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Pregnancy
Basic chap 64, lecture - for OB test #1
74
Nursing
Professional
09/16/2010

Additional Nursing Flashcards

 


 

Cards

Term
Implantation outside the uterine cavity
Definition
Ectopic pregnancy
Term
Ectopic pregnancy: outcome
Definition
Removal by surgery
Term
Ballottement: Procedure and indication
Definition
- tapping on abdomen produces rebound bounce
- indicates PROBABLE pregnancy
Term
Method of sperm movement
Definition
flagellation
Term
Normal location of fertilization
Definition
outer third of fallopian tube
Term
Trend of postnatal growth
Definition
Cephalocaudal (head-to-to)
Term
Chadwick's sign: what, when, and indication
Definition
- cervix appears blue/purple
- as early as 6 weeks gestation
- probable sign of pregnancy
Term
the outermost cell layer that surrounds the embryo and fluid cavity.
Definition
chorion
Term
infections that tend to lead to birth defects
Definition
teratogenic factors
Term
teratogenic factors
Definition
infections that tend to lead to birth defects
Term
Colostrum: what and when
Definition
- a clear or slightly milky fluid secreted from the breasts
- 14 weeks gestation
Term
Goodell's sign: what and when
Definition
- cervix softens
- 8 weeks gestation
Term
Hegar's sign: what and when
Definition
- lower uterine segment softens
- 6 weeks gestation
Term
When does the simple heart begin to beat?
Definition
6 weeks gestation
Term
When do rudimentary forms of organs develop?
Definition
6 weeks gestation
Term
Nägele's rule
Definition
First day of last menstrual period. add 7 days. Subtract 3 months. Result is EDD.
Term
Connective tissue, muscle, bone, and the urogenital and circulatory systems develop here.
Definition
mesoderm
Term
First fetal movement felt
Definition
Quickening
Term
What protects the umbilical cord?
Definition
Wharton's jelly
Term
Gestation defined
Definition
period from fertilization to birth
Term
Gestation length
Definition
40 weeks
Term
First pregnancy
Definition
Primigravida
Term
NOT the first pregnancy
Definition
multigravida
Term
G5P3113
Definition
5 pregnancies
3 term births,
1 preterm birth,
1 induced abortion or miscarriage
3 living children.
Term
G4P3
Definition
4 pregnancies
3 viable (>20 wks) births
Term
8 pregnancies, 7 term births, 1 miscarriage, all children living
Definition
G8P7017
or
G8P7 87017
Term
7 areas addressed in preconceptional care
Definition
- diet
- behavior modification
- prescription drugs
- diabetes
- genetic testing
- infectios disease testing
- reducing psychosocial risk factors
Term
Infections of particular concern during pregnancy
Definition
- rubella,
- influenza,
- tuberculosis,
- STD's.
Term
Stages of human development
Definition
- fertilization
- zygote
- Morula
- Blastocyst
- Embryo
- Fetus
- Baby
Term
What makes a zygote a zygote?
Definition
the cells are identical
Term
What makes a zygote a morula?
Definition
The cells begin to show differences (specialization).
Term
What makes a morula a blastocyst
Definition
Morula in a fluid-filled space surrounded by two layers.
Term
Outer layer of the blastocyst
Definition
chorion
Term
inner layer of the blastocyst
Definition
amnion
Term
"roots" extending from the chorion that receive oxygen and nourishment for the embryo.
Definition
chorionic villi
Term
functions of amniotic fluid
Definition
- cushions against trauma
- regulates temperature
- allows space for exercise
Term
endometrium of the uterus during pregnancy
Definition
decidua
Term
Period of the fetus
Definition
week 9 to birth
Term
When does the fetus reach viability?
Definition
20 weeks
Term
What is considered an immature birth?
Definition
birth weight less than 1kg (2.2 lbs)
Term
Appearance of uterine side of placenta
Definition
dark and red (dirty duncan)
Term
Appearance of fetal side of placenta
Definition
shiny
Term
Functions of placenta
Definition
- transfer of nutrients and oxygen from the mother to the fetus
- transfer of waste products and carbon dioxide from the fetus to the mother
- secretes HcG
- secretes estrogen and progesterone
Term
The umbilical cord has

