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Chapter 15 OB/GYN

front 1

Giving attention to pregnant patient and issues concerned with fertility.

back 1

Obstetric

front 2

Focus on female reproductive system and related problems outside pregnancy.

back 2

Gynecologists

front 3

What instrument set is used in gynecologic laparotomy?

back 3

Major abdominal set

front 4

Many gynecologic surgeries are performed in what postion?

back 4

Lithotomy

front 5

Positioning for abdominal cases is?

back 5

Supine

front 6

Table must accommodate sockets for leg holders such as?

back 6

Candy cane

Allen stirrups

front 7

Labor process is defined by how many stages?

back 7

Four

front 8

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

back 8

Stage one

front 9

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

back 9

Stage two

front 10

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

back 10

Stage three

front 11

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

back 11

Stage four

front 12

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

back 12

Episiotomy

front 13

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

back 13

Episiotomy

front 14

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

back 14

Braxton Hicks

front 15

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

back 15

Bloody show

front 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)

back 16

Cervical dilation

front 17

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

back 17

Cervical effacement

front 18

Muscular action of uterus to expel the fetus

back 18

Contractions

front 19

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

back 19

Crowning

front 20

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

back 20

Descent

front 21

Delivery of the shoulders and body of the fetus

back 21

Expulsion

front 22

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

back 22

Extension Rotation

front 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

back 23

Flexion

front 24

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

back 24

Gravidity or Gravida

front 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

back 25

Internal Rotation

front 26

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

back 26

Lie

front 27

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

back 27

Lightening

front 28

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

back 28

Para or parity

front 29

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

back 29

Position

front 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)

back 30

Presentation

front 31

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

back 31

Station

front 32

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

back 32

Absorbable suture

front 33

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

back 33

Gelpi perineal retractor

front 34

Improperly closed wounds can lead to?

back 34

Postpartum hemorrhage

Sepsis

Fistulas

Coital Pain

front 35

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

back 35

prematurely

front 36

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

back 36

Uterus

front 37

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

back 37

Fundus

front 38

The uterus body narrows to a lower portion called?

back 38

Cervix

front 39

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

back 39

Internal os

front 40

The cervix opens into the vagina at the?

back 40

External os

front 41

Uterus is lined with?

back 41

Endometrium

front 42

The internal os lining becomes?

back 42

The mucous-secreting tissue of the cervix

front 43

Abnormal growth or development

back 43

Dysplasia

front 44

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

back 44

Dilation

front 45

Herniation of the bladder into the vaginal canal

back 45

Cystocele

front 46

Excision of a cone of tissue

back 46

Conization

front 47

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

back 47

Chromotubation

front 48

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

back 48

Cervical

front 49

Noninvasive cancer located in a small area of the epithelial layer

back 49

Carcinoma in situ

front 50

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

back 50

Bulb syringe

front 51

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

back 51

Third

front 52

Which degree of perineal laceration or incision involves the rectal mucosa

back 52

Fourth

front 53

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

back 53

Trendelenburg

front 54

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

back 54

Abdomen

front 55

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

back 55

lithotomy

front 56

The ______ is a self-retaining retractor

back 56

O'Sullivan-O'Connor

front 57

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

back 57

Suction device

front 58

_______ is a drug used to induce or continue labor

back 58

Oxytocin, Pitocin, Syntocinon

front 59

The child is delivered in stage _____ of the labor process

back 59

Third

front 60

Which ligament supports the bulk of the ovary?

back 60

Ovarian ligament

front 61

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

back 61

Fimbria

front 62

The fallopian tubes are also called

back 62

Oviducts

front 63

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

back 63

Uterus

front 64

The urethral meatus is contained within the?

back 64

Vestibule

front 65

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

back 65

Vagina

front 66

The external female genitalia are collectively known as the?

back 66

Vulva

front 67

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

back 67

Station

front 68

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

back 68

Presentation

front 69

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

back 69

Position

front 70

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

back 70

Lightening

front 71

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

back 71

Parity

front 72

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

back 72

Lie

front 73

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

back 73

no data

front 74

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

back 74

Gravida