Chapter 15 OB/GYN Flashcards


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1

Giving attention to pregnant patient and issues concerned with fertility.

Obstetric

2

Focus on female reproductive system and related problems outside pregnancy.

Gynecologists

3

What instrument set is used in gynecologic laparotomy?

Major abdominal set

4

Many gynecologic surgeries are performed in what postion?

Lithotomy

5

Positioning for abdominal cases is?

Supine

6

Table must accommodate sockets for leg holders such as?

Candy cane

Allen stirrups

7

Labor process is defined by how many stages?

Four

8

Begins with the onset of true labor and is considered complete when the cervix is fully dilated is what stage?

Stage one

9

Begins with complete dilatation of the cervix and terminates with the birth of the infant is what stage?

Stage two

10

Initiated with the birth of the infant and ends when the placenta is delivered is what stage?

Stage three

11

Begins at a point that's considered complete when the mother's condition has stabilized is what stage?

Stage four

12

Most common surgical interventions in vaginal birth are the __________ and the repair of perineal lacerations.

Episiotomy

13

Intentional midline surgical incision in the perineum to ease the birth process or to protect the mother from uncontrolled perineal lacerations

Episiotomy

14

"False: labor; normal contractions not associated with progressive cervical dilation

Braxton Hicks

15

A term used to describe a small amount of blood-tinged mucus flowing from the vagina; may herald the onset of the labor

Bloody show

16

A measurement of the opening available in the cervix for the passage of uterine contents (closed, 0cm to fully dilated, 10cm in obstetrics measurements)

Cervical dilation

17

A process in which the cervix softens and thins and is taken up into the lower uterine segment

Cervical effacement

18

Muscular action of uterus to expel the fetus

Contractions

19

A term used to describe the event in which the largest diameter of the fetal head is encircled by the vulvar ring

Crowning

20

Movement of the fetus through the pelvic canal caused by the force of uterine contractions

Descent

21

Delivery of the shoulders and body of the fetus

Expulsion

22

Rotation of the fetal head back to its original position as the head passes over the perineum (after crowning)

Extension Rotation

23

A change in the relative position of the cervical spine bringing the fetal head toward the chest; in the occipitoanterior position, the result is a smaller diameter of the present part; in the occipitoposterior, a larger diameter

Flexion

24

A term that indicates the number of times a woman has been pregnant

Gravidity or Gravida

25

Rotation of the fetal head as it meets the musculature of the pelvic floor; precise movements depend on initial position of the fetus relative to the pelvis

Internal Rotation

26

Relationship that exists between the long axis of the fetus and the long axis of the mother

Lie

27

A term used to describe the settling of the fetal head into the brim of the pelvis

Lightening

28

A term that indicates the number of times a woman has given birth; a multiple-birth experience is considered one birth

Para or parity

29

Relationship between the presenting fetal part and the maternal body pelvis (most common is occiput anterior (OAJ)

Position

30

A term referring to the fetal part overlying the pelvic inlet (normally the fetal head but may be breech (buttocks) or compound (more than one part)

Presentation

31

In obstetrics, "station" is the level of the fetal head relative to the level of the ischial spine of the mother's pelvis

Station

32

What sutures are used to close an episiotomy or perineal laceration?

Absorbable suture

33

Three or Fourth degree episiotomies may require the use of a?

Gelpi perineal retractor

34

Improperly closed wounds can lead to?

Postpartum hemorrhage

Sepsis

Fistulas

Coital Pain

35

A woman with an incompetent cervix is at a high risk for delivering?

prematurely

36

A hollow thick-walled pear-shaped organ situated between the bladder and rectum

Uterus

37

The middle portion of the of the uterus is the body and the superior portion is called?

Fundus

38

The uterus body narrows to a lower portion called?

Cervix

39

At the junction of the uterus body and cervix is an aperture called?

Internal os

40

The cervix opens into the vagina at the?

External os

41

Uterus is lined with?

Endometrium

42

The internal os lining becomes?

The mucous-secreting tissue of the cervix

43

Abnormal growth or development

Dysplasia

44

Act of stretching or enlarging an organ or part of the body

Dilation

45

Herniation of the bladder into the vaginal canal

Cystocele

46

Excision of a cone of tissue

Conization

47

Instilling methylene blue mixed with normal saline to evaluate the patency of the fallopian tubes

Chromotubation

48

Pertaining to the cervix of the uterus or to the neck region

Cervical

49

Noninvasive cancer located in a small area of the epithelial layer

Carcinoma in situ

50

First thing handed to the physician after the baby's head is delivered during a C-section is the?

Bulb syringe

51

Which degree of perineal laceration or incision involves the anal sphincter?

Third

52

Which degree of perineal laceration or incision involves the rectal mucosa

Fourth

53

For laparoscopic OB/GYN case, the patient should be placed in the _______ position.

Trendelenburg

54

Which area should be prepped first for a laparoscopic tubal ligation?

Abdomen

55

For a vaginal hysterectomy, the patient should be in the ______ position.

lithotomy

56

The ______ is a self-retaining retractor

O'Sullivan-O'Connor

57

The DeLee is a retractor and the name of a type of?

Suction device

58

_______ is a drug used to induce or continue labor

Oxytocin, Pitocin, Syntocinon

59

The child is delivered in stage _____ of the labor process

Third

60

Which ligament supports the bulk of the ovary?

Ovarian ligament

61

The ______ are finger-like projections on the ends of the fallopian tubes.

Fimbria

62

The fallopian tubes are also called

Oviducts

63

The _______ is a hollow, thick-walled, pear-shaped organ situated between the bladder and rectum.

Uterus

64

The urethral meatus is contained within the?

Vestibule

65

The _____ is fibromuscular tube that is continuous with the external genitalia

Vagina

66

The external female genitalia are collectively known as the?

Vulva

67

Is a measurement of the descent of the presenting part of the fetus in relation to the ischial spines.

Station

68

The term _______ refers to the fetal part overlying the pelvic inlet

Presentation

69

Is the relationship between the presenting fetal part and the maternal body pelvis

Position

70

The term _____ is used to describe the settling of the head into the brim of the pelvis.

Lightening

71

The term ______ indicates the number of times a woman has given birth.

Parity

72

Is the relationship that exists between the long axis of the fetus and the long axis of the mother.

Lie

73

Is the rotation of the fetal head as it meets the musculature of the pelvic floor.

...

74

The term _______ indicates the number of times a woman has been pregnant.

Gravida