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58 Cards in this Set

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  • Back
What is the most common sign of pregnancy?
Amenorrhea
Vaginal wall becomes cyanotic and congested
Chadwick's sign
What is the term for a delivery that is in between 23-36 weeks?
Premature (before 22 weeks is considered an abortion)
Total # of pregnancies, regarless of their type, location, and time or method of termination/delivery?
Gravid
What is EDC based on?
280 day gestation from the first day of LMP
Where is the level of the fundus at 16 weeks?
Halfway to the umbilicus
What are some causes for altered fundal height?
1. multiple pregnancies
2. growth retardation
3. polyhydraminos
What nutritional need is important to help prevent pre-eclampsia or toxemia?
Protein intake
What exercise during pregnancy helps with the pelvic floor muscles.
Kegels
What is the best exercise for a women who didn't exercise before becoming pregnant?
Treadmill/Walking
What helps with keeping the pelvis from torquing while sleeping?
Putting a cushion between the thighs
While traveling what position should the seatbelt be in?
Belt should be across ASIS's and inferior to the baby
T/F women with high risk pregnancy can have intercourse?
False
What is the time period in which the ligaments become lax with a multiparas?
At fertilization
What is common with blood pressure during the 1st trimester?
Orthostatic hypotension
What should the fetal heart rate be?
120-160bpm
T/F: Pedal edema is common in pregnancy?
True: but edema in face or hands may represent developing hypertension.
After how many abortions is the patient considered a habitual (natural) aborter>?
3 or more consecutive
Where do 97% of ectopic pregnancies occur?
In the fallopian tube
What is a common feature in morning sickness?
Hyperemesis Gravidarum (medical term for increased vomiting)
In what circumstances should the Ob or midwife be notified?
Nausea or vomiting continues after 16 weeks or if urine appears concentrated, scant, or infrequent.
What are some approved uses for ultrasound?
1. determining gestation age.
2. determining fetal abnormalities
3. determining fetal masses
4. detecting increases/decreased amniotic fluid.
What type of problems can we detect if there is too much amniotic fluid
GI tract problems
When an amniocentesis is performed, how much fluid should be removed?
2 Tbsp
What malformation risk can result from a chrorionic villus sampling?
Cranial-facial malformation
What is quickening?
1st perception of fetal motion
What may be required if there is a incompetent cervix?
Cerclage
What is the best for of birth control and protection against STD's?
Male condom
The manufacturer of which implant drug announced that it will no longer distribute it?
Norplant
In the webster In-utero Constraint technique, which side do we perform the sacral adjustment on, if the left leg is exhibiting the most resistence?
The left side (always the same as the resistance)
In Webster's technique, what is the line of drive when adjusting the sacrum?
P to A
During which weeks does the Ob perform screening for gestational diabetes?
24-28 weeks
What is the AKA for braxton hicks contractions?
Practice contractions
What is lightening?
When the baby drops into the pelvic inlet
What are the causes of pseudo carpal tunnel syndrome discussed in class?
1. subluxation
2. Edema
3. relaxin/oxytocin
4. ligament laxity
what is the first neurological condition in pregnancy?
Intercostals neuralgia
Placental migration, which occurs in the 90% of placentas that implant in the lower uterine segement will _________
Move with the uterus
What could rib pain indicate during the 1st trimester?
Gallbladder problems
What shape do you want the moms pelvis to be in?
Gynecoid
What is the marginal type of placenta previa?
When the internal os has the placenta up to the edge, but not covering.
Why does the MD recommend lying on the left side down during pregnacny?
Due to the IVC
There has to be a separation of the symphysis pubis by at least __________ to be considered a true subluxation.
1 inch
What are the risk factors for placenta previa?
Multiparous, 35 YOA
The risk for placenta previa increases with ______?
Parity
What color is the blood passed during an abruption (placental abruption)?
Dark red and non-clotting
What are considered unsafe periods in a woman's menstrual cycle?
Days 11-18
When performing the websters technique, how are the cranials adjusted?
Away from the sutures
What hormone does a home pregnancy test check for?
HCG
T/F: infants who experience chronic compromise will have decreased fetal movement before heart rate changes are noticed?
True
T/F: it is prudent to assume that all third trimester vaginal bleeding may be life threatening?
true
What can compromise an attempt at vaginal delivery and potentially be life-threatening and unwarranted?
Placenta previa
When in labor, what can be very helpful when the baby is engaged?
Squatting ( can open the pelvis up to 27%)
What is Dystocia
Long or abnormal birth/labor
Where is an ECV done?
In the MD's office, done at 36-37 weeks
When do you call a birth care provider during pregnancy?
1. Blurred vision
2. Swelling of face and fingers
3. burning on urination
What is the only cure for pre-eclampsia?
Delivery
___________ is the occurance of seizures or coma in a patient with pre-eclampsia when there is no other cause?
Eclampsia
Chronic hypertension is defined as high blood pressure that was present before pregnancy or diagnosed before ______ weeks gestation?
20