pn135 terms

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golfdiva
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161445
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pn135 terms
Updated:
2012-08-04 15:06:41
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pregnancy terms
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terms for the first test
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  1. para
    any birth after 20 weeks gestation, doesn't matter if the fetus was dead or alive
  2. gravida
    • number of times a woman has been pg, including the present pg.
    • doesn't matter if the fetus was dead or alive
  3. multipara
    awoman that has had 2 or more pg past 20 weeks
  4. nulligravida
    a woman who has n ever been pg
  5. multigravida
    a pg woman wh has been pg at least once before
  6. first trimester
    • 1 - 3 months
    • nausea
  7. second trimester
    • 4-6 months
    • honeymoon, feels well 
  8. third trimenster
    • 7 -9 months
    • tired of peeing 
  9. striae gravidarum
    stretch marks r/t rapid expansion of body parts
  10. linea nigra
    • a dark line of skin vertically across abdoen
    • r/t hormones 
  11. quickening
    1st time a woman feels the fetus move
  12. amenorrhea
    • a woman who is not having periods
    • r/t menopause, training, pg, etc
    • can be 1 month or longer  
  13. ballottement
    • doc puts finger against fetus' head
    • if it floats it's not engaged,
    • not ready to be born  
  14. chloasma
    • brown skin patches on face,
    • r/t hormone 
  15. EDD
    EDC
    • estimated day of delivery
    • estimated day of confinement 
  16. Naegele's rule
    EDD = 1st day of last period - 3 months + 7 days
  17. biophysical profile
    • 5 tests
    • each worth 2 points 
    • tells how the fetus is doing in utero 
  18. hemorrhoids
     
     pg slows down peristalsis -> constipation -> hemorrhoids
  19. varicosities
    sitting too much -> varicose veins
  20. lightening
    • 3rd trimester, baby drops which lightens the load
    • getting ready for birth
    • 1st pg usually 3 weeks before birth  
  21. Chadwick's sign
    blueish color to vagina r/t increased blood flow
  22. Goodell's sign
    softening of the cervix
  23. Hegar's sign
    softening of the lower sgment of the abdomen
  24. primary C section
    first C section
  25. repeat C section
    1 or more previous C sections
  26. primipara
    1 baby past 20 weeks
  27. primigravida
    a woman who is pg for the firts time
  28. preclampsia
    • elevaded bloodpressure after 20 weeks that can lead to seizures
    • pre = before
    • clampsia  = seizures
    •    
  29. presumptive signs of pg
    signs of pg that are subjective, i.e. perceived by the woman
  30. first fetal movement
    18 weeks
  31. breast tender, tingling, increased vascularity
    2 - 3 weeks
  32. nausea and vomiting
    2 - 12 weeks
  33. probable signs of PG
    • objective signs of pg
    • include all physiologica and anatomical changes that the doctor can perceive
  34. positive signs of PG
    objective signs of pg that can only be attributed to the fetus
  35. fetal heart rate heard
    10 - 12 weeks
  36. placenta acreeda
    the placent goes through the endo to implant, causes bleeding after birth, need D&C
  37. fetal heart rate
    110 - 160 bpm
  38. neonate heart rate
    40 - 60 bpm
  39. presentation
    what part of the fetus presents first
  40. breech
    butt first
  41. occipitant (cephalic)
    • head first
    • 90 - 95% of deliveries 
  42. foot breech
    foot first
  43. positioning of the baby
    • looking at the cervix, where is the back of the head (occipitant) in relationship to the 4 quads of the mother's pelvis;
    • left or right
    • anterior or posterior  
  44. station
    • the depth of the presenting part in relationship to mom's pelvis
    • -3 to +3 
    • 0 is spine, neutral
    • +3 can see the head
    • -3 is still floating, not engaged   
  45. dilation
    • how much the cervix had dilated
    • 1 - 10 sonameters
    • 1 sonameter = 2 finger widths
    • doc compares how far apart his fingers are to a chart   
  46. effacement
    • how much has the cervix effaced (thinned)
    • percentage, measure how far on the finger
    • can't feel any lip then cervix is 100% effaced   
  47. engagement
    • presenting part is locked into the pelvis,
    • not floating
    • ready to be born  
  48. BOW
    bag of waters
  49. ROM
    rupture of membranes
  50. SROM
    spontaneous rupture of membran
  51. AROM
    artificial rupture of membranes
  52. preterm labor
    labor before 37 weeks
  53. precipitant labor
    labor and delivery in less than 3 hours
  54. EF
    external fetal monitoring
  55. INF
    • internal fetal monitoring,
    • must be after ROM 
    • 2 cath. 1 on fetus' head, other on mom?
  56. episiotomy
    cut from vagina to rectum to avoid a tear during birth
  57. VBAC
    vaginal birth after C section
  58. macrosomia
    big baby
  59. nuchal cord
    cord is wrapped around the baby's neck
  60. bloody show
    • vaginal discharge of mucus plug
    • cervix starts dilating and its plug falls out 
    • only a little blood 
  61. Braxton-Hicks
    • false contractions, body warming up for real labor
    • start in back and come around to  abdomen,
    • woman walks around and they stop 
    • (real contractions will continue and increase in intensity) 
  62. preliminary signs of labor
    • 1.  baby drops lower
    • 2.  vaginal discharge (bloody show)
    • 3.  Braxton-Hicks contractions
    • 4.  cervical changes, feels more soft
    • 5.  SROM    
  63. warning/danger signs of first trimester
    • 1.  abdominal cramping or pain,
    • 2.  vaginal spotting or bleeding
    • 3.  absence of fetal heart tone
    • 4.  dysurin, frequency, urgency
    • 5.  fever, chills
    • 6.  prolonged nausea and vomiting,      
  64. Warning signs of preclampsia
    • 1.  severe headache
    • 2.  epigastric pain
    • 3.  nausea/vomiting
    • 4.  deep tendon hyper reflexes
    •        0 = no reflex
    •        4 = brisk w/ clonus (tapping) 
    • 5.  restlessness
  65. antepartum
    • prenatal
    • starts at conception, ends w/ the beginning of labor 
  66. What are the probable signs of pg?
    • 1.  Chadwick's sign
    • 2.  Goodwell's sign
    • 3.  Hegar's sign
    • 4.  urterine and abdominal growth
    • 5.  cholasma
    • 6.  linea nigra
    • 7. nipples and areola bigger and darker
    • 8.  ballottement  
    • 9. positive pg test 
  67. What are the presumptive signs of pg?
    • 1.  amenorrhea
    • 2.  nausea/vomiting
    • 3.  breast changes
    • 4.  fatigue
    • 5.  frequent urination
    • 6.  quickening     
  68. What are the positive signs of pg?
    • 1.  fetal heart beat
    • 2.  observation/palpatation of fetal movement
    • 3.  sonographic visulization of fetus

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