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92 Cards in this Set
- Front
- Back
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woman who is or has been pregnant
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gravida
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woman who has never been pregnant
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nulligravida
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woman who has delivered a pregnancy beyond 20 weeks gestation
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para
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G-TPAL
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gravida
term: # of pregnancies carried beyond 37 weeks preterm: # of pregnancies delivered b/w 20-36 weeks abortion: # of pregnancies delivered prior to 20 weeks living: # of living children |
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bluish coloring to cervix and vagina
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chadwicks sign
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when does nausea start to occur
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6-12 wks
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softening of the lowest part of the uterus
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hegars sign
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uterine body and cervix can be flexed against one another
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mcdonalds sign
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cyanosis and softening of the cervix
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goodell sign
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gestational age is based on what
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FDLMP
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developmental age is based on what
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FDLMP - 2 weeks
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Nageles rule
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subtract 3 mo from LMP and add 7 days
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most accurate dating measurement from 6 - 12 weeks
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crown rump length
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most accurate dating measurement from 13 - 22 weeks
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biparietal diameter
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fundal height at pubic symphysis
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8 weeks
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fundal height at abdomen
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12 weeks
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fundal height midway b/w symphysis and umbilicus
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15 weeks
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fundal height at umbilicus
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20 weeks
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fundal height = distance in cm from the symphysis ot the fundus
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20 - 36 weeks
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when are fetal heart sounds first heard
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10 - 12 weeks w/ doppler
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when is quickening felt (movement of baby)
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16-18 weeks (multipara)
18-20 weeks (primigravida) |
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palpating maneuver to determine babies position
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leopolds maneuver
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scoring system used as a predictor of vaginal delivery
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bishop score
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definition of labor
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cervical changes + contractions
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active phase of labor
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>4 cm dilation of cervix
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latent phase of labor
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onset - 3-4 cm dilation of cervix
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3 ps of labor
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power
passenger pelvis |
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contractions w/o changes to cervix
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false labor
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ideal pelvis shape, round to slightly oval inlet
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gynecoid
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inlet transverse is greater than inlet obstetrical diameter
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anthropoid
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triangular inlet, and prominent ischial spine, more angulated pubic arch
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android
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flat inlet with shortened obstetrical diameter
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platypelloid
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pH indicator test to check for ruptured placenta (pH >7 in vagina)
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nitrazine test
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test for ruptured placenta using crystallization pattern on micro
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fern test
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standard curve used to monitor labor progression
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friedman curve
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stage 2 of labor
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pushing phase (complete cervical dilation)
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stage 3 of labor
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delivery
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signs of separation in stage 3 of labor
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cord lengthening
gush of blood fundal change |
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perineal tear that goes into the body of the perineum
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2nd degree tear
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perineal tear that goes into the anal spincter
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3rd degree tear
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perineal tear that goes into the rectum
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4th degree tear
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used to speed up 2nd stage of labor, cut the posterior perineum
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episiotomy
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% of c-sections
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~25%
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placenta covers the cervical os (indication for c-section)
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placenta previa
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adherence of placenta to uterine wall (indication for c-section)
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placenta accreta
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placenta invades myometrium
(indication for c-section) |
placenta increta
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placenta invades through myometrium to adjacent organs (indication for c-section)
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placenta percreta
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premature separation of placentae from uterine wall (indication for c-section)
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abruptio placentae
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fetal vessels pass over os (indication for c-section)
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vasa previa
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painless bright red bleeding during delivery
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placenta previa
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pain
contractions +/- bleeding |
placenta abruptio
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most common OB hemorrhage
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uterine atony
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lack of muscle tone to clamp down on vessels of uterus during delivery resulting in hemorrhage
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uterine atony
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what to do if pt. can't stop bleeding after delivery
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cesarean hysterectomy
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stage 1 of labor
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onset to complete cervical dilation
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screening test for cerebral palsy
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electronic fetal HR monitoring
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O2 transfer from mothers uterus to fetus
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uterus
placenta umbilical cord baby |
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most common cause of reduced CO in OB pt.
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reduced preload (dehydration)
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definition of tachycardia
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>160 bpm for >10min
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definition of bradycardia
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<110 bpm for >10 min
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definition of minimal variablility in HR
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1-5 bpm
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definition of moderate variability in HR
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6-25 bpm
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definition of marked variability in HR
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>26 bpm
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5 components of FHR tracing
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baseline HR
baseline variability accelerations decelerations trends |
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acceleration must last how long in order to be considered a baseline change
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10 min
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deceleration mirrors what physiologic action
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contraction
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early deceleration are caused by what
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head compression
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variable decelerations are usually assx with what cause of O2 disruption
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umbilical cord compression
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definition of prolonged deceleration
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decel >2 but < 10 min
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types of decelerations
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early
late variable |
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definition of tachysystole
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>5 contractions in 10 min
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cause of late/variable decelerations
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disruption of O2 pathway
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definition of abortion
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loss of baby < 20 weeks
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most common complication of pregnancy
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spontaneous abortion (1 in 4)
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most common cause of 1st trimester abortions
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chromosomal abnormalities
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where do most ectopic pregnancies occur
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fallopian tube
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most common cause of neonatal morbidity and mortality
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preterm labor (<37 wks)
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negative test of this rules out preterm delivery
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fetal fibronectin
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premature ROM
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ROM 1 hour prior to onset of labor
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preterm ROM
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ROM prior to 37 weeks
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prolonged ROM
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ROM longer than 18 hours
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complication of PROM
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chorioamnionitis
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tests for gestational diabetes
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1 hour glucose
3 hour glucose |
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definition of gestational HTN
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>140/90
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definition of mild preeclampsia
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>140/90 AND proteinuria
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definition of severe preeclampsia
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>160/110 AND proteinuria (RUQ pain, headache)
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definition of eclampsia
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high BP with seizure
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HELLP syndrome
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hemolysis
elevated liver enzymes low platelets |
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definition of IUGR
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lowest 10% of size
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IUGR where head and abdomen are both small
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early onset/symmetrical
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IUGR with appropriate head size and small abdomen
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late onset/asymmetrical
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most common complication of postpartum phase
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endometritis
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