Chapter 15 OB/GYN
Giving attention to pregnant patient and issues concerned with fertility.
Focus on female reproductive system and related problems outside pregnancy.
What instrument set is used in gynecologic laparotomy?
Major abdominal set
Many gynecologic surgeries are performed in what postion?
Positioning for abdominal cases is?
Table must accommodate sockets for leg holders such as?
Labor process is defined by how many stages?
Begins with the onset of true labor and is considered complete when the cervix is fully dilated is what stage?
Begins with complete dilatation of the cervix and terminates with the birth of the infant is what stage?
Initiated with the birth of the infant and ends when the placenta is delivered is what stage?
Begins at a point that's considered complete when the mother's condition has stabilized is what stage?
Most common surgical interventions in vaginal birth are the __________ and the repair of perineal lacerations.
Intentional midline surgical incision in the perineum to ease the birth process or to protect the mother from uncontrolled perineal lacerations
"False: labor; normal contractions not associated with progressive cervical dilation
A term used to describe a small amount of blood-tinged mucus flowing from the vagina; may herald the onset of the labor
A measurement of the opening available in the cervix for the passage of uterine contents (closed, 0cm to fully dilated, 10cm in obstetrics measurements)
A process in which the cervix softens and thins and is taken up into the lower uterine segment
Muscular action of uterus to expel the fetus
A term used to describe the event in which the largest diameter of the fetal head is encircled by the vulvar ring
Movement of the fetus through the pelvic canal caused by the force of uterine contractions
Delivery of the shoulders and body of the fetus
Rotation of the fetal head back to its original position as the head passes over the perineum (after crowning)
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
A term that indicates the number of times a woman has been pregnant
Gravidity or Gravida
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
Relationship that exists between the long axis of the fetus and the long axis of the mother
A term used to describe the settling of the fetal head into the brim of the pelvis
A term that indicates the number of times a woman has given birth; a multiple-birth experience is considered one birth
Para or parity
Relationship between the presenting fetal part and the maternal body pelvis (most common is occiput anterior (OAJ)
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)
In obstetrics, "station" is the level of the fetal head relative to the level of the ischial spine of the mother's pelvis
What sutures are used to close an episiotomy or perineal laceration?
Three or Fourth degree episiotomies may require the use of a?
Gelpi perineal retractor
Improperly closed wounds can lead to?
A woman with an incompetent cervix is at a high risk for delivering?
A hollow thick-walled pear-shaped organ situated between the bladder and rectum
The middle portion of the of the uterus is the body and the superior portion is called?
The uterus body narrows to a lower portion called?
At the junction of the uterus body and cervix is an aperture called?
The cervix opens into the vagina at the?
Uterus is lined with?
The internal os lining becomes?
The mucous-secreting tissue of the cervix
Abnormal growth or development
Act of stretching or enlarging an organ or part of the body
Herniation of the bladder into the vaginal canal
Excision of a cone of tissue
Instilling methylene blue mixed with normal saline to evaluate the patency of the fallopian tubes
Pertaining to the cervix of the uterus or to the neck region
Noninvasive cancer located in a small area of the epithelial layer
Carcinoma in situ
First thing handed to the physician after the baby's head is delivered during a C-section is the?
Which degree of perineal laceration or incision involves the anal sphincter?
Which degree of perineal laceration or incision involves the rectal mucosa
For laparoscopic OB/GYN case, the patient should be placed in the _______ position.
Which area should be prepped first for a laparoscopic tubal ligation?
For a vaginal hysterectomy, the patient should be in the ______ position.
The ______ is a self-retaining retractor
The DeLee is a retractor and the name of a type of?
_______ is a drug used to induce or continue labor
Oxytocin, Pitocin, Syntocinon
The child is delivered in stage _____ of the labor process
Which ligament supports the bulk of the ovary?
The ______ are finger-like projections on the ends of the fallopian tubes.
The fallopian tubes are also called
The _______ is a hollow, thick-walled, pear-shaped organ situated between the bladder and rectum.
The urethral meatus is contained within the?
The _____ is fibromuscular tube that is continuous with the external genitalia
The external female genitalia are collectively known as the?
Is a measurement of the descent of the presenting part of the fetus in relation to the ischial spines.
The term _______ refers to the fetal part overlying the pelvic inlet
Is the relationship between the presenting fetal part and the maternal body pelvis
The term _____ is used to describe the settling of the head into the brim of the pelvis.
The term ______ indicates the number of times a woman has given birth.
Is the relationship that exists between the long axis of the fetus and the long axis of the mother.
Is the rotation of the fetal head as it meets the musculature of the pelvic floor.
The term _______ indicates the number of times a woman has been pregnant.