A) 1 artery, 1 vein
B) 1 artery 2 veins
C) 2 arteries, 1 vein
D) 2 arteries, 2 veins
Definition
C) 2 arteries, 1 vein
Term
contractility
Definition
the intrinsic ability of the heart to contract independent of preload and afterload
Term
condition of pregnancy marked by high blood pressure and excess protein in urine after 20 weeks of pregnancy.
Definition
preeclampsia
Term
preeclampsia
Definition
condition of pregnancy marked by high blood pressure and excess protein in urine after 20 weeks of pregnancy
Term
Presents with painless, bright red bleeding
Definition
placenta previa
Term
return(s) deoxygenated blood from fetus to mother
Definition
2 umbilical arteries
Term
return(s) oxygenated blood to fetus
Definition
1 umbilical vein
Term
oxygenated blood enters the fetus' inferior vena cava by way of the ______.
Definition
ductus venosus
Term
opening between right and left atria
Definition
foramen ovale
Term
connection between pulmonary artery and aorta
Definition
ductus arteriosus
Term
A congenital heart defect may result if this natural post-birth occurrance doesn't happen
Definition
Within newborn's first few breaths, foramen ovale closes, and ductus arteriosus and ductus venosus shrivel and become fibrous ligaments.
Term
Near term, what interaction between fetus and amniotic fluid occurs?
Definition
fetus swallows almost 400mL/day.
Term
post-term fetal well-being can be measured by
Definition
amniotic fluid volume measurement.
Term
What is the standard test for fetal lung maturity?
Definition
amniocentesis
Term

Select the presumptive signs of pregnancy from the following list:

- colostrum production.

- amenorrhea.

- morning sickness.

- Goodell's sign

- frequent urination.

- basal body temp elevation.

- fatigue.

- Urine pregnancy test.

- enlargement of abdomen.

- quickening

 

- Chadwick's sign

- Ballottement

- melasma (chloasma gravidarum)

- Hegar's sign

- linea nigra on lower abdomen.

 

 

Definition

- colostrum production.

- amenorrhea.

- morning sickness.

- frequent urination.

- fatigue.

- quickening.

- melasma (chloasma gravidarum)

- linea nigra on lower abdomen.

Term
Name the probable signs of pregnancy
Definition

Braxton-Hicks contractions

Goodell's sign

Chadwick's sign

Hegar's sign

Ballottement

pregnancy test

basal body temp elevation

 

Term
Name the postive signs of pregnancy
Definition

visual observation (ultrasound)

fetal heartbeat (Doppler, fetoscope)

Fetal movement

Term
How long does it take a zygote to enter the uterine cavity?
Definition
3 - 4 days
Term
What makes a blastocyst an embryo?
Definition
Implantation in the uterine wall.
Term
What makes an embryo a fetus?
Definition
Vital organs begin to form
Term
average length of umbilical cord
Definition
20" - 22"
Term
These tools are used to evaluate maternal and fetal health problems, fetal congenital anomalies, and fetal growth and maturity.
Definition
Ultrasonography
Maternal serum alpha-fetoprotein screening
Chorionic villus sampling
Nonstress test
Contraction stress test
Magnetic resonance imaging
Biophysical profile
Term
Normal pregnancy checkup schedule
Definition
q month to 7th month
q 2 weeks in 8th month
q week 9th month to delivery
Term
routine pregnancy checkup list includes what procedures?
Definition
-void
-U/A protein
-fundal height
-weight
-fetal heart tones
-edema
Term
Signs of preeclampsia
Definition
- visual disturbances
- headache
- edema
- rapid weight gain
Term
Placenta abruptus: signs
Definition
- bleeding
- severe abdominal pain
Term
Placenta previa: signs
Definition
- painless vaginal bleeding
Term
Pre-term labor: signs
Definition
◦ backache,
◦ pelvic/abdominal cramping,
◦ rhythmic pelvic pressure,
◦ diarrhea,
◦ change in vaginal discharge,
◦ vaginal spotting,
◦ leaking fluid,
◦ malaise
Term
ptyalism
Definition
drooling
Term
drooling
Definition
ptyalism
Term
PIH: signs
Definition
•severe, unresolved headache.
•visual changes.
•sudden edema.
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