Obstetrics

Front 1

Define ovulation

Back 1

The release of an egg from the ovary

Front 2

If a woman has had intercourse within ____ to ____ hours before ovulation, fertilization may occur.

Back 2

24, 48

Front 3

Define placenta

Back 3

The organ that serves as a lifeline for the developing fetus. The placenta is attached to the wall of the uterus and the umbilical cord.

Front 4

Define afterbirth

Back 4

The placenta and accompanying membranes that are expelled from the uterus after the birth of the child

Front 5

Define umbilical cord

Back 5

Structure containing two arteries and one vein that connects the placenta and the fetus.

Front 6

Define amniotic sac

Back 6

The membranes that surround and protect the developing fetus throughout the period of intrauterine development

Front 7

Define amniotic fluid

Back 7

Clear, watery fluid that surrounds and protects the developing fetus

Front 8

Define the Estimated Date of Confinement (EDC)

Back 8

Estimated due date. This date is usually set 40 weeks after the date of the mothers LMP.

Front 9

Define antepartum

Back 9

Time prior to the delivery of the fetus

Front 10

Define postpartum

Back 10

Time after delivery of the fetus

Front 11

Define prenatal

Back 11

Time prior to birth, same as antepartum

Front 12

Define natal

Back 12

Relating to the birth or the date of birth

Front 13

Define gravidity

Back 13

The number of times a woman has been pregnant

Front 14

Define parity

Back 14

The number of pregnancies carried to full term

Front 15

Define primigravida

Back 15

A woman who is pregnant for the first time

Front 16

Define primipara

Back 16

A woman who has given birth to her first child

Front 17

Define multigravida

Back 17

A woman who has been pregnant more than once

Front 18

Define nulligravida

Back 18

A woman who has not been pregnant

Front 19

Define multipara

Back 19

A woman who has delivered more than one child

Front 20

Define nullipara

Back 20

A woman who has yet to deliver her first child

Front 21

Define grand multiparity

Back 21

A woman who has delivered at least 7 babies

Front 22

Define gestation

Back 22

Period of time for intrauterine fetal development

Front 23

What is some general information you would want get from an OB pt?

Back 23

Gravidity, Parity, Length of gestation, EDC, Past OB or GYN complications, Prenatal care, Current meds and allergies

Front 24

True or false: Pregnancy cannot aggravate preexisting medical conditions such as diabetes, heart disease, HTN, seizure disorders, and neuromuscular disorders.

Back 24

False. Not only can pregnancy aggravate preexisting conditions, but it can also trigger new ones. However, a remission of neurological disorder symptoms during pregnancy is not unusual.

Front 25

When an OB pt c/o pain, what are important factors to determine?

Back 25

Onset, Character, Especially the regularity

Front 26

If there is vaginal bleeding, determine events prior to its start. Assess the ___________ by the number of sanitary pads unsed and save any _________ or passed tissue.

Back 26

amount, clots

Front 27

For a pt in labor, what do you need to know to determine if delivery is imminent?

Back 27

If she feels the need to push or move her bowels
If her membranes have ruptured

Front 28

Define crowning

Back 28

The bulging of the fetal head past the opening of the vagina during a contraction. Indication of impending delivery.

Front 29

What is the preferred position for transporting an OB pt after the 24th week?

Back 29

L lateral recumbent

Front 30

Transport all trauma pts at ____ weeks or more gestation and anticipate the development of _____________.

Back 30

20, shock

Front 31

True or false: Not all OB pts with abdominal pain shoud be seen by a physician

Back 31

False

Front 32

What are 4 causes of bleeding during pregnancy?

Back 32

Abortion
Ectopic pregnancy
Placenta previa
Abruptio placentae

Front 33

Define abortion

Back 33

Miscarriage or electively induced termination of pregnancy

Front 34

What are typical s/s of an abortion?

Back 34

Cramping abdominal pain, Backache, Vaginal bleeding often accompanied by passage of clots and tissue

Front 35

3rd trimester bleeding should be attributed to either _______________ _______________ or ______________ _________________ until proven otherwise.

Back 35

placentia previa, abruptio placentae

Front 36

Generally, what is the difference in presentation of placenta previa and abruptio placentae?

Back 36

Placenta previa usually presents with painless bleeding and abruptio placentae usually presents with sharp pain, with or without bleeding

Front 37

Why should vaginal examination never be attempted?

Back 37

Because the finger being used to examine the vagina may puncture the placenta and cause fatal hemorrhage