary), starts laboe and maintains it
|
|
|
Parity
|
# of past pregnancies that have reached gestation of viablity despite result
|
|
|
Partial placenta previa
|
does not completely occlude the cervical os
|
|
|
Parturient
|
Woman giving birth
|
|
|
Periodic fetal HR changes
|
Associated w/ uterine contractions
|
|
|
Placenta percreta
|
abnorm. placental attatchment that completely penetrates the myometrium
|
|
|
placental previa
|
Implantation of the placenta in the uterus that ranges from complete(complete previa) cover to partial cover (marginal previa) of the cervical oz
|
|
|
Placental abruption
|
partial or complete premature seperation of a normally implanted placenta
|
|
|
Polyhydramnios
|
amniotic fluid in excess of 1.5 lts, frequently seen in fetal anomaly of insulin dependant preg, woman
|
|
|
Precipitate labor
|
fast labor, <3hrs
|
|
|
Precipitous delivery
|
unduely rapid progression of labor, no Dr. in attendance
|
|
|
Preeclampsia
|
disease encountered after 20 weeks of gestation or early in the puerperium; a vasopastic disease process characterized by increaseing hypertension, proteinuria, and edema
|
|
|
Pregnancy induced Hypertension
|
disorders of pregnancy
-preeclampsia, eclampsia, and transient hypertension |
|
|
Premature Labor
|
pre 37 week labor
|
|
|
Premature rupture of membranes (PROM)
|
Bag breaks before uterine contractions start.
|
|
|
Presenting part
|
Part of fetus closest to the internal oz
|
|
|
Premature birth
|
< 37 weeks
|
|
|
PPROM) Preterm premature rupture of membranes
|
spontaneous rupture of the amniotic membranes prior to the onset of labor, prior to 37 weeks of gestation
|
|
|
Primary powers
|
Involentary uterine contractions
|
|
|
Prolapsed cord
|
Loop of coord in the path of decent, causes strangulation of cord
|
|
|
Pudendal block
|
Loc. anesthesia of the pudendal nerves
|
|
|
Reactivity
|
presence of at least 2 spontaneous fetal HR accelerations of at least 15 beats per minutes and at least 15 seconds duration each, within a 10 minute window
|
|
|
Resting tone
|
tension of the uterine muscle between contrations. Normal range is 110-160 bpm
|
|
|
Saltatory pattern
|
marked long term variabilit: a baseline that is chaotic and jumps up and down multiple times each minute
|
|
|
Second stage of labor
|
starts after complete dilated and effaced and ends with the ejection of the fetus
|
|
|
Secondary powers
|
Womens intentional effort of the woman to push out the fetus
|
|
|
Short-term (beat to beat) variability:
|
Irregular Heart beat one beat to the next
|
|
|
Short-term variability (STV)
|
measured w/internal mode of fetal monitoring
|
|
|
Shoulder
|
An acceleratory phase preceding or following a variable deceleration
|
|
|
Shoulder dystocia
|
shoulds cause problem with delivery, large babies and small maternal pelvis
|
|
|
Station
|
Relationship of the presenting fetal part to an imaginary line drawn between the ischial spines of the pelvis
|
|
|
Striae gravidarum
|
Stretch marks"
|
|
|
3rd stage of labor
|
delivery of fetus until the placenta
|
|
|
Transition phase
|
The third phase of the first stages of labor during which the cervix dilates from 8-10 cm
|
|
|
True labor
|
contractions, effacement, dialation
|
|
|
Turtle sign
|
interruption in fetal descent where the fetal head pulls back instead of completing the external rotation process and progressing forward to the materanl perineum
|
|
|
Uteroplacental insufficiency
|
decline in placental function leading to fetal hypoxia and acidosis, decrease in HR demonstrates this, Late on ste
|
|
|
Variable decelerations
|
slow HR caused by umbilical cord compression
|
|
|
Phases of contraction: increment
|
Increase or build-up of contraction
|
|
|
Phases of contraction:Baseline
|
Time between contractions
|
|
|
Cardinal movements of labor
|
how the fetus moves as it descends, decent. IR, EXT, engage, flexion
|
|
|
Possible causes of labor:
|
-trauma
-Changes in maternal environment (Stress) -Aging placenta -Term -Hormonal changes |
|
|
Premonitory signs of labor
|
-Bloody show
-Increased urinary -rupture of membranes -lightening -inc. braxton hicks -nesting |
|
|
Fouth stage of labor
|
2 hrs post labor, homeostasis is re-established.
|
|
|
Initial assessment includes:
|
-fetal status
-vaginal examination (dialtion, effacment, amniotic fluid) -leopolds manouver to determine fetal position -ass. uterine contractions -assess fetal status - |
|
|
Latent VS
|
-BP/30min
-temp/4hrs -bladder (I/0) |
|
|
Active labor characteristics
|
-Contractions every 2-3 minutes.
-Pain icreases -good time for and epidural -hydro therapy -when engagement occurs -focused mood |
|
|
Transition phase:
|
-Contractions are overwhelming in intensity
Contractions ever 1.5-2min |
