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60 Cards in this Set
- Front
- Back
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Dysmenorrhea
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painful menstruation
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Dyspareunia
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Painful intercourse
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Gravida
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Pregnancies
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Gravida
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Pregnancies
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Para/Parity
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Number of deliveries
Twins/multiples are one delivery |
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TPAL
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Term pregnancies
Premature A Abortions Live births |
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D&C
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Dilation and curettage
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4 months and uterus
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palpable between the umbilicus and symphysis pubis
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5 months and uterus
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20 weeks (approx) palpable at umbilicus.
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PID
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Pelvic inflammatory disease
an acute infection of the reproductive organs that can be caused by bacteria, fungus, or virus PID is most common cause of abd pain in women in the childbearing years Most common cause is gonorrhea. or chlamydia |
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PID pain
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Diffuse, located in lower abd.
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Cystitis
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infection of the urinary bladder
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Mittelschmerz
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Abd pain associated with ovulation.
peritoneal irritation due to follicle rupture or bleeding at time of ovulation Unilateral lower quadrant pain |
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Endometritis
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an occasional complication of miscarriage, childbirth, or gynecological procedures such as D&C.
Mild to severe lower abd pain, a bloody, foul smelling discharge, fever 101-104. 48-72 hours after procedure or miscarriage |
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Endometriosis
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a condition in which the endometrial tissue grows outside of the uterus.
Tissue responds to hormonal changes with the cycle causes bleeding and adhesions. Dull cramping pain associated with menstuation. |
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Ectopic pregnancy
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implantation of the fetus outside the uterus.
most commonly the fallopian tubes |
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Most common cause of nontraumatic bleeding
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Spontaneous abortion
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Dysmenorrhea
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Painful menstruation
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Dyspareunia
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Painful sexual intercourse
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Gravida
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Number of pregancies
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Parity
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Number of deliveries
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Abortions
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Miscarriages/elective abortions
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TPAL
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Term pregnancies
Preterm deliveries Abortions Live births |
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D&C
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Dilation and curettage
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Significant bleeding OB
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The use of more than 2 sanitary pads per hour
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4 months and the uterus
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between the symphysis pubis and umbilicus
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5 months and the uterus
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at 20 weeks the uterus is at the umbilicus
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PID
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highest rate of infection is women between 15-24 and most common causes is gonorrhea and chlamydia
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Ruptured cyst
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Severe unilateral abd pain with delayed menstrual period
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Cystitis
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common cause of abd pain
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Mittelschmerz
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Midcycle abd pain due to ovulation
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Endometritis
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Infection of the endometrium
Mild to severe abd pain with fever, bloody foul smelling discharge. 48-72 hours after a miscarriage or gyno procedure |
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Endometriosis
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condition in which the endometrial tissue grows outside the uterus
follows mentrual cycle |
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Ectopic pregnancy
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implantation of fetus outside of the uterus
typically in the fallopian tube |
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Prenatal period
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Conception until delivery of fetus
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Time when menstruation begins
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14 days after ovulation
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Placenta
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the organ that serves as a lifeline for the development of the fetus
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Functions of the placenta
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Transfers heat
exchanges O2 and CO2 delivers glucose, NACL and carries away waste Serves as the endocrine gland throughout pregnancy Protective barrier |
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Umbilical cord
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2 arteries and one vein
2 foot long and 0.75 in diameter |
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Umbilical vein
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takes oxygenated blood to fetus
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Umbilical artery
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returns the deoxygenated blood to the placenta
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Amniotic sac
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membranes that surround and protect the developing fetus holds the amniotic fluid
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Amniotic sac
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Volume varies between 500-1000 ml after 20 weeks
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Rupture of the membranes
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sac usually breaks during labor, but can be early
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Blood volume change in pregnancy
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45% increase in circulating volume.
Can be 6-7 L/min in circulation Increase in heart rate and during the first 2 trimesters there is a drop in bp |
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EDC
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estimated date of confinement
approximate date the infant will be born approximately 40 weeks after LMP |
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Placenta previa
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result of abnormal implantation of placenta
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Common placenta previa pt
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Multigravida patient in third trimester
may have prior placenta previa/bleeding earlier Recent sexual encounter or vaginal exam Bright red bleeding Any painless bleeding in pregnancy is considered previa until proven otherwise |
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Abruptio placenta
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premature separation and poses as potential life threat for both mother and fetus
Concealed can result in no vaginal bleeding Sudden, sharp tearing pain is a concern Abruption during delivery can result in a fatality for fetus |
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Preeclampsia
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most common hypertensive crisis of pregnancy
an increase in systolic by 30mmHg and or 15 mmHg diastolic 140/90 is considered if reg bp not known |
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Ecclampsia
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With seizures
Administer magnesium sulfate (2-5g) |
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Braxton Hicks
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Painless irregular contractions
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Puerperium
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The time period surrounding the birth of the fetus
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Labor
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the time and processes that occur during childbirth
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Stage One of Labor
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Onset of true labor contractions and ends with dilation and effacement
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Stage Two of Labor
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Complete dilation of the cervix and ends with delivery of the fetus
Contractions increase to 2 minutes lasting 60-75 seconds |
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Vertex position
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Position of fetus. Head first, face down
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Placental stage
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After the birth of the infant and ends with delivery of the placenta
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Neonate
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Newborn
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APGAR
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Appearance
Pulse (100/min or over) Grimace Activity Respirations ( strong cry) |
