Obstetrics 2
Terms
undefined, object
copy deck
- Define ovulation
- The release of an egg from the ovary
- If a woman has had intercourse within ____ to ____ hours before ovulation, fertilization may occur.
- 24, 48
- Define placenta
- The organ that serves as a lifeline for the developing fetus. The placenta is attached to the wall of the uterus and the umbilical cord.
- Define afterbirth
- The placenta and accompanying membranes that are expelled from the uterus after the birth of the child
- Define umbilical cord
- Structure containing two arteries and one vein that connects the placenta and the fetus.
- Define amniotic sac
- The membranes that surround and protect the developing fetus throughout the period of intrauterine development
- Define amniotic fluid
- Clear, watery fluid that surrounds and protects the developing fetus
- Define the Estimated Date of Confinement (EDC)
- Estimated due date. This date is usually set 40 weeks after the date of the mothers LMP.
- Define antepartum
- Time prior to the delivery of the fetus
- Define postpartum
- Time after delivery of the fetus
- Define prenatal
- Time prior to birth, same as antepartum
- Define natal
- Relating to the birth or the date of birth
- Define gravidity
- The number of times a woman has been pregnant
- Define parity
- The number of pregnancies carried to full term
- Define primigravida
- A woman who is pregnant for the first time
- Define primipara
- A woman who has given birth to her first child
- Define multigravida
- A woman who has been pregnant more than once
- Define nulligravida
- A woman who has not been pregnant
- Define multipara
- A woman who has delivered more than one child
- Define nullipara
- A woman who has yet to deliver her first child
- Define grand multiparity
- A woman who has delivered at least 7 babies
- Define gestation
- Period of time for intrauterine fetal development
- What is some general information you would want get from an OB pt?
- Gravidity, Parity, Length of gestation, EDC, Past OB or GYN complications, Prenatal care, Current meds and allergies
- True or false: Pregnancy cannot aggravate preexisting medical conditions such as diabetes, heart disease, HTN, seizure disorders, and neuromuscular disorders.
- False. Not only can pregnancy aggravate preexisting conditions, but it can also trigger new ones. However, a remission of neurological disorder symptoms during pregnancy is not unusual.
- When an OB pt c/o pain, what are important factors to determine?
- Onset, Character, Especially the regularity
- If there is vaginal bleeding, determine events prior to its start. Assess the ___________ by the number of sanitary pads unsed and save any _________ or passed tissue.
- amount, clots
- For a pt in labor, what do you need to know to determine if delivery is imminent?
-
If she feels the need to push or move her bowels
If her membranes have ruptured - Define crowning
- The bulging of the fetal head past the opening of the vagina during a contraction. Indication of impending delivery.
- What is the preferred position for transporting an OB pt after the 24th week?
- L lateral recumbent
- Transport all trauma pts at ____ weeks or more gestation and anticipate the development of _____________.
- 20, shock
- True or false: Not all OB pts with abdominal pain shoud be seen by a physician
- False
- What are 4 causes of bleeding during pregnancy?
-
Abortion
Ectopic pregnancy
Placenta previa
Abruptio placentae - Define abortion
- Miscarriage or electively induced termination of pregnancy
- What are typical s/s of an abortion?
- Cramping abdominal pain, Backache, Vaginal bleeding often accompanied by passage of clots and tissue
- 3rd trimester bleeding should be attributed to either _______________ _______________ or ______________ _________________ until proven otherwise.
- placentia previa, abruptio placentae
- Generally, what is the difference in presentation of placenta previa and abruptio placentae?
- Placenta previa usually presents with painless bleeding and abruptio placentae usually presents with sharp pain, with or without bleeding
- Why should vaginal examination never be attempted?
- Because the finger being used to examine the vagina may puncture the placenta and cause fatal hemorrhage