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69 Cards in this Set
- Front
- Back
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VBAC
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vaginal birth after Cesarean section
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C/S
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Cesarean section
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MI
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membrane intact
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ROM
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Rupture of membranes
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PROM
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premature rupture of membranes
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PPROM
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preterm premature rupture of membranes
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SROM
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spontaneous rupture of membranes
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AROM
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artificial rupture of membranes
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UC's
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uterine contractions
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PTL
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Preterm labor
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GR
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Gravida
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P
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Para
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AB
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abortion
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SAB
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Spontaneous abortion
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TAB
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Therapeutic abortion
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LMP
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last menstural period
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EDD
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estimated date of delivery
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EDC
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estimated date of confinement
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SGA
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small for gestational age
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LGA
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large for gestational age
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NTD
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neural tube defect
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FHR
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fetal heart rate
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FHT
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fetal heart tone
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BPM
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beats per minutes
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OA
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occiput anterior
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OP
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occiput posterior
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CPD
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cephalopelvic disproportion
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LDRP
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Labor, delivery, recovery and postpartum
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NST
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non stress test
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CST
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contraction stress test
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BTL
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bilateral tubal ligation
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EFT
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electronic fetal monitoring
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IUPC
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intrauterine pressure catheter
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IUGR
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intrauterine growth retardation/restriction
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UPI
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uteroplacental insufficiency
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PIT
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pitocin
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PP
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postpartum
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MEC
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meconium
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FTP
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failure to progress
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NSVD
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normal spontaneous vaginal delivery
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US
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ultrasound
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AFP
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alpha fetal protein
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AFI
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amniotic fluid index
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HCG
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Human chorionic gonadotropin
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GBS
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group B streptococcus
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CVS
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chorionic villus sampling
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BPP
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biophysical profile
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GDM
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gestational diabetes mellitus
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AP
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antepartum
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ANT
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antenanal testing
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1FB/UMB
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one fingerbreath above umbilius
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UMB/2FB
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two fingerbreath below/umbilicus
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external fetal monitoring
devices |
--tocodynamometer "toco" (for uterine contraction)
-- ultrasound monitor (for FHR) |
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internal fetal monitor device
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-- FECG (fetal ElectroCardioGram ) or FSE (Fetal Scalp Electrode )
contraindication: intact membrane, preterm |
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Quesiton: When is fetal delivery performed if maternal cardiopulmonary arrest?
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Answer:
--Continue cardiopulmonary resuscitation throughout C-section ---Gestational fetal age should be > 26 weeks --- Neonatal resuscitation team available --- Within 5 minutes of maternal arrest --- 70% fetal survival if fetus is delivered within 5 minutes of maternal death |
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Q: S/S of preeclampsia?
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Answer:
-- Edema -- Hypertension -- Proteinuria -- Symptoms may lead to seizures |
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Which is more likely to become injured, the uterus or placenta?
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Placenta
The uterus has elastic fibers and is not susceptible to rupture The placenta has no elastic fibers and is susceptible to shearing forces |
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What is the WBC count during pregnancy?
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A:
Elevated by 15,000/mm3 |
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What physiologic changes occur to the mother’s heart?
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Answer:
--Elevated and rotated left forward Heart rate increases by 15 to 20 beats per minute --Systolic and diastolic blood pressure falls 5 to 15 mmHg |
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What should be inspected in the pregnant trauma patient?
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Answer:
Contour of the abdomen Perineum Signs of fetal movement Vaginal opening for crowning |
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When may fetal heart tones be found in the pregnant patient?
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Answer:
Fetoscope - 20 weeks Ultrasound - 10 to 14 weeks Fetal heart rate - 120 to 160 per minute |
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Fundal height at 12, 20 and 36 weeks gestation?
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Answer:
-- Symphysis – 12 weeks -- Umbilicus – 20 weeks -- Costal margin – 36 weeks |
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What laboratory tests should be considered in the pregnant patient?
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Answer:
ABGs Beta human chorionic gonadotropin (BHCG) CBC Ferning of vaginal secretions Kleihauer-Betke test Lactate Lytes PT and PTT Serum bicarb Type and cross UA |
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Question:
What laboratory tests should be considered in the pregnant patient? |
Answer: ABGs
Beta human chorionic gonadotropin (BHCG) CBC Ferning of vaginal secretions Kleihauer-Betke test Lactate Lytes PT and PTT Serum bicarb Type and cross UA |
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What is the purpose of the Kleihauer-Betke test?
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Answer:
-- Detects fetal red cells in maternal circulation Indicates hemorrhage of fetal blood through placenta into the mother’s circulation Important when the woman is Rh negative and the fetus is Rh positive |
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What is the effect of pregnancy on blood coagulability?
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Answer:
Fibrinogen and clotting factors are elevated Hypercoagulability DIC risk is increased |
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What is abruptio placenta?
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Answer:
2nd most common cause of fetal death following motor vehicle crashes Abruptio placenta can develop 24-48 hours after trauma Diagnosis - ultrasound Separation of the implanted placenta Suspect separation if vaginal bleeding |
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What is the most common type of trauma to effect maternal and fetal injury?
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Answer:
Blunt Motor vehicles crashes are the leading cause of death Falls are the second |
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What is the major cause of fetal death?
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Answer:
-- Fetus injury -- Mother death -- Mother shock -- Placental disruption |
