exam 2-OB Flashcards

• G- tells you how many times the female has been pregnant (g-gravido)
• T-number of term infants born at 37 weeks and beyond
• P- number of preterm infants born after 20 weeks gestation and before 37 weeks gestation
• A- number of pregnancies that ended spontaneous or abortion
• L-living children

identify first day of LMP

-subtract 3 months and add 7 days

-its the start of the period

lithotomy position

check for genetic disorders (11-13 weeks)

11-13 weeks chrome abnormalities

diagnose Down syndrome

screening at 35 to 37 weeks to detect presence of GBS in the birth canal which would infect the newborn

checking for Down syndrome

usually done before 20 weeks, bladder should be fun to support the weight of the uterus.

-after 20 weeks bladder should be empty to reduce risk of puncturing the placenta or fetus

spontaneous abortion, leakage of fluid, and infection

a urinalysis will be preformed to check for glucose, ketones, protein, and nitrates

helps to determine fetal growth/ amniotic fluid level

normal is 110-160 BPM

16-22 weeks

true

the uterus drops

true

true

true

30 minutes

-moderate exercise after being cleared by physician

yes

10 inches

-second trimester is the safest to travel

-avoid prolonged sitting; ambulate every 2 hrs

used to describe infections that are known to cause congenital defects

• Toxo plasmosis
• other
• rubella
• cytomeaglovirus
• herpes

HIV postive

leading cause of perinatal infection with high mortality rate

treatment- penicillin

most dangerous to developing fetus in first 12 weeks of pregnancy

true

true

intimate contact with saliva, urine, and other body fluids

using good hand washing technique, do not share food, drinks with young children

treatment- NONE

-theraputic abortion may be offered if CME infection is discovered early in pregnancy

one of the most common STI'S

-most dangerous to the fetus during the third trimester

-if we know mom has this, we schedule a c-section

-mother and infant do not need to be isolated as long as direct contact with lesions is avoided

take a multi vitamin with iron as long as cleared with practitioner

ensure extra caloric needs of 300 cal/day during the last six months

-recommended weight gain during pregnancy 25-35 lbs

yess

should not be given during pregnancy due to risk of mercury poisoning

excessive n/v persisting past 20 weeks gestation

-can impact fetal growth

-this is NOT. morning sickess;this Is more severe

-reduced delivery of blood, oxygen, and nutrients to the fetus

-BUN elevates, elevated HR and orthostatic

natural loss of pregnancy (miscarriage)

S/S of vagina, bleeding, cramping suggests miscarriage but fetus is still alive

when miscarriage cannot be prevented

-almost certain to be loss

not all pregnancy tissue comes out of uterus, will cause mom to bleed until all tissue is out

when all pregnancy tissue is expelled from uterus. bleeding stops and uterus goes back

pregnancy has just stopped developing. the body doesn't immediately recognize, they will have to go in surgically and remove fetus

document amount and charter of bleeding

-save anything that looks like clots or tissue for evaluation by a pathologist

-monitor vital signs

-if actively bleeding, mom should be kept NPO in case surgery is needed

used for arthritis and is used in ectopic pregnancy

-dissolves the growth

-the patient should avoid foods high in folic acid

very painful

-biggest thing: control bleeding

-may be felt (pain) in tube (notes below)

pain in ovulation

mole or molor pregnancy

-occurs because the chronic villi abnormally increases and develop vesicles

-no baby in the uterus: empty egg with no DNA

cause: just a freak thing that happens

46 choromosomes all from the father

true

a medication used to stop the rapid growth of the mole

the placenta is implanted near the opening of the cervix, the cervix dilates and bleeding occurs (painless bleeding)

low line, close to the cervix

partially covering the cervix

placenta is covering the cervix

s/s include petechiae, oozing from injection sites and hematuria

premature separation of the placenta from the wall of uterus.

s/s- patient will have dark red bleeding with pain, severe uterine tenderness, firm birdlike abdomen or lower back

-life threatening for mom and fetus

-monitoring bleeding, vital signs, and fetus HR

place patient on left side

true

at the initial appointment

110-160

first injection given at 28 weeks, 72 hours after delivering

preeclampsia and eclampsia

-if renal heart tones remain from 120-160, consider this normal

• H-HEMOLYSIS
• E-ELEVATED LIVER
• ENZYMES
• LOW PLATELETS

chronic HTN during pregnancy and b/p of 140/90mm hg or greater before pregnancy or that occurs before 20 weeks gestation

25-35 lbs

-moderate exercise, only if cleared by dr

elevated blood pressure

-b/p to return to normal less than 12 weeks postportum

-rest on left side (helps with circulation to the baby)

better absorbed on an empty stomach and better with vitamin C

hypertension and proteinuria after 20 weeks gestation

s/s- categorized as mild or severe

-magnesium sulfate given to induce labor

-first line treatment: hydralazinene and labatalol

elevated LDH, AST, ALT, BUN, bilirubin, uric acid level and creatine counts

-women ar risk for this is someone with chronic hypertension, older moms, previously had this syndrome

condition of red blood cells in body

-adminsiter rohgan at 28 weeks or within 72 hours

-inta blood infusion for baby

multiple babies

-rapid weight gain

-extreme breast tenderness

classified by weather it proceeded pregnancy or had its onset during pregnancy

type 1- insulin type 2-diets and medications

by 6 weeks postpartum

hormones (estrogen and progesterone)

glucose stays in the bloodstream instead of entering cells

leads to neural tube defects

-women with gestation diabetes during pregnancy have higher risk of getting type 2 later in life

the placental barrier