Term
|
Definition
Most common female pelvis
50% of female pelves
inlet=round |
|
|
Term
|
Definition
-normal male pelvis
-inlet is heat shaped
-20% females-not favorable for labor
Descent into pelvis is slow
Forcep manipulation
Extensive perineal lacerations |
|
|
Term
| Describe Anthropoid Pelvis |
|
Definition
inlet is oval
2% of females
Outlet capacity=adequate |
|
|
Term
| Describe Platypelloid Pelvis |
|
Definition
-Flat female pelvis
inlet= transverse oval
Outlet capacity=inadequate
5% females |
|
|
Term
| Which Pelvis shapes are most favorable? |
|
Definition
|
|
Term
| Which hormones are the ovaries sensitive to? |
|
Definition
|
|
Term
| Which hormones are the uterus sensitive to? |
|
Definition
|
|
Term
| Describe what Estrogen does... |
|
Definition
Increase myometrial contractility in uterus and fallopian tubes
-sensitive to oxytocin increases
-inhibits FSH production and stimulates LH production
-Decrease excitability of hypothalamus= Increase sexual desire |
|
|
Term
| Describe what progesterone does... |
|
Definition
-Secreted by corpus luteum
-Decreases uterine motility and contractility caused by estrogen
-allows pregnancy to be maintained
-Prepares breast for lactation
-Critical for follicular rupture |
|
|
Term
Describe what prostaglandins do
2 types.. |
|
Definition
PGE=Acts as a vasodilator
PGF= Acts as a vasoconstrictor
-facilitate process of tissue digestion-endometrial shedding (menstral period) |
|
|
Term
| When does the mestrual cycle begin and how long does it last? |
|
Definition
-14 days after ovulation
-2-8 days |
|
|
Term
| Describe the menstrual phase... |
|
Definition
-endometrial areas shed
-estrogen levels low
-cervical mucus=scanty, viscous, opaque |
|
|
Term
| Describe the proliferative Phase... |
|
Definition
| -Begins when endometrial glands enlarge-in response to increase estrogen |
|
|
Term
| Describe the secretory Phase... |
|
Definition
Follows ovulation
-Endometrium=slight cellular growth
-Vascularity of Uterus increase=bed for implantation |
|
|
Term
|
Definition
Occurs when fertilization does not occurs
-menstruation |
|
|
Term
| Where does fertilization occurs? |
|
Definition
|
|
Term
| When and where does implantation occurs? |
|
Definition
7-10 days after conception
-in fundus |
|
|
Term
| Name the number of arteries and veins in an umbilical chord.. |
|
Definition
|
|
Term
| What do the arteries carry? |
|
Definition
Blood from fetus back to placenta
-deoxygenated blood |
|
|
Term
|
Definition
| Carry oxygenated lood from placenta to fetus |
|
|
Term
| Name the 3 stages of human development |
|
Definition
Pre-embryonic
Embryonic
Fetal |
|
|
Term
| Describe the pre-embryonic stage |
|
Definition
-fertilization--> day 14
-cell multiplication and differentiation |
|
|
Term
| Describe the embryonic stage |
|
Definition
Day 15--> 8th week
-major organ systems and main external features develop
-most vulnerable to teratogens. |
|
|
Term
|
Definition
8th week--> birth
Refining structures and perfecting function |
|
|
Term
|
Definition
8th week--> birth
Refining structures and perfecting function |
|
|
Term
| What happens at 4-8 weeks? |
|
Definition
-Heart beat and circulation begins
-Arms and legs buds are present
-Eyes and nose begin to form |
|
|
Term
| Describe what happens at 12 weeks |
|
Definition
-Spontaneous movements-quickening
-Fetal heart tones (FHT) audible by doppler |
|
|
Term
| Describe what happens at the 20th week |
|
Definition
"quickening"-feel fetus move b/w 16-20 wks
-respiratory movements
suck and swalllow fluid
vernix
Gender clear |
|
|
Term
| Describe what happens in the 24th week |
|
Definition
-threshold of viability
-mature brain
-alveoli appear: gas exchange is possible
-Reddish, wrinkled w/vernix |
|
|
Term
|
Definition
Eyes opening and closing for last month
subq fat laid down
fingernails and toenails |
|
|
Term
|
Definition
Lanugo disappears
Few sole creases
sebaceous glands producing vernix
Scrotum descends/ labia minor and majora equally prominent |
|
|
Term
|
Definition
325 mg Acetaminophen
5 mg oxycodone
-Watch for respiratory depression
-postpartum meds
Asses pain before and 1hr after administration; BP, pulse, resp
Assess for constipation |
|
|
Term
|
Definition
Implications: sensitivity to neomycin, eggs r gelatin, immunosupressed or has received blood transfusions.
-Do not administer within 3 months of blood transfusion
AVOID PREGNANCY FOR AT LEAST 4 WEEKS |
|
|
Term
|
Definition
300 mcg IM within 72hrs of birth
Prevent hemolytic disease in the newborn
Ensure pt. already sensitized |
|
|
Term
|
Definition
| IF positive baby is producing antibodies against mom |
|
|
Term
| Describe indirect coombs test.. |
|
Definition
| If positive mom is producing antibodies against baby |
|
|
Term
| Describe Reva Rubins Postpartum psychosocial tasks.. |
|
Definition
Taking In
Taking Hold
Letting Go |
|
|
Term
| What happens in "taking in" |
|
Definition
| 1st or 2nd day: Self centered passive, takes care of "Her"needs |
|
|
Term
|
Definition
2nd-3rd day
-resuming control and ready to take care of newborn |
|
|
Term
|
Definition
|
|
Term
| Which hormones are elevated during pregnancy? which is responsible for suppressing Lactation? |
|
Definition
-Elevated Estrogen and Progesterone
-PROGESTERONE |
|
|
Term
| Describe what happens following the delivery of the placenta |
|
Definition
decrease Progesterone levels= inhibition removed and milk production begins
Increase Breast stimulation=increase prolactin
Increase oxytocin levels=uterus contraction- stimulates posterior pituitary to produce oxytocin |
|
|
Term
| Which Hormone plays a role in sluggish bowel movements |
|
Definition
|
|
Term
| The first void should be at least... |
|
Definition
|
|
Term
| What week does anatomy differentiate to male or female? |
|
Definition
|
|
Term
| Shares lymphatic system with other structures of the vulva→ facilitates spread of cancer→ |
|
Definition
|
|
Term
| _______Size increases at puberty and decreases at menopause due to change in ________levels→ |
|
Definition
|
|
Term
| Where are barthoeins glands located and what is their function? |
|
Definition
| Vaginal vestibule; secrete clear thick liquid that enhances viability of sperm |
|
|
Term
| Describe role of Estrogen |
|
Definition
| Secondary sex characteristics |
|
|
Term
| Describe role of Progesterone? |
|
Definition
| Hormone of pregnancy b/c allows it to be maintained; inhibits action of prolactin in alpha lactal bumin synthesis→ prevent lactation in pregnancy |
|
|
Term
| Describe role of Estrogen |
|
Definition
| Secondary sex characteristics |
|
|
Term
| Describe role of Progesterone? |
|
Definition
| Hormone of pregnancy b/c allows it to be maintained; inhibits action of prolactin in alpha lactal bumin synthesis→ prevent lactation in pregnancy |
